宫内胎儿死亡

DeckerMed Obstetrics and Gynecology Pub Date : 2020-12-10 DOI:10.2310/obg.19074

G. Wilkie, S. Little

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引用次数: 0

摘要

宫内胎儿死亡(IUFD)和死胎是可互换的术语，用来描述妊娠后半期胎儿死亡。IUFD被定义为胎儿分娩时没有生命迹象，表现为没有心率、呼吸、脐带搏动或随意肌肉运动。在宫内节育器诊断时，应提供对母体病史和危险因素的全面评估，包括尸检和遗传评估的胎儿评估以及胎盘病理。应向患者提供有关未来妊娠和复发风险的重要咨询，以及在后续妊娠中增加产前检查和分娩计划的必要性。本综述包含5张表格，10张图，55篇参考文献。关键词:胎儿踢腿计数，宫内死胎(IUFD)，宫内死胎处理，微阵列，胎盘病理，宫内死胎的危险因素

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Intrauterine Fetal Demise

Intrauterine fetal demise (IUFD) and stillbirth are interchangeable terms to describe a fetal death in the second half of pregnancy. IUFD is defined as the delivery of a fetus showing no signs of life as indicated by the absence of heart rate, breathing, umbilical cord pulsation, or voluntary muscle movements. A thorough evaluation of maternal history and risk factors, fetal evaluation involving autopsy and genetic evaluation, and placental pathology should be offered at the time of IUFD diagnosis. Significant counseling should be provided to patients regarding future pregnancies and the risk of recurrence as well as the need for increased antenatal testing and delivery planning in subsequent pregnancies. This review contains 5 tables, 10 figures and 55 references. Keywords: fetal kick counts, intrauterine fetal demise (IUFD), management of intrauterine fetal demise, microarray, placental pathology, risk factors for intrauterine fetal demise

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DeckerMed Obstetrics and Gynecology

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