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过期妊娠的管理。

Management of postdate pregnancy.

作者信息

Lagrew D C, Freeman R K

出版信息

Am J Obstet Gynecol. 1986 Jan;154(1):8-13. doi: 10.1016/0002-9378(86)90384-4.

Abstract

Management of the problems associated with pregnancies that extend beyond 294 days of amenorrhea has become increasingly important in obstetrics. This article outlines some of the methods that minimize the risks to the mother, fetus, and neonate in postdate pregnancy. A brief description of the definitions, incidence, and impact of postdate pregnancy is given for a baseline on which to base management decisions. The current management techniques are then given for the following aspects: diagnosis, antepartum surveillance, timing of delivery, and intrapartum management. Finally a synopsis of research areas that may change management is given.

摘要

对超过闭经294天的妊娠相关问题的管理在产科中变得越来越重要。本文概述了一些将过期妊娠对母亲、胎儿和新生儿的风险降至最低的方法。对过期妊娠的定义、发生率和影响进行了简要描述,作为制定管理决策的基线。然后针对以下方面给出了当前的管理技术:诊断、产前监测、分娩时机和产时管理。最后给出了可能改变管理方式的研究领域的概述。

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