Expectant management for umbilical artery thrombosis: a report of two cases and literature review.

The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians Pub Date : 2022-12-01 Epub Date: 2022-01-27 DOI:10.1080/14767058.2022.2029398

Caixia Han, Kun Dong, Zongyang Jia, Guangcai Zhao, Wenhui Chen, Haiying Liu

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引用次数: 3

Abstract

Objectives: Umbilical artery thrombosis (UAT) is considered a marker for poor fetal prognosis. Because of limited studies, the clinical management for this disease remains a challenge. Most of the previously reported cases chose emergency cesarean section at the confirmation of this disease.

Cases presentation: Here, we studied two cases of UAT choosing expectant management with strict fetal observation. Both cases had good maternal and fetal outcomes without any complications.

Conclusions: For UAT patients with good maternal and fetal status, especially for the preterm group with an urgent need to extend the pregnancy period, expectant management with the US and close fetal monitoring may be an alternative to emergent delivery.

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脐动脉血栓形成的保守治疗:附2例报告并文献复习。

目的:脐动脉血栓形成(UAT)被认为是胎儿预后不良的标志。由于研究有限，该疾病的临床管理仍然是一个挑战。以往报告的病例确诊后大多选择紧急剖宫产。病例介绍:我们研究了两例UAT在严格观察胎儿的情况下选择准产管理。两例均有良好的母胎结局，无任何并发症。结论:对于母胎状态良好的UAT患者，特别是迫切需要延长妊娠期的早产儿群体，采用US的准产管理和严密的胎儿监护可能是紧急分娩的替代方案。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians

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