Dtsch Arztebl Int. 2017 Sep 15;114(37):616-626. doi: 10.3238/arztebl.2017.0616.
The treatment of pregnant women who have illnesses unrelated to pregnancy can cause uncertainty among physicians.
We searched the PubMed database and specialty guidelines from Germany and abroad (the guidelines of the German Society for Gynecology and Obstetrics, the American Congress of Obstetri cians and Gynecologists, and the Royal College of Obstetricians and Gynaecologists) over the period 2007-2016 for information on standards for the diagnosis and treatment of five illnesses that can arise in pregnancy: bronchial asthma, migraine, hypothyroidism, hyperthyroidism, and varicose veins.
Any diagnostic tests that are carried out in pregnant women should be simple and goal-directed. The choice of drugs that can be used is limited. For many drugs, no embryotoxic or teratogenic effect is suspected, but the level of evidence is low.
When illnesses unrelated to pregnancy arise in pregnant women, attention must be paid to potential diver gences from the typical disease course and to pos sible drug side effects on the fetus in order to prevent serious complications for both mother and child.
治疗与妊娠无关的孕妇疾病会使医生感到不确定。
我们检索了 2007 年至 2016 年期间的 PubMed 数据库和国内外专业指南（德国妇产科学会、美国妇产科医师学会和英国皇家妇产科医师学院的指南），以获取诊断和治疗五种在妊娠中可能出现的疾病的标准信息：支气管哮喘、偏头痛、甲状腺功能减退症、甲状腺功能亢进症和静脉曲张。
对孕妇进行的任何诊断性检查都应简单且有针对性。可使用的药物选择有限。对于许多药物，没有怀疑其具有胚胎毒性或致畸性，但证据水平较低。
当孕妇出现与妊娠无关的疾病时，必须注意潜在的疾病进程差异以及药物对胎儿的可能副作用，以防止母婴严重并发症。
