胎儿腹内腹静脉静脉的临床意义:一项比较研究
Keren Zloto1,2, Ariella Wiener1,2, Natalie Bibar3
1Department of Obstetrics and Gynecology, Sheba Medical Center, Tel-Hashomer, Israel.
概括
胎儿腹腔内静脉变动 (FIUVV) 与窒息相关的不良结果增加无关. 建议进行有针对性的异常扫描和生长评估,没有证据支持早产诱导.
科学领域:
- 周围生理学 周围生理学
- 胎儿医学 胎儿医学
- 产科 产科 产科 产科 产科
背景情况:
- 胎儿腹腔内静脉变动 (FIUVV) 是一种罕见的疾病,临床意义不明.
- 对FIUVV的最佳管理策略需要进一步阐明.
研究的目的:
- 为了澄清FIUVV的临床意义.
- 为了确定FIUVV的最佳管理.
- 评估与FIUVV.感染的胎儿的窒息相关的不良结果.
主要方法:
- 追溯性研究,将FIUVV单身者与一般人口进行比较.
- 评估的结果包括死产,由于胎儿心率不令人放心 (CD NRFHR) 的剖腹产,阿帕格得分<7,带pH<7,NICU入院,机械呼吸,,窒息,HIE,SGA和先天异常.
- 小组分析包括39周妊娠期或之后的分娩.
主要成果:
- 与对照人群相比,FIUVV病例 (142) 的先天性异常率 (15.5%) 和妊娠年龄 (SGA) 较小的 (9.9%) 率较高 (分别为0.84%和5.4%).
- 在FIUVV组中没有观察到死产.
- 在FIUVV和对照组之间,CD NRFHR和复合窒息相关的不良结果的发生率在FIUVV和对照组之间是相似的,包括在分组中提供≥39周.
结论:
- FIUVV似乎不会增加窒息相关不良结果的风险.
- 针对性异常扫描和胎儿生长评估对于患有FIUVV的胎儿是建议的.
- 目前的证据不支持在FIUVV.39周之前对FIUVV进行常规的分娩诱导.
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