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III 型成骨不全症患者的单绒毛膜双胎妊娠:多学科挑战。

Monochorionic twin pregnancy in a patient with type III osteogenesis imperfecta: a multidisciplinary challenge.

机构信息

Department of Obstetrics and Gynaecology, KK Women's and Children's Hospital, Singapore

Department of Obstetrics and Gynaecology, Singapore General Hospital, Singapore.

出版信息

BMJ Case Rep. 2023 Nov 15;16(11):e255738. doi: 10.1136/bcr-2023-255738.

Abstract

A woman with severe type III osteogenesis imperfecta spontaneously conceived a monochorionic, diamniotic twin pregnancy. Due to the severity of her condition, her pregnancy required close follow-up involving a multidisciplinary team, including high-risk obstetricians, anaesthetists, pulmonologists and respiratory therapists. Eventually, the twins were delivered via caesarean section at 26 weeks' gestation.We discuss the challenges and considerations in managing her high-risk pregnancy, highlighting the importance of multidisciplinary care in achieving a safe outcome for mother and babies.

摘要

一位患有严重 III 型成骨不全症的女性自然受孕了一对单绒毛膜、双羊膜的双胞胎。由于病情严重,她的妊娠需要多学科团队的密切随访,包括高危产科医生、麻醉师、肺科医生和呼吸治疗师。最终,这对双胞胎在 26 周妊娠时通过剖宫产分娩。我们讨论了管理她的高危妊娠所面临的挑战和注意事项,强调了多学科护理在实现母婴安全结局方面的重要性。

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本文引用的文献

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Current Overview of Osteogenesis Imperfecta.成骨不全症概述。
Medicina (Kaunas). 2021 May 10;57(5):464. doi: 10.3390/medicina57050464.
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Hormonal Contraception and Bone Health in Adolescents.青少年的激素避孕与骨骼健康。
Front Endocrinol (Lausanne). 2020 Aug 21;11:603. doi: 10.3389/fendo.2020.00603. eCollection 2020.

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