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常规的经阴道子宫长度测量和预防早产的干预措施的国家之间的差异

E V J van Limburg Stirum¹, N Pilarski², M A de Boer¹

¹Amsterdam UMC location Vrije Universiteit Amsterdam, Department of Obstetrics and Gynaecology, De Boelelaan 1117, Amsterdam, Netherlands (the); Amsterdam Reproduction & Development, Amsterdam, Netherlands (the).

European journal of obstetrics, gynecology, and reproductive biology

|November 7, 2024

概括

医疗保健提供者如何测量子宫长度并提供预防早产 (PTB) 的干预措施存在重大国际差异. 需要一种标准化的方法来有效地管理高风险怀孕.

科学领域:

孕产妇和胎儿医学孕产妇和胎儿医学
产科产科产科产科产科
生殖健康生殖健康

背景情况:

早产 (PTB) 仍然是全球新生儿死亡率和发病率的主要原因.
目前用于预防PTB的管理策略,特别是涉及宫长度评估和干预措施的管理策略,显示出相当大的异质性.
标准化护理对于改善高风险怀孕的结果至关重要.

研究的目的:

为了评估宫长度的常规穿阴道超声波评估的国际变异性.
调查不同国家为预防早产 (PTB) 提供的干预措施的差异.
在PTB预防协议中确定潜在的标准化领域.

主要方法:

一份匿名的数字问卷被分发给欧洲自发早产大会 (2023年8月至10月) 的代表.
该调查评估了宫长度测量的方法,指示,时间和频率.
它还收集了有关干预措施 (如孕激素, cerclage) 和活动建议的数据,这些干预措施适用于有PTB风险的女性.

主要成果:

来自15个国家的103名参与者的回答显示了宫长度测量技术和时间的显著差异.
虽然阴道孕激素被广泛使用 (96%),但剂量和 cerclage 放置的时间/妊娠年龄有很大的不同.
常规的第一季度子宫长度查不常见,但对于有PTB病史的女性,在第一或第二季度开始进行连续测量.

结论:

宫长度评估和PTB预防干预措施的指示,时间和方法存在实质性的国际和国内差异.
显然需要一种更加统一的,基于证据的方法来管理患有早产风险的患者.
标准化协议可以导致更一致和更有效的预防PTB的护理.

关键词:

宫的长度宫的长度后续行动后续行动过早分娩过早分娩是什么预防预防预防性活动性活动性活动性活动.

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