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超早产儿出生与可存活界限的变化

Periviable Birth and the Shifting Limit of Viability.

作者信息

Mercer Brian M

机构信息

Department of Obstetrics & Gynecology, The MetroHealth System, Suite G267, 2500 MetroHealth Drive, Cleveland, OH 44109, USA.

出版信息

Clin Perinatol. 2017 Jun;44(2):283-286. doi: 10.1016/j.clp.2017.02.002. Epub 2017 Mar 18.

DOI:10.1016/j.clp.2017.02.002
PMID:28477660
Abstract

Periviable birth carries a high risk of fetal and newborn death, and the potential for life-long complications in survivors. The family at risk for periviable birth should receive objective, accurate, and up to date information regarding fetal, newborn, and maternal risks and outcomes with delivery or with continued pregnancy. This article describes the various descriptive terms for delivery near the limit of viability, considers the evolving limit of viability over time, and highlights the importance of adjusted counseling with brief pregnancy prolongation and/or changing clinical circumstances within the periviable period.

摘要

接近可存活极限的分娩存在胎儿和新生儿死亡的高风险,以及幸存者出现终身并发症的可能性。面临接近可存活极限分娩风险的家庭应获得关于胎儿、新生儿和产妇在分娩或继续妊娠时的风险及结局的客观、准确和最新信息。本文描述了接近可存活极限分娩的各种描述性术语,探讨了可存活极限随时间的演变,并强调了在接近可存活期内进行适当咨询的重要性,包括短暂延长妊娠和/或临床情况变化。

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Periviable Birth and the Shifting Limit of Viability.超早产儿出生与可存活界限的变化
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