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特发性羊水过多。

Idiopathic polyhydramnios.

出版信息

Ceska Gynekol. 2020 Winter;85(6):417-421.

PMID:33711902
Abstract

OBJECTIVE

A comprehensive overview on idiopathic polyhydramnios and associated complications.

DESIGN

Review article.

SETTING

Department of Obstetrics and Gynaecology, First Faculty of Medicine, Charles University and Hospital Na Bulovce, Prague, Czech Republic; Department of Obstetrics and Gynaecology, Second Faculty of Medicine, Charles University and Motol University Hospital, Prague, Czech Republic.

METHODS

Literature search using the databases Web of Science, Ovid, Cochrane, Medline databases and an analysis of articles published in peer-reviewed journals with impact factor in the years 1958-2020.

RESULTS

Polyhydramnios occurs in 0.2-2% of pregnancies. Pregnancies with polyhydramnios are more often complicated by abnormal foetal lie or presentation and, moreover, should be associated with adverse pregnancy outcomes, particularly with the higher incidence of intrauterine foetal death, placental abruption, labour induction, caesarean sections, prolonged first stage of labor and shoulder dystocia.

CONCLUSION

The moderate and severe forms of idiopathic polyhydramnios are associated with the higher risk of adverse pregnancy outcomes that implies the need for intensive monitoring of a pregnant woman and the foetus both in pregnancy and during the delivery itself.

摘要

目的

对特发性羊水过多及相关并发症进行全面概述。

设计

综述文章。

地点

捷克布拉格查理大学第一附属医院妇产科;捷克布拉格查理大学第二附属医院和莫托利大学医院妇产科。

方法

使用 Web of Science、Ovid、Cochrane、Medline 数据库进行文献检索,并分析 1958 年至 2020 年间发表在具有影响因子的同行评议期刊上的文章。

结果

羊水过多在 0.2-2%的妊娠中发生。羊水过多的妊娠更常伴有异常胎儿位置或表现,而且,应与不良妊娠结局相关,特别是胎儿宫内死亡、胎盘早剥、引产、剖宫产、第一产程延长和肩难产的发生率更高。

结论

中重度特发性羊水过多与不良妊娠结局的风险增加相关,这意味着需要对孕妇和胎儿进行妊娠和分娩期间的强化监测。

相似文献

1
Idiopathic polyhydramnios.特发性羊水过多。
Ceska Gynekol. 2020 Winter;85(6):417-421.
2
Delivery outcomes of term pregnancy complicated by idiopathic polyhydramnios.足月妊娠合并特发性羊水过多的分娩结局
J Gynecol Obstet Hum Reprod. 2017 Apr;46(4):349-354. doi: 10.1016/j.jogoh.2017.02.014. Epub 2017 Feb 24.
3
Association of isolated polyhydramnios at or beyond 34 weeks of gestation and pregnancy outcome.妊娠34周及以后单纯羊水过多与妊娠结局的关联。
Obstet Gynecol. 2015 Apr;125(4):825-832. doi: 10.1097/AOG.0000000000000740.
4
Idiopathic polyhydramnios and pregnancy outcome: systematic review and meta-analysis.特发性羊水过多与妊娠结局:系统评价和荟萃分析。
Ultrasound Obstet Gynecol. 2023 Mar;61(3):302-309. doi: 10.1002/uog.24973. Epub 2023 Feb 6.
5
Perinatal outcome in pregnancy with polyhydramnios in comparison with normal pregnancy in department of obstetrics at Shiraz University of Medical Sciences.设拉子医科大学妇产科羊水过多妊娠与正常妊娠的围产期结局
J Matern Fetal Neonatal Med. 2018 Jul;31(13):1696-1702. doi: 10.1080/14767058.2017.1325864. Epub 2017 May 22.
6
Outcome of pregnancy in women diagnosed with idiopathic polyhydramnios.诊断为特发性羊水过多的女性的妊娠结局。
Aust N Z J Obstet Gynaecol. 2017 Feb;57(1):57-62. doi: 10.1111/ajo.12578.
7
Idiopathic polyhydramnios at term and pregnancy outcomes: a multicenter observational study.足月特发性羊水过多与妊娠结局:一项多中心观察性研究。
J Matern Fetal Neonatal Med. 2017 Jul;30(14):1755-1759. doi: 10.1080/14767058.2016.1224835. Epub 2016 Sep 14.
8
Management of Medical Termination of Pregnancy (MToP) up until the 7th week of gestation in the Czech Republic.捷克共和国妊娠7周内人工终止妊娠(MToP)的管理。
Ceska Gynekol. 2017 Fall;82(5):1-8.
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[Management of Medical Termination of Pregnancy (MToP) up until the 7th week of gestation in the Czech Republic].[捷克共和国妊娠7周内人工终止妊娠(MToP)的管理]
Ceska Gynekol. 2017 Fall;82(5):336-344.
10
[Pregnancy in women with solid-organ transplants].[实体器官移植女性的妊娠]
Ceska Gynekol. 2018 Winter;83(1):62-68.

引用本文的文献

1
Association of neonatal and fetal malformations with polyhydramnios and oligohydramnios - introduction of a new "association factor".新生儿及胎儿畸形与羊水过多和羊水过少的关联——一种新“关联因子”的引入
BMC Pregnancy Childbirth. 2025 Jul 3;25(1):707. doi: 10.1186/s12884-025-07797-5.
2
Causes, management and outcomes of polyhydramnios at a secondary level hospital in Cape Town, South Africa.南非开普敦一家二级医院羊水过多的病因、管理及结局
PLoS One. 2025 Mar 5;20(3):e0317256. doi: 10.1371/journal.pone.0317256. eCollection 2025.
3
Labor Induction in Women with Isolated Polyhydramnios at Term: A Multicenter Retrospective Cohort Analysis.
足月孤立性羊水过多孕妇的引产:一项多中心回顾性队列分析
J Clin Med. 2024 Feb 29;13(5):1416. doi: 10.3390/jcm13051416.
4
Transient Polyhydramnios during Pregnancy Complicated with Gestational Diabetes Mellitus: Case Report and Systematic Review.妊娠合并妊娠期糖尿病时的短暂性羊水过多:病例报告及系统评价
Diagnostics (Basel). 2022 May 28;12(6):1340. doi: 10.3390/diagnostics12061340.