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妊娠和哺乳期风湿性疾病的管理:德国妇产科学会(e.V.)产科和围产医学工作组(AGG - 妊娠合并症分会)立场文件

Management of Rheumatic Diseases During Pregnancy and Breastfeeding: Position Paper of the Working Group for Obstetrics and Prenatal Medicine in the German Society for Gynecology and Obstetrics e. V. (AGG - Section Maternal Diseases in Pregnancy).

作者信息

Kuschel Bettina, Schäfer-Graf Ute Margaretha, Schmidt Markus, Kühnert Maritta, Hagenbeck Carsten, Thürmel Klaus

机构信息

Sektion Geburtshilfe und Perinatologie, Frauenklinik und Poliklinik, Klinikum rechts der Isar, Technische Universität München, München, Germany.

Perinatalzentrum, Klinik für Gynäkologie und Geburtshilfe, Berlin, Germany.

出版信息

Geburtshilfe Frauenheilkd. 2024 Feb 8;84(2):130-143. doi: 10.1055/a-2201-2680. eCollection 2024 Feb.

Abstract

These recommendations issued by the AGG (Section Maternal Diseases in Pregnancy) were developed as a rapid orientation on maternal rheumatic diseases for counselling and disease management in pregnancy and breastfeeding. The standard literature, consensus and position papers, guidelines and recommendations by other specialist associations were evaluated by a task force of the Section and summarized in these recommendations following a joint consensus process. This paper provides an orientating overview of the physiology, pathophysiology and definitions of rheumatic diseases which is relevant for gynecologists and obstetricians. The recommendations focus on the maternal, fetal and neonatal diagnostic workup in cases with underlying maternal rheumatic disease.

摘要

德国风湿病学会(妊娠期间的母体疾病分会)发布的这些建议,是作为针对孕期和哺乳期母体风湿性疾病咨询及疾病管理的快速指南而制定的。该分会的一个特别工作组评估了其他专业协会的标准文献、共识及立场文件、指南和建议,并在经过联合共识过程后将其总结在这些建议中。本文提供了与妇产科医生相关的风湿性疾病的生理学、病理生理学及定义的指导性概述。这些建议聚焦于患有潜在母体风湿性疾病病例中的母体、胎儿及新生儿诊断检查。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/23dd/10853030/a71438562d2d/10-1055-a-2201-2680-igf01.jpg

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