Klinik für Geburtsmedizin, Charité – Universitätsmedizin Berlin.
Dtsch Arztebl Int. 2010 Sep;107(38):663-8. doi: 10.3238/arztebl.2010.0663. Epub 2010 Sep 24.
Multiple pregnancies have become more common in the industrialized world because of rising maternal ages and advances in reproductive medicine.
Selective literature review.
Multiple pregnancy carries a higher risk of prematurity, intrauterine growth restriction, and prenatal death, as well as elevated risks to the mother including preeclampsia, diabetes, and hemorrhage during delivery. Genetic tests and ultrasonography are the most important tests for monitoring during pregnancy. Ultrasound aids in the detection of the feto-fetal transfusion syndrome and in the determination of zygosity.
The care of women with multiple pregnancies requires the collaboration of specialists in prenatal medicine, obstetrics, and neonatology as well as a properly functioning integration of outpatient and inpatient care.
由于产妇年龄的增长和生殖医学的进步,多胎妊娠在工业化世界变得更为常见。
选择性文献回顾。
多胎妊娠会增加早产、宫内生长受限和产前死亡的风险,同时也会增加母亲的患病风险,包括子痫前期、糖尿病和分娩时出血。遗传检测和超声检查是妊娠监测最重要的检查。超声有助于检测胎儿-胎儿输血综合征,并确定同卵双生的情况。
多胎妊娠孕妇的护理需要产前医学、产科和新生儿科专家的协作,以及门诊和住院护理的适当整合。