孕产妇休息改善胎儿生长的小-对于-妊娠年龄和增长受限制的胎儿,由德尔菲共识议定书定义的胎儿
Greggory R DeVore1,2, Bardo Polanco1
1Fetal Diagnostic Centers, Pasadena, California, USA.
Journal of clinical ultrasound : JCU
|March 27, 2025
概括
在左侧躺卧位置的孕产妇休息显著改善了被诊断为胎儿生长限制 (FGR) 或小至妊娠年龄 (SGA) 的胎儿的估计胎儿体重 (EFW). 经过两周的休息,大多数胎儿的EFW增加到10个百分点以上.
科学领域:
- 产科和妇科 产科和妇科
- 胎儿医学 胎儿医学
- 孕产妇健康 孕产妇健康
背景情况:
- 胎儿生长限制 (FGR) 和小至妊娠年龄 (SGA) 是产前护理的重要问题,可能导致新生儿不良后果.
- 怀孕期间母亲的位置正在被探索,因为它可能对胎儿的健康和生长产生影响.
研究的目的:
- 调查母亲在左侧躺卧位置休息是否可以增加被诊断为FGR或SGA的胎儿的预计胎儿体重 (EFW).
- 评估一个为期两周的母亲休息期对风险胎儿的EFW百分位的影响.
主要方法:
- 在265个被归类为FGR或SGA的胎儿上进行了回顾性观察研究,使用了德尔菲共识标准.
- 参与者被指示在诊断后的两周内在清醒时间内休息在左侧横卧位置.
- 估计的胎儿体重 (EFW) 在启动孕产妇休息干预后两周后被重新测量.
主要成果:
- 在265个胎儿中,56%的胎儿被诊断为FGR,44%的胎儿被诊断为SGA.
- 经过两周的孕产妇休息后,平均EFW百分位数显著增加,从FGR的5.96到18,从SGA的7.39到19.
- 干预导致70%的FGR胎儿和82%的SGA胎儿的EFW从第10百分位以下增加到第10百分位以上.
结论:
- 两周的母亲休息在左侧躺卧的位置导致EFW显著增加胎儿分类为FGR或SGA.
- 这种简单的非侵入性干预表明,它有可能改善受损胎儿的胎儿生长指标.
- 这些发现表明,母体定位可能是管理FGR和SGA怀孕的宝贵辅助.
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