Knitza R, Ott M, Hasbargen U, Hepp H
Department of Obstetrics and Gynecology, Klinikum Grosshadern, Ludwig Maximilian University, Munich, Fed. Rep. of Germany.
J Perinat Med. 1993;21(4):295-8. doi: 10.1515/jpme.1993.21.4.295.
For the higher numbered multifetal gestation, duration of gestational age decreases in spite of different medical activities. On the other hand increasing gestational age often strongly suggests the need for delivery by caesarean section for maternal indications. After the 32nd week of gestation in general no serious respiratory problems should be expected, and there may be no essential increase in fetal weight, but the risk of intrauterine death increases due to placental insufficiency. Therefore, for logistic reasons we propose liberal indications for caesarean section after the 32nd week of the multifetal gestation.
对于多胎妊娠中孕周数较大的情况，尽管采取了不同的医疗措施，孕周持续时间仍会缩短。另一方面，孕周增加通常强烈提示因母体指征而行剖宫产分娩的必要性。一般来说，妊娠32周后不应预期会出现严重的呼吸问题，胎儿体重可能也不会有显著增加，但由于胎盘功能不全，宫内死亡风险会增加。因此，出于后勤保障方面的考虑，我们建议对多胎妊娠32周后行剖宫产采取宽松的指征。
