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[医源性早产对新生儿发病率的影响]

[Impact of iatrogenic preterm birth on newborn morbidity].

作者信息

Beinder E

机构信息

K linik für Geburtsmedizin, Charité-Universitätsmedizin, Berlin.

出版信息

Z Geburtshilfe Neonatol. 2011 Aug;215(4):133-8. doi: 10.1055/s-0031-1284417. Epub 2011 Aug 23.

Abstract

The incidence of premature births is not decreasing in developed countries, but rather shows a tendency to increase. This rise is primarily due to an increase in the number iatrogenic late preterm births at a gestational age between 34 + 0 and 36 + 6 weeks. Late preterm births account for up to 80% of all preterm births and these newborns have higher morbidity and mortality rates and a higher rate in neurodevelopmental long-term impairment in comparison to term infants. In order to reduce iatrogenic preterm birth, it is necessary to apply standardised treatment algorithms especially in cases of mild preeclampsia and intrauterine growth restriction.

摘要

在发达国家,早产的发生率并未下降,反而呈上升趋势。这种上升主要是由于医源性晚期早产(孕龄在34+0至36+6周之间)数量增加所致。晚期早产占所有早产的80%,与足月儿相比,这些新生儿的发病率和死亡率更高,神经发育长期受损的发生率也更高。为了减少医源性早产,有必要应用标准化的治疗方案,尤其是在轻度子痫前期和胎儿生长受限的情况下。

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