第一个三个月的诊断和治疗 @ 11-13+6周怀孕 - 第1部分
Constantin von Kaisenberg1, Peter Kozlowski2, Karl-Oliver Kagan3
1Department of Obstetrics and Gynecology, Hannover Medical School, Hannover, Germany.
概括
本指南提供了关于怀孕并发症的第一季度 (11-13+6周) 查建议,包括解剖学形和染色体缺陷. 早期检测有助于做出关于怀孕管理的决策,并降低风险.
科学领域:
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 产前诊断 在产前诊断
- 基于证据的医学基于证据的医学.
背景情况:
- 第一个三个月 (怀孕11-13+6周) 为早期怀孕并发症查提供了关键的窗口.
- 对高质量的研究进行系统分析对于制定基于证据的指导方针至关重要.
研究的目的:
- 为第一季度查和诊断各种妊娠并发症提供全面的建议.
- 建立关于早期怀孕评估的法律基础,查方法和质量评估的共识.
主要方法:
- 系统审查和分析高质量的研究和出版物.
- 开发证据表,建议与证据和共识的水平.
主要成果:
- 对解剖学形,染色体缺陷,孕前,胎儿生长限制 (FGR) 和某些胎盘疾病的查在11-13+6周是可行的和有效的.
- 查早产和葡萄糖代谢障碍在头三个月仍然具有挑战性.
- 早期查有助于提供知情的家长咨询和关于怀孕管理的决策.
结论:
- 第一个三个月 (11-13+6周) 的查对于识别和管理许多妊娠并发症至关重要.
- 虽然一些查问题已经得到解决,但对于葡萄糖代谢和早产检测还需要进一步的研究.
- 基于早期查的及时干预或保证可以显著改善妊娠结果并减少并发症.
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