Koren Gideon
Motherisk Team, Hospital for Sick Children in Toronto, Ont.
Can Fam Physician. 2003 Nov;49:1445-6.
I have a patient who contracted varicella at 26 weeks' gestation. She is very concerned and would consider termination if it were earlier in the pregnancy. What are the current predictions of risk for her fetus?
Based on review of all available studies, we could not detect a single case of congenital varicella syndrome in the third trimester of pregnancy (0/208), as compared with 5/645 (0.78%) in the first and 9/592 (1.52%) in the second trimester (P < .01 third vs first and second). You can reassure your patient.
我有一位患者,在妊娠26周时感染了水痘。她非常担心,如果妊娠时间再早一些,她会考虑终止妊娠。目前对她胎儿的风险预测是什么?
基于对所有现有研究的回顾,我们在妊娠晚期未发现一例先天性水痘综合征(0/208),而在妊娠早期为5/645(0.78%),妊娠中期为9/592(1.52%)(晚期与早期和中期相比,P <.01)。你可以让你的患者放心。