Eganhouse D J
St. Luke's Hospital, Cedar Rapids, Iowa.
J Obstet Gynecol Neonatal Nurs. 1992 Jan-Feb;21(1):17-27. doi: 10.1111/j.1552-6909.1992.tb01717.x.
Perinatal mortality for twins is five to seven times that for singletons. This disparity is related to a variety of risk factors that may alter the health of the woman and her fetuses. With twin pregnancies, antepartum surveillance frequently begins earlier in gestation. Although extensive antepartum and intrapartum nursing care is required for women with twins, little has been published in the nursing literature to provide direction for caregivers. Factors such as zygosity and gestational age influence monitoring in twin pregnancies. Current clinical and technical nursing issues are reviewed and related to the antepartum and intrapartum electronic fetal monitoring of twins.
双胞胎的围产期死亡率是单胎的五到七倍。这种差异与多种可能影响孕妇及其胎儿健康的风险因素有关。对于双胎妊娠,产前监测通常在孕期更早开始。尽管双胞胎孕妇需要广泛的产前和产时护理,但护理文献中很少有内容为护理人员提供指导。诸如合子性和孕周等因素会影响双胎妊娠的监测。本文回顾了当前临床和技术护理问题,并将其与双胎产前和产时电子胎儿监测相关联。