Sven Schiermeier, Constantin Sylvius von Kaisenberg, Sven Kehl, Frank Reister, Beatrice Mosimann, Philipp Reif, Werner Harlfinger, Klaus König, Christiane Schwarz, Elke Matern, Maritta Kühnert, Ralf Schmitz, Markus Hoopmann, Andrea Ramsell, Barbara Stocker Kalberer, Petra Graf Heule, Silke Heinzl, Beate Kayer, Patricia Gruber, Horst Steiner, Leonard Schäffer
{"title":"妊娠期胎儿评估（低风险人群胎儿监护的指征和方法）。DGGG、DEGUM、OEGGG 和 SGGG 指南（S3 级，AWMF 登记号 015/089，2023 年 2 月）。","authors":"Sven Schiermeier, Constantin Sylvius von Kaisenberg, Sven Kehl, Frank Reister, Beatrice Mosimann, Philipp Reif, Werner Harlfinger, Klaus König, Christiane Schwarz, Elke Matern, Maritta Kühnert, Ralf Schmitz, Markus Hoopmann, Andrea Ramsell, Barbara Stocker Kalberer, Petra Graf Heule, Silke Heinzl, Beate Kayer, Patricia Gruber, Horst Steiner, Leonard Schäffer","doi":"10.1055/a-2113-7638","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong> The aim of this guideline was to find evidence on whether carrying out Doppler examinations and CTGs in low-risk cohorts of pregnant women improves outcomes.</p><p><strong>Methods: </strong> First, a systematic search for guidelines was carried out. Identified guidelines were evaluated using the DELPHI instrument of the AWMF. Three guidelines were found to be suitable to evaluate CTG. 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NOTE: The guideline will be published simultaneously in the official journals of both professional societies (i. e., <i>Geburtshilfe und Frauenheilkunde</i> for the DGGG and <i>Ultraschall in der Medizin/European Journal of Ultrasound</i> for the DEGUM).</p>","PeriodicalId":49400,"journal":{"name":"Ultraschall in Der Medizin","volume":" ","pages":"147-167"},"PeriodicalIF":3.1000,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Fetal Assessment in Pregnancy (Indication and Methodology for Fetal Monitoring in a low-risk Population). 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引用次数: 0
摘要
目的：本指南旨在寻找在低风险孕妇群体中进行多普勒检查和 CTG 是否能改善预后的证据：方法：首先，对相关指南进行系统检索。方法：首先对指南进行了系统性搜索，然后使用 AWMF 的 DELPHI 工具对识别出的指南进行了评估。结果发现有三项指南适合用于评估 CTG。两份 DEGUM 最佳实践指南被认为适合描述 CTG 方法。此外，还使用 8 个 PICO 问题对所有相关研究进行了分析。在独立主持人的主持下，参与研究的专业学会通过名义小组程序和结构化共识会议达成了结构化共识：建议：在产前护理中，不应对低风险人群进行产前多普勒超声检查。低风险人群不应进行产前 CTG 检查。注：该指南将同时在两个专业学会的官方期刊上发表（即 DGG 的 Geburtshilfe und Frauenheilkunde 和 DEGUM 的 Ultraschall in der Medizin/European Journal of Ultrasound）。
Fetal Assessment in Pregnancy (Indication and Methodology for Fetal Monitoring in a low-risk Population). Guideline of the DGGG, DEGUM, OEGGG and SGGG (S3-Level, AWMF Registry No. 015/089, February 2023).
Purpose: The aim of this guideline was to find evidence on whether carrying out Doppler examinations and CTGs in low-risk cohorts of pregnant women improves outcomes.
Methods: First, a systematic search for guidelines was carried out. Identified guidelines were evaluated using the DELPHI instrument of the AWMF. Three guidelines were found to be suitable to evaluate CTG. Two DEGUM best practice guidelines were judged suitable to describe the methods. All studies on this issue were additionally analyzed using 8 PICO questions. A structured consensus of the participating professional societies was achieved using a nominal group process and a structured consensus conference moderated by an independent moderator.
Recommendations: No antepartum Doppler sonography examinations should be carried out in low-risk cohorts in the context of antenatal care. No antepartum CTG should be carried out in low-risk cohorts. NOTE: The guideline will be published simultaneously in the official journals of both professional societies (i. e., Geburtshilfe und Frauenheilkunde for the DGGG and Ultraschall in der Medizin/European Journal of Ultrasound for the DEGUM).
期刊介绍：
Ultraschall in der Medizin / European Journal of Ultrasound publishes scientific papers and contributions from a variety of disciplines on the diagnostic and therapeutic applications of ultrasound with an emphasis on clinical application. Technical papers with a physiological theme as well as the interaction between ultrasound and biological systems might also occasionally be considered for peer review and publication, provided that the translational relevance is high and the link with clinical applications is tight. The editors and the publishers reserve the right to publish selected articles online only. Authors are welcome to submit supplementary video material. Letters and comments are also accepted, promoting a vivid exchange of opinions and scientific discussions.
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