Narayan Bhaskar, Nelson-Piercy Catherine
Women's Health Academic Centre, Guy's and St Thomas' Foundation Trust, London, UK
Women's Health Academic Centre, Guy's and St Thomas' Foundation Trust, London, UK.
Clin Med (Lond). 2017 Jun;17(3):251-257. doi: 10.7861/clinmedicine.17-3-251.
The prevalence of medical problems in pregnancy is increasing because of a complex interplay between demographic and lifestyle factors, and developments in modern medicine. Maternal mortality and morbidity resulting from treatable medical conditions, such as venous thromboembolism, epilepsy and autoimmune disease, have not decreased in recent years. This is despite a marked decrease in overall maternal mortality. It is vital that all physicians acquire a basic knowledge and understanding of medical problems in pregnancy. This includes prepregnancy measures such as counselling and optimisation of medical therapy, as well as multidisciplinary management throughout pregnancy and the postpartum period. Prompt recognition and treatment of acute and chronic illness is of clear benefit, and most drugs and many radiological investigations may be used in pregnancy.
由于人口统计学和生活方式因素以及现代医学发展之间的复杂相互作用，孕期医疗问题的患病率正在上升。近年来，由可治疗的医疗状况（如静脉血栓栓塞、癫痫和自身免疫性疾病）导致的孕产妇死亡率和发病率并未下降。尽管孕产妇总体死亡率显著下降，但情况依然如此。所有医生掌握孕期医疗问题的基本知识并加以理解至关重要。这包括孕前措施，如咨询和优化药物治疗，以及孕期和产后的多学科管理。及时识别和治疗急慢性疾病显然有益，大多数药物和许多放射学检查在孕期均可使用。
