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[妊娠期并发胎儿生长受限的管理]

[Management of pregnancy complicated by intrauterine fetal growth restriction].

作者信息

Ropacka-Lesiak Mariola, Breborowicz Grzegorz

机构信息

Klinika Peinatologii I Ginekologii, Uniwersytet Medyczny, Poznań, Polska.

出版信息

Ginekol Pol. 2012 May;83(5):373-6.

PMID:22708336
Abstract

Intrauterine growth restriction (IUGR) is defined as fetal growth below the expected genetic potential. The paper presents the principles of fetal surveillance in pregnancy complicated by IUGR in accordance with the guidelines of the Fetal Medicine Foundation (FMF). Fetal surveillance includes integrated monitoring by analyzing Doppler blood flow in selected vessels, fetal heart rate, biophysical profile and amniotic fluid volume. The aim of the integrated fetal monitoring is to prolong the pregnancy to minimize the consequences of prematurity and prevent a potentially lethal damage. The paper presents the symptoms preceding the intrauterine demise and proposes methods of determining the date of delivery according to the guidelines of FMF.

摘要

宫内生长受限(IUGR)被定义为胎儿生长低于预期的遗传潜力。本文根据胎儿医学基金会(FMF)的指南,介绍了合并IUGR的妊娠中胎儿监测的原则。胎儿监测包括通过分析选定血管中的多普勒血流、胎儿心率、生物物理评分和羊水量进行综合监测。综合胎儿监测的目的是延长孕周,以尽量减少早产的后果,并防止潜在的致命损害。本文介绍了宫内死亡前的症状,并根据FMF的指南提出了确定分娩日期的方法。

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