Schneider K T M
Abteilung für Perinatalmedizin, Technische Universität München, Ismaningerstrasse 22, 81675 München, Deutschland.
Internist (Berl). 2008 Jul;49(7):799-804. doi: 10.1007/s00108-008-2068-1.
Cooperation between the obstetrician and the physician for internal medicine is especially needed when a pregnant woman suffers from complex medical diseases. This contribution focuses on the special circumstances of maternal treatment also considering the fetal state with the following examples: drugs in the first trimester, cardiac diseases, pregnancy-induced hypertension, HELLP syndrome, gestational and type I diabetes, thrombosis, pulmonary diseases, infections, and treatment of cancer during pregnancy. Special obstetric requests to the physician are: keeping in close contact, avoiding recommendations for the mode of delivery, avoiding overtreatment of hypertensive disorders as well as intensifying the surveillance including the creation of preventive schedules for pregnant women with an increased risk of developing metabolic syndrome in their later life.
当孕妇患有复杂的内科疾病时，产科医生与内科医生之间的合作尤为必要。本文通过以下例子，关注孕产妇治疗的特殊情况，同时也考虑胎儿状况：孕早期用药、心脏病、妊娠期高血压、HELLP综合征、妊娠期糖尿病和I型糖尿病、血栓形成、肺部疾病、感染以及孕期癌症的治疗。产科对内科医生的特殊要求包括：保持密切联系、避免对分娩方式提出建议、避免过度治疗高血压疾病以及加强监测，包括为日后患代谢综合征风险增加的孕妇制定预防方案。
