5预防多胎妊娠早产

MD, CMFM, FRACOG, FRCOG Caroline A. Crowther (Senior Lecturer)
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引用次数: 10

摘要

早产是多胎妊娠对婴儿的最大威胁。本章重点介绍旨在预防早产的策略,并集中在随机临床试验和随机临床试验的系统评价中获得的证据。本文简要讨论了避免多胎妊娠的方法。旨在延长妊娠期的干预措施,包括预防性宫颈环扎术、预防性胎解术、家庭子宫活动监测和住院卧床休息,以及旨在改善早产结果的干预措施,都受到严格评价。强调了需要进一步评估的干预措施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
5 Prevention of preterm birth in multiple pregnancy

Preterm birth is the greatest threat to the infants in a multiple pregnancy. This chapter focuses on strategies that aim to prevent preterm birth and concentrates on the evidence derived from randomized clinical trials and systematic review of randomized clinical trials. The options to avoid a multiple pregnancy are briefly considered. Interventions that aim to prolong pregnancy, including prophylactic cervical cerclage, prophylactic tocolysis, home uterine activity monitoring and hospitalization for bed rest, are critically appraised, as are interventions that aim to improve the outcome of preterm birth. Interventions that require additional evaluation are highlighted.

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