Cas Lek Cesk. 2021 Winter;160(1):14-19.
Recurrent pregnancy losses represent sensitive issue not only for the couple, but also for all healthcare professionals involved. In a broader context, they include not only recurrent miscarriages, but also the issue of periviable preterm birth with subsequent neonatal death and unexplained fetal death. This area requires an interdisciplinary approach. The field of reproductive immunology best answers questions related to pregnancy complications. However, there is currently no accurate recommendation as to who should care for such women. In this article I summarize the current state of knowledge about the issue, current experience with care management, including case studies.
反复妊娠丢失不仅是夫妇关注的敏感问题,也是所有相关医疗保健专业人员关注的问题。从更广泛的角度来看,反复妊娠丢失不仅包括自然流产,还包括极早产儿分娩后新生儿死亡和不明原因胎儿死亡的问题。这一领域需要采取跨学科方法。生殖免疫学领域最能解答与妊娠并发症相关的问题。然而,目前尚无关于应由谁来照顾此类女性的准确建议。在本文中,我总结了该问题的现有知识状况、包括病例研究在内的当前护理管理经验。