Madalina Piron-Dumitrascu, Dragos Cretoiu, Valentin Nicolae Varlas, Nicolae Suciu
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In this narrative review, we aimed to assess the current status of fetal and maternal surveillance in high-risk pregnancies and the role of identifying fetal movements associated with the risk of stillbirth. Recommendations for routine monitoring of fetal movement are warranted in high-risk pregnancies, particularly those with placental pathology or small for gestational age (SGA)/FGR (fetal growth restriction) assessed by ultrasound or by analysis of various biomarkers. Current methods for fetal movement counting do not demonstrate high sensitivity and specificity, underscoring the need for further research. Identifying the main risk factors for stillbirth and stratifying fetuses at high risk will contribute to improving mater-nal-fetal outcomes and better management of health system resources.</p>","PeriodicalId":16386,"journal":{"name":"Journal of Medicine and Life","volume":"18 8","pages":"745-752"},"PeriodicalIF":0.0000,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12467505/pdf/","citationCount":"0","resultStr":"{\"title\":\"Fetal and maternal surveillance in high-risk pregnancy: tools, timing, and trends.\",\"authors\":\"Madalina Piron-Dumitrascu, Dragos Cretoiu, Valentin Nicolae Varlas, Nicolae Suciu\",\"doi\":\"10.25122/jml-2025-0105\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>According to WHO statistics, stillbirths represent an incompletely elucidated, partially neglected problem, resulting in millions of pregnancies per year globally. This phenomenon has a major emotional impact on parents and society, as well as an additional economic effort on the part of health services. Stratification of high-risk pregnancies could be followed by a decrease in perinatal mortality through careful monitoring and possible obstetric interventions in selected cases. Identification of risk factors, assessment of genetic causes, planning of imaging monitoring strategy, cardiotocography, and therapeutic management can contribute to a decrease in the number of stillbirths. In this narrative review, we aimed to assess the current status of fetal and maternal surveillance in high-risk pregnancies and the role of identifying fetal movements associated with the risk of stillbirth. Recommendations for routine monitoring of fetal movement are warranted in high-risk pregnancies, particularly those with placental pathology or small for gestational age (SGA)/FGR (fetal growth restriction) assessed by ultrasound or by analysis of various biomarkers. Current methods for fetal movement counting do not demonstrate high sensitivity and specificity, underscoring the need for further research. Identifying the main risk factors for stillbirth and stratifying fetuses at high risk will contribute to improving mater-nal-fetal outcomes and better management of health system resources.</p>\",\"PeriodicalId\":16386,\"journal\":{\"name\":\"Journal of Medicine and Life\",\"volume\":\"18 8\",\"pages\":\"745-752\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-08-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12467505/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Medicine and Life\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.25122/jml-2025-0105\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q3\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Medicine and Life","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.25122/jml-2025-0105","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
Fetal and maternal surveillance in high-risk pregnancy: tools, timing, and trends.
According to WHO statistics, stillbirths represent an incompletely elucidated, partially neglected problem, resulting in millions of pregnancies per year globally. This phenomenon has a major emotional impact on parents and society, as well as an additional economic effort on the part of health services. Stratification of high-risk pregnancies could be followed by a decrease in perinatal mortality through careful monitoring and possible obstetric interventions in selected cases. Identification of risk factors, assessment of genetic causes, planning of imaging monitoring strategy, cardiotocography, and therapeutic management can contribute to a decrease in the number of stillbirths. In this narrative review, we aimed to assess the current status of fetal and maternal surveillance in high-risk pregnancies and the role of identifying fetal movements associated with the risk of stillbirth. Recommendations for routine monitoring of fetal movement are warranted in high-risk pregnancies, particularly those with placental pathology or small for gestational age (SGA)/FGR (fetal growth restriction) assessed by ultrasound or by analysis of various biomarkers. Current methods for fetal movement counting do not demonstrate high sensitivity and specificity, underscoring the need for further research. Identifying the main risk factors for stillbirth and stratifying fetuses at high risk will contribute to improving mater-nal-fetal outcomes and better management of health system resources.
期刊介绍:
The Journal of Medicine and Life publishes peer-reviewed articles from various fields of medicine and life sciences, including original research, systematic reviews, special reports, case presentations, major medical breakthroughs and letters to the editor. The Journal focuses on current matters that lie at the intersection of biomedical science and clinical practice and strives to present this information to inform health care delivery and improve patient outcomes. Papers addressing topics such as neuroprotection, neurorehabilitation, neuroplasticity, and neuroregeneration are particularly encouraged, as part of the Journal''s continuous interest in neuroscience research. The Editorial Board of the Journal of Medicine and Life is open to consider manuscripts from all levels of research and areas of biological sciences, including fundamental, experimental or clinical research and matters of public health. As part of our pledge to promote an educational and community-building environment, our issues feature sections designated to informing our readers regarding exciting international congresses, teaching courses and relevant institutional-level events.