Patel Ravi Mangal, Rysavy Matthew A, Bell Edward F, Tyson Jon E
Division of Neonatal-Perinatal Medicine, Department of Pediatrics, Children's Healthcare of Atlanta, Emory University School of Medicine, 2015 Uppergate Drive Northeast, 3rd Floor, Atlanta, GA 30322, USA.
Department of Pediatrics, University of Wisconsin Hospital and Clinics, 600 Highland Avenue, Madison, WI 53792, USA.
Clin Perinatol. 2017 Jun;44(2):287-303. doi: 10.1016/j.clp.2017.01.009. Epub 2017 Mar 22.
Periviable births are those occurring from 20 0/7 through 25 6/7 weeks of gestation. Among and within developed nations, significant variation exists in the approach to obstetric and neonatal care for periviable birth. Understanding gestational age-specific survival, including factors that may influence survival estimates and how these estimates have changed over time, may guide approaches to the care of periviable births and inform conversations with families and caregivers. This review provides a historical perspective on survival following periviable birth, summarizes recent and new data on gestational age-specific survival rates, and addresses factors that have a significant impact on survival.
可存活孕周出生是指在妊娠20 0/7周至25 6/7周之间发生的分娩。在发达国家之间及内部,对于可存活孕周出生的产科和新生儿护理方法存在显著差异。了解特定孕周的存活率,包括可能影响存活估计的因素以及这些估计随时间的变化情况,可能会指导可存活孕周出生的护理方法,并为与家庭和护理人员的沟通提供信息。本综述提供了关于可存活孕周出生后存活情况的历史视角,总结了近期和新的特定孕周存活率数据,并探讨了对存活有重大影响的因素。