怀孕期间肝脏疾病及其对孕产妇和胎儿结果的影响的研究
Mohan B Goyal1, Vijendra Kirnake2, Manisha Goyal3
1Gastroenterology and Hepatology, National Institute of Medical Science and Research (NIMS), Jaipur, IND.
Cureus
|September 19, 2025
概括
与怀孕相关的肝病 (LD) 影响3.2%的孕妇,肝脏内胆固醇病是最常见的. 早期诊断和分娩改善了母亲和胎儿的结果.
科学领域:
- 产科和妇科 产科和妇科
- 肝病学 肝病学是一种肝病学.
- 孕产妇和胎儿医学 孕产妇和胎儿医学
背景情况:
- 怀孕相关的肝病 (LD) 对母亲和胎儿的健康构成重大风险.
- 在怀孕期间管理LD给医疗保健提供者带来了挑战.
- 了解LD在怀孕中的患病率和结果至关重要.
研究的目的:
- 为了确定孕妇肝病的流行率.
- 为了确定与怀孕相关的肝病的常见原因.
- 为了评估母亲和新生儿患有肝病的怀孕后结果.
主要方法:
- 在19个月的时间里,在一家三级护理医院进行了一项前性研究.
- 包括已有或疑似肝病的孕妇.
- 以产科评估和肝功能测试为指导的管理,并在分娩之前进行随访.
主要成果:
- 在126名孕妇 (3.2%) 中发现了肝病.
- 怀孕特定的LD (74.5%) 和病毒性肝炎 (21.9%) 是最常见的原因.
- 怀孕的肝脏内胆固醇 (55.3%) 是最常见的特定诊断.
结论:
- 怀孕期间肝脏疾病的早期诊断和治疗是必不可少的.
- 积极的支持性护理和适当时及时分娩可以改善母亲和胎儿的结果.
- 有效的管理策略对于减少肝病怀孕的不良结果至关重要.
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