Obstetrics and Gynecology, University of Utah Health Sciences Center, Salt Lake City, UT 84132, USA.
Semin Perinatol. 2011 Oct;35(5):302-8. doi: 10.1053/j.semperi.2011.05.006.
Subsequent pregnancies are emotionally traumatic for families with previous stillbirths. Such pregnancies have a 2- to 10-fold increase in the risk for stillbirth as well as an increased probability of other adverse obstetrical outcomes. These medical risks as well as anxiety on the part of families and care providers contribute to an increase in late preterm and early-term birth. However, delivery before 39 weeks' gestation has not been proven to reduce the risk of recurrent stillbirth or adverse pregnancy outcomes in women with previous stillbirths. This work reviews data regarding the optimal timing of delivery in subsequent pregnancies after previous stillbirth, as well as for patients at risk from stillbirth in general. Management recommendations from current data are presented and knowledge gaps are highlighted.
对于有过死胎史的家庭来说，随后的怀孕会带来情感创伤。这些妊娠的死胎风险增加 2 至 10 倍，其他不良产科结局的可能性也增加。这些医疗风险以及家庭和医护人员的焦虑导致晚期早产和早期早产的增加。然而，在 39 周妊娠前分娩并未被证明能降低有过死胎史的女性再次发生死胎或不良妊娠结局的风险。这项工作综述了先前死胎后后续妊娠以及一般有死胎风险的患者最佳分娩时机的数据。提出了当前数据的管理建议，并强调了知识空白。
