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脊髓损伤女性的妊娠、分娩及产褥期:德国妇产科学会和德国围产医学与产科学会指南(S2k级别,德国医学科学协会注册编号179/002,2024年8月)

Pregnancy, Childbirth and Puerperium in Women with Spinal Cord Injury: Guideline of the DGGG and DMGP (S2k-Level, AWMF Registry No. 179/002, August 2024.

作者信息

Schmidt Markus, Jaekel Anke, Bertschy Sue, Lange Ute, Kues Simone, Fiebag Kai, Cohrs Gesa, Mehnert Ulrich, Knorr Doris, Onken Marlies, Baum Amke, Schilcher Barbara, Kurze Ines

机构信息

Gynecology & Obstetrics, Sana Kliniken Duisburg GmbH, Duisburg, Germany.

Department of Neuro-Urology, Johanniter Neurological Rehabilitation Center Godeshoehe GmbH, Bonn, Germany.

出版信息

Geburtshilfe Frauenheilkd. 2025 Mar 5;85(3):265-281. doi: 10.1055/a-2490-2876. eCollection 2025 Mar.

Abstract

This guideline on pregnancy, childbirth and puerperium for women with spinal cord injury (SCI) presents general issues relating to the wish to have children and pregnancy in the context of SCI. The guideline was developed by the German-speaking Medical Society for Paraplegia ( , DMGP) and the German Society for Gynecology and Obstetrics ( , DGGG). As there were no generally available evidence-based guidelines about this complex set of problems, this new guideline aims to standardize procedures using a structured consensus-of-experts approach. The aim is to establish general interdisciplinary standards and provide practical assistance for the care and counseling of women with SCI who wish to have children/are pregnant and thereby close the identified gaps in medical care, information, interdisciplinary cooperation and research.

摘要

本关于脊髓损伤(SCI)女性妊娠、分娩及产褥期的指南介绍了在SCI背景下与生育意愿和妊娠相关的一般问题。该指南由德语区截瘫医学协会(DMGP)和德国妇产科学会(DGGG)制定。由于缺乏关于这一系列复杂问题的普遍可用的循证指南,本新指南旨在采用结构化专家共识方法规范程序。目的是建立通用的跨学科标准,并为希望生育/已怀孕的SCI女性的护理及咨询提供实际帮助,从而弥合在医疗护理、信息、跨学科合作及研究方面已发现的差距。

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Incidence of spinal cord injuries in Germany.德国脊髓损伤的发生率。
Eur Spine J. 2023 Feb;32(2):601-607. doi: 10.1007/s00586-022-07451-0. Epub 2022 Nov 13.
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Pregnancy outcomes in women with spinal cord lesions.脊髓损伤女性的妊娠结局
J Obstet Gynaecol Can. 2013 Jan;35(1):39-43. doi: 10.1016/s1701-2163(15)31046-x.

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