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复发性流产夫妇的管理:叙事性综述及实践推荐。

Managing couples with recurrent miscarriage: A narrative review and practice recommendations.

机构信息

Epsom and St Helier University Hospitals NHS Trust, Epsom, UK.

Kingston Hospital Foundation NHS Trust, Kingston upon Thames, UK.

出版信息

Int J Gynaecol Obstet. 2024 Feb;164(2):499-503. doi: 10.1002/ijgo.14971. Epub 2023 Jul 10.

Abstract

There is significant variation in practice when managing couples with recurrent miscarriage (RM), with guidelines differing on the definition of RM, recommended investigations, and treatment options. In the absence of evidence-based guidance, and following on from a paper by the authors-FIGO Good Practice Recommendations on the use of progesterone in the management of recurrent first-trimester miscarriage-this narrative review aims to propose a global holistic approach. We present graded recommendations based on best available evidence.

摘要

在管理复发性流产(RM)的夫妇时,实践中存在显著的差异,指南对 RM 的定义、推荐的检查和治疗选择存在差异。在缺乏循证指导的情况下,并且继作者的一篇论文之后-FIGO 关于孕激素在管理复发性早期流产中的应用的良好实践建议-本叙述性评论旨在提出一种全球整体方法。我们根据最佳现有证据提出分级建议。

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