[双绒毛膜双胎妊娠的管理]
[Management of uncomplicated dichorionic twin pregnancy].
作者信息
Picone O
机构信息
Hôpital Antoine-Béclère, AP-HP, Service de gynécologie-obstétrique, 157, rue de la Porte-de-Trivaux, 92140 Clamart, France.
出版信息
J Gynecol Obstet Biol Reprod (Paris). 2009 Dec;38(8 Suppl):S51-5. doi: 10.1016/S0368-2315(09)73560-4.
OBJECTIVES
To determine clinical recommendations for the management of uncomplicated dichorionic twin pregnancies.
METHOD
Articles were searched using PubMed, Embase and Cochrane library.
RESULTS
High level studies are rare. However, it is clear that dichorionic twin pregnancies are at risk for maternal or obstetrical complications as diabetes, preeclampsia and intra uterine growth restriction. Therefore, a specific follow up is recommended.
CONCLUSIONS
A monthly clinical and ultrasound survey is recommended. The best time to deliver is between 38 and 40 weeks. Further studies are necessary to determine the best way to manage dichorionic twin pregnancies.
目的
确定双绒毛膜双胎妊娠无并发症管理的临床建议。
方法
通过PubMed、Embase和Cochrane图书馆检索文章。
结果
高水平研究很少。然而，很明显双绒毛膜双胎妊娠有发生母体或产科并发症的风险，如糖尿病、先兆子痫和宫内生长受限。因此，建议进行特定的随访。
结论
建议每月进行临床和超声检查。最佳分娩时间为38至40周。需要进一步研究以确定管理双绒毛膜双胎妊娠的最佳方法。
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