早产的预防与治疗。德国妇产科学会（DGGG）、奥地利妇产科学会（OEGGG）和瑞士妇产科学会（SGGG）指南（S2k级别，德国医学科学院注册编号015/025，2019年2月）——第2部分：早产三级预防及未足月胎膜早破管理的建议
Prevention and Therapy of Preterm Birth. Guideline of the DGGG, OEGGG and SGGG (S2k Level, AWMF Registry Number 015/025, February 2019) - Part 2 with Recommendations on the Tertiary Prevention of Preterm Birth and the Management of Preterm Premature Rupture of Membranes.
作者信息
Berger Richard, Abele Harald, Bahlmann Franz, Bedei Ivonne, Doubek Klaus, Felderhoff-Müser Ursula, Fluhr Herbert, Garnier Yves, Grylka-Baeschlin Susanne, Helmer Hanns, Herting Egbert, Hoopmann Markus, Hösli Irene, Hoyme Udo, Jendreizeck Alexandra, Krentel Harald, Kuon Ruben, Lütje Wolf, Mader Silke, Maul Holger, Mendling Werner, Mitschdörfer Barbara, Nicin Tatjana, Nothacker Monika, Olbertz Dirk, Rath Werner, Roll Claudia, Schlembach Dietmar, Schleußner Ekkehard, Schütz Florian, Seifert-Klauss Vanadin, Steppat Susanne, Surbek Daniel
机构信息
Frauenklinik, Marienhaus Klinikum Neuwied, Neuwied, Germany.
Frauenklinik, Universitätsklinikum Tübingen, Tübingen, Germany.
出版信息
Geburtshilfe Frauenheilkd. 2019 Aug;79(8):813-833. doi: 10.1055/a-0903-2735. Epub 2019 Aug 12.
Abstract
This is an official guideline of the German Society for Gynecology and Obstetrics (DGGG), the Austrian Society for Gynecology and Obstetrics (ÖGGG) and the Swiss Society for Gynecology and Obstetrics (SGGG). The aim of this guideline is to improve the prediction, prevention and management of preterm birth based on evidence obtained from recently published scientific literature, the experience of the members of the guideline commission and the views of self-help groups. The members of the participating medical societies and organizations developed Recommendations and Statements based on the international literature. The Recommendations and Statements were adopted following a formal consensus process (structured consensus conference with neutral moderation, voting done in writing using the Delphi method to achieve consensus). Part 2 of this short version of the guideline presents Statements and Recommendations on the tertiary prevention of preterm birth and the management of preterm premature rupture of membranes.
摘要
这是德国妇产科学会（DGGG）、奥地利妇产科学会（ÖGGG）和瑞士妇产科学会（SGGG）的官方指南。本指南的目的是基于近期发表的科学文献所获证据、指南委员会成员的经验以及自助团体的观点，改善早产的预测、预防和管理。参与的医学协会和组织的成员依据国际文献制定了建议和声明。这些建议和声明是在正式的共识过程（由中立主持的结构化共识会议，采用德尔菲法进行书面投票以达成共识）之后通过的。本指南简版的第2部分给出了关于早产三级预防和胎膜早破管理的声明及建议。
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Am J Obstet Gynecol. 2019 Jul;221(1):55.e1-55.e14. doi: 10.1016/j.ajog.2019.02.035. Epub 2019 Feb 28.
2
Statement by the OEGGG with Review of the Literature on the Mode of Delivery of Premature Infants at the Limit of Viability.欧洲围产医学与产科学会关于生存极限早产儿分娩方式文献综述的声明
Geburtshilfe Frauenheilkd. 2018 Dec;78(12):1212-1216. doi: 10.1055/a-0669-1480. Epub 2018 Dec 14.
3
Cervical Pessary After Arrested Preterm Labor: A Randomized Controlled Trial.宫颈环扎术治疗早产临产的随机对照试验。
Obstet Gynecol. 2018 Sep;132(3):741-749. doi: 10.1097/AOG.0000000000002798.
4
Prediction of preterm delivery in symptomatic women using PAMG-1, fetal fibronectin and phIGFBP-1 tests: systematic review and meta-analysis.使用 PAMG-1、胎儿纤维连接蛋白和 phIGFBP-1 检测预测有症状的孕妇早产：系统评价和荟萃分析。
Ultrasound Obstet Gynecol. 2018 Oct;52(4):442-451. doi: 10.1002/uog.19119. Epub 2018 Sep 4.
5
Cervical pessary to reduce preterm birth <34 weeks of gestation after an episode of preterm labor and a short cervix: a randomized controlled trial.经产妇因早产临产和宫颈管缩短而早产（<34 孕周）后使用宫颈托以减少早产：一项随机对照试验。
Am J Obstet Gynecol. 2018 Jul;219(1):99.e1-99.e16. doi: 10.1016/j.ajog.2018.04.031. Epub 2018 Apr 25.
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7
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Obstet Gynecol. 2018 Jan;131(1):e1-e14. doi: 10.1097/AOG.0000000000002455.
8
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9
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