Larrabee K, Cowan M
J Perinat Neonatal Nurs. 1995 Sep;9(2):29-41. doi: 10.1097/00005237-199509000-00006.
Sickle cell-related hemoglobinopathies present challenges for clinical management during pregnancy, labor, delivery, and the postpartum course because perinatal morbidity remains a significant practice concern. Nursing strategies that strive for synthesis of knowledge pertaining to pathophysiology, genetic counseling, life events that have affected the patient's health history, treatment modalities, and psychosocial needs may improve obstetric and neonatal outcomes. Clinical management strategies for the prenatal, intrapartum, and postpartum courses are provided. Nursing intervention strategies such as follow-up teaching, involvement of the partner and support network in aspects of care, and patient advocates, in conjunction with independent nursing practice activities involving emotional support and measures to alleviate symptoms associated with disease manifestations, are cornerstones in the contribution of nursing to the multidisciplinary care of the pregnant woman with sickle cell disease and trait.
镰状细胞相关血红蛋白病在妊娠、分娩及产后过程中的临床管理面临挑战，因为围产期发病率仍是一个重大的实际问题。致力于综合有关病理生理学、遗传咨询、影响患者健康史的生活事件、治疗方式及心理社会需求等知识的护理策略，可能会改善产科和新生儿结局。本文提供了产前、产时及产后过程的临床管理策略。护理干预策略，如后续教学、伴侣及支持网络参与护理的各个方面、患者权益倡导者，以及涉及情感支持和缓解与疾病表现相关症状的独立护理实践活动，是护理对患有镰状细胞病及特征的孕妇进行多学科护理所做贡献的基石。
