多胎妊娠中延期分娩的管理。
Management of delayed-interval delivery in multiple gestations.
作者信息
Cristinelli Stéphane, Fresson Jeanne, André Monique, Monnier-Barbarino Patricia
机构信息
Materno-Fetal Medicine Department and Neonatal Intensive Care, Maternity Hospital, Nancy, France.
出版信息
Fetal Diagn Ther. 2005 Jul-Aug;20(4):285-90. doi: 10.1159/000085087.
OBJECTIVE
Proving that delayed delivery is possible, debating its modality, suggesting a guideline for its managing.
METHOD
Six cases of delayed delivery were treated at the Maternity Hospital of Nancy, between 1979 and 2001, and the results were compared to a literature review of 148 found thanks to Medline database.
RESULTS
Delayed delivery reduces the risk of neonatal mortality and morbidity. The delivery interval is 2-93 (median 7) days in our experience and 2-153 (median 31) days in the literature. After the first expulsion, cerclage was used in 60% of the cases, prophylactic tocolysis and antibiotics in 79% and 71%, respectively.
CONCLUSION
There is no consensus for its management but it must be performed with precise conditions to restrict both maternal and fetal risks. Our study is supporting an interventionist attitude with cerclage, prophylactic tocolysis and antibiotics.
目的
证明延迟分娩是可行的，对其方式进行辩论，并提出管理指南。
方法
1979年至2001年期间，南希妇产医院对6例延迟分娩病例进行了治疗，并将结果与通过Medline数据库检索到的148篇文献综述进行了比较。
结果
延迟分娩可降低新生儿死亡率和发病率。根据我们的经验，分娩间隔为2 - 93天（中位数7天），文献报道为2 - 153天（中位数31天）。首次排出后，60%的病例使用了宫颈环扎术，79%和71%的病例分别使用了预防性宫缩抑制剂和抗生素。
结论
对于其管理尚无共识，但必须在精确的条件下进行，以限制母婴风险。我们的研究支持采用宫颈环扎术、预防性宫缩抑制剂和抗生素的干预性态度。
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