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存活年龄：厘清印度当代医学背景下的产前记录与定义

Age of Viability: Clarifying Prenatal Documentation and Definitions in India's Contemporary Medical Landscape.

作者信息

Wagh Girija

机构信息

Bharati Vidyapeeth DTU Medical College, Pune, India.

出版信息

J Obstet Gynaecol India. 2024 Dec;74(6):484-488. doi: 10.1007/s13224-024-02096-z. Epub 2024 Dec 16.

DOI:10.1007/s13224-024-02096-z
PMID:39758573
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11693630/
Abstract

The concept of foetal viability has evolved significantly and has been influenced by advancements in neonatal care and legal frameworks. This review explores the complexities of defining foetal viability in India's contemporary medical landscape, particularly in light of the recent extension of the Medical Termination of Pregnancy (MTP) Act to 24 weeks. The article examines the confusion surrounding the classification of extreme preterm births, Medical Termination of Pregnancy (MTP) Act, and prenatal documentation during sonography. It addresses the challenges in distinguishing between preterm birth and abortion and proposes solutions to standardize definitions and practices.

摘要

胎儿生存能力的概念已经有了显著演变，并受到新生儿护理进展和法律框架的影响。本综述探讨了在印度当代医学背景下定义胎儿生存能力的复杂性，特别是鉴于最近将《人工流产法》（MTP）的适用期限延长至24周。本文审视了围绕极早产分类、《人工流产法》以及超声检查期间产前记录的混乱情况。它探讨了区分早产和流产的挑战，并提出了规范定义和做法的解决方案。

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本文引用的文献

1
Pregnancy outcomes and associated factors for uterine rupture: an 8 years population-based retrospective study.妊娠结局及子宫破裂相关因素的 8 年人群回顾性研究。
BMC Pregnancy Childbirth. 2022 Feb 1;22(1):91. doi: 10.1186/s12884-022-04415-6.
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JAMA. 2022 Jan 18;327(3):248-263. doi: 10.1001/jama.2021.23580.
3
Core outcomes in neonatology: development of a core outcome set for neonatal research.新生儿学核心结局：新生儿研究核心结局集的制定。
Arch Dis Child Fetal Neonatal Ed. 2020 Jul;105(4):425-431. doi: 10.1136/archdischild-2019-317501. Epub 2019 Nov 15.
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Prevalence and main outcomes of placenta accreta spectrum: a systematic review and meta-analysis.胎盘植入谱系疾病的患病率及主要结局：系统评价和荟萃分析。
Am J Obstet Gynecol. 2019 Sep;221(3):208-218. doi: 10.1016/j.ajog.2019.01.233. Epub 2019 Feb 1.
5
Survival of pre-viable preterm infants in the United States: a systematic review and meta-analysis.美国极早产儿的生存状况：系统评价和荟萃分析。
Semin Perinatol. 2013 Dec;37(6):389-400. doi: 10.1053/j.semperi.2013.06.021.
6
ISUOG practice guidelines: performance of first-trimester fetal ultrasound scan.国际妇产科超声学会（ISUOG）实践指南：孕早期胎儿超声检查的实施
Ultrasound Obstet Gynecol. 2013 Jan;41(1):102-13. doi: 10.1002/uog.12342.
7
Perinatal care at the threshold of viability: an international comparison of practical guidelines for the treatment of extremely preterm births.生存临界期的围产期护理：极早早产治疗实用指南的国际比较
Pediatrics. 2008 Jan;121(1):e193-8. doi: 10.1542/peds.2007-0513.