Drexel University, Philadelphia, PA, USA.
MCN Am J Matern Child Nurs. 2010 May-Jun;35(3):150-5. doi: 10.1097/NMC.0b013e3181d765a8.
This article discusses the issue of multifetal pregnancy as a result of fertility treatments. Pregnancies with multiple gestations are associated with serious infant and maternal health risks as well as psychological distress and significant financial consequences, and are a far too common consequence of infertility treatments such as assisted reproductive technology (ART) and ovulation induction drugs. Women with multifetal pregnancies are at a higher risk for multiple pregnancy complications and maternal morbidity/mortality as well as stress, depression, and anxiety disorders, especially when there is the threat of a loss of one or more fetuses. The rise in rates of multifetal gestation and the accompanying increased risk to both mother and fetuses have led the American Society for Reproductive Medicine and the Society for Assisted Reproductive Technology to develop guidelines to limit the number of transferred embryos during in vitro fertilization. Nurses who work with infertile women are in a position to educate them about the risks, benefits, and alternatives associated with ARTs and multifetal pregnancies, and should endeavor to learn as much as possible about this topic.
本文讨论了因生育治疗而导致的多胎妊娠问题。多胎妊娠与严重的母婴健康风险以及心理困扰和重大经济后果有关，是辅助生殖技术（ART）和排卵诱导药物等不孕治疗的常见后果。多胎妊娠的女性更容易出现多种妊娠并发症以及母婴发病率/死亡率，同时还会感到压力、抑郁和焦虑障碍，尤其是当面临失去一个或多个胎儿的威胁时。多胎妊娠的发生率上升以及随之而来的母婴风险增加，促使美国生殖医学学会和辅助生殖技术学会制定了指导方针，以限制体外受精过程中移植胚胎的数量。与不孕女性一起工作的护士能够对她们进行有关 ART 和多胎妊娠的风险、益处和替代方案的教育，并且应该努力尽可能多地了解这一主题。
