Division of Maternal-Fetal Medicine, University of Colorado, Children's Hospital Colorado, Colorado Fetal Care Center, 12631 East 17th Avenue, Box B198-5, Aurora, CO 80045, USA.
Division of Maternal-Fetal Medicine, University of Colorado, Children's Hospital Colorado, Colorado Fetal Care Center, 12631 East 17th Avenue, Box B198-5, Aurora, CO 80045, USA.
Obstet Gynecol Clin North Am. 2021 Jun;48(2):401-417. doi: 10.1016/j.ogc.2021.02.009.
Multifetal gestation pregnancies present a clinical challenge due to unique complications including growth issues, prematurity, maternal risk, and pathologic processes, such as selective intrauterine growth restriction (sIUGR), twin-to-twin transfusion syndrome (TTTS), and twin anemia-polycythemia sequence. If sIUGR is found, then management may involve some combination of increased surveillance, fetal procedures, and/or delivery. The combination of sIUGR with TTTS or other comorbidities increases the risk of pregnancy complications. Multifetal pregnancy reduction is an option when a problem is confined to a single fetus or when weighing the risks and benefits of a multifetal gestation in comparison to a singleton pregnancy.
多胎妊娠由于其独特的并发症，如生长问题、早产、母婴风险和病理性过程，如选择性宫内生长受限（sIUGR）、双胎输血综合征（TTTS）和双胎贫血-多血症序列，给临床带来了挑战。如果发现 sIUGR，则可能需要增加监测、胎儿手术和/或分娩等综合治疗。sIUGR 合并 TTTS 或其他合并症会增加妊娠并发症的风险。当问题仅限于单个胎儿时，或者当比较多胎妊娠与单胎妊娠的风险和益处时，可以选择多胎妊娠减胎。
Zotero 插件