Department of Gynecology, Obstetrics and Urology, Sapienza University of Rome, Rome, Italy.
Leuven Institute of Fertility and Embryology & Catholic University of Leuven, Leuven, Belgium.
Best Pract Res Clin Obstet Gynaecol. 2014 Nov;28(8):1114-22. doi: 10.1016/j.bpobgyn.2014.08.006. Epub 2014 Aug 23.
Complex pathologies associated with chronic health conditions must be dealt in a coordinated way and the 'multidisciplinary team' approach (MDTA) represents the most efficacious way of managing these patients. Over the last 25 years, the initial limited field for joint interventions by several specialists has been progressively expanded and this article reviews some of the conditions in which the MDTA has found useful application. This has been the case in fields as diverse as primary healthcare, oncology, diabetes, cardiovascular, chronic kidney diseases and high-risk pregnancy. In the latter situation, an MDTA can offer clear advantages for pregnancies in solid organ recipient women. In these patients, a close collaboration is mandatory between a series of dedicated physicians (including, but not limited to, infertility and maternal-foetal medicine specialists, obstetricians, paediatricians, transplant physicians, geneticists and psychologists). Such a team should be active before, during and after pregnancy and should cope with all their reproductive health needs.
与慢性健康状况相关的复杂病症必须以协调的方式进行处理，而“多学科团队”方法（MDTA）代表了管理这些患者的最有效方式。在过去的 25 年中，最初由几位专家进行联合干预的有限领域已经逐步扩大，本文回顾了 MDTA 在其中一些情况下的有用应用。这种情况在初级保健、肿瘤学、糖尿病、心血管、慢性肾脏疾病和高危妊娠等领域都有出现。在后一种情况下，MDTA 可为实体器官受者妇女的妊娠提供明显优势。在这些患者中，一系列专门医生（包括但不限于不孕和母婴医学专家、产科医生、儿科医生、移植医生、遗传学家和心理学家）之间必须密切合作。该团队应在妊娠前、妊娠中和妊娠后积极开展工作，并满足所有生殖健康需求。
