Patient Safety and Quality Improvement Committee, Society for Maternal-Fetal Medicine, Washington, DC.
Am J Obstet Gynecol. 2020 Sep;223(3):B7-B11. doi: 10.1016/j.ajog.2020.06.003. Epub 2020 Jun 15.
In pregnant individuals with risk factors for preeclampsia, prophylactic low-dose aspirin is recommended to reduce the risk of developing preeclampsia. Fifteen distinct risk factors are recognized, including elements of current and past medical and obstetrical history, family history, and examination findings. We present checklists intended to reduce the chance that risk factors might be inadvertently overlooked and to improve the probability of aspirin being recommended for all appropriate candidates. We also suggest how such a checklist can be implemented into practice.
对于有子痫前期风险因素的孕妇,建议预防性应用小剂量阿司匹林以降低子痫前期的发病风险。目前已明确 15 个不同的风险因素,包括当前和既往的医疗及产科病史、家族史和体格检查结果。我们提供了一系列检查表,旨在降低风险因素被忽视的可能性,提高所有合适的患者应用阿司匹林的可能性。我们还提出了将这种检查表应用于实践的建议。