孕前保健的临床内容：生育史。

The clinical content of preconception care: reproductive history.

作者信息

Stubblefield Phillip G, Coonrod Dean V, Reddy Uma M, Sayegh Raja, Nicholson Wanda, Rychlik Daniel F, Jack Brian W

机构信息

Department of Obstetrics and Gynecology, Boston University Medical Center, Boston, MA 02118, USA.

出版信息

Am J Obstet Gynecol. 2008 Dec;199(6 Suppl 2):S373-83. doi: 10.1016/j.ajog.2008.10.048.

DOI:10.1016/j.ajog.2008.10.048

PMID:19081433

Abstract

A history of previous birth of a low birthweight infant, previous cesarean sections, multiple previous spontaneous abortions, prior stillbirth, or uterine anomaly identifies women at increased risk for recurrent abortion, preterm birth, or stillbirth. We review the evidence for the potential benefit of reproductive history in identifying strategies for evaluation and treatment to prevent recurrent adverse pregnancy outcome. We offer evidence-based recommendations for management of women with these histories.

摘要

既往有低体重儿分娩史、既往剖宫产史、多次自然流产史、既往死产史或子宫异常的女性，发生复发性流产、早产或死产的风险增加。我们回顾了生殖史在确定评估和治疗策略以预防复发性不良妊娠结局方面潜在益处的证据。我们为有这些病史的女性提供基于证据的管理建议。