多胎妊娠的管理：斯隆女子医院十六年的经验

Management of multifetal pregnancies: sixteen years' experience at the Sloan Hospital for Women.

作者信息

Loucopoulos A, Jewelewicz R

出版信息

Am J Obstet Gynecol. 1982 Aug 15;143(8):902-5. doi: 10.1016/0002-9378(82)90471-9.

Abstract

An analysis is made of the management and outcome of 35 pregnancies involving triplets, quadruplets, and quintuplets. Bed rest does not seem to increase the gestational age at the time of delivery but definitely improves the fetal outcome. Administration of betamethasone as early as 24 to 26 weeks' gestation to enhance pulmonary maturity is recommended. Cesarean section is the best mode of delivery if the obstetrician is not confident enough with vaginal maneuvers. The rate in this series was 42%. An experienced medical and nursing staff is mandatory for the successful management of multifetal gestations.

摘要

对35例三胞胎、四胞胎和五胞胎妊娠的管理及结局进行了分析。卧床休息似乎并不会增加分娩时的孕周，但肯定会改善胎儿结局。建议在妊娠24至26周时尽早给予倍他米松以促进肺成熟。如果产科医生对阴道操作没有足够信心，剖宫产是最佳分娩方式。本系列中的比例为42%。经验丰富的医护人员对于多胎妊娠的成功管理是必不可少的。