颅内压：助产士的视角。
ICP: A midwifery perspective.
作者信息
Briley Annette, Cooper Megan
机构信息
Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Bedford Park, Australia.
Northern Adelaide Local Health Network, Lyell McEwin Hospital, Elizabeth Vale, Australia.
出版信息
Obstet Med. 2024 Sep;17(3):152-156. doi: 10.1177/1753495X241257709. Epub 2024 May 28.
BACKGROUND
ICP is a liver condition specific to pregnancy affecting 0.5-0.6% of pregnancies in Australia.
AIMS
to review the SOMANZ guidelines and extrapolate information relevant to midwives proving care for women with ICP.
FINDINGS
Multidisciplinary input is essential in caring for women with ICP and their families. Non-fasting TSBA samples ≥19 µmol/L are diagnostic in the presence of pruritus. Peak TSBA denotes the severity of the disease. Increased risk of stillbirth is small when peak TSBA ≥100 µmol/L.
CONCLUSION
Midwives play an essential role in supporting women with ICP helping them navigate complex appointments and manage the pruritus and concomitant issues.
背景
妊娠期肝内胆汁淤积症（ICP）是一种妊娠特有的肝脏疾病，在澳大利亚影响0.5%-0.6%的妊娠。
目的
回顾澳大利亚和新西兰围产医学会（SOMANZ）指南，并推断与为患有ICP的女性提供护理的助产士相关的信息。
研究结果
多学科协作对于护理患有ICP的女性及其家庭至关重要。在有瘙痒症状的情况下，非空腹总胆汁酸（TSBA）样本≥19微摩尔/升可作为诊断依据。TSBA峰值表明疾病的严重程度。当TSBA峰值≥100微摩尔/升时，死产风险略有增加。
结论
助产士在支持患有ICP的女性方面发挥着重要作用，帮助她们应对复杂的预约，并管理瘙痒及相关问题。
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