The ten commandments in multiple pregnancies.
The ten commandments in multiple pregnancies.
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DOI：
10.1375/twin.4.3.159
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发表时间：
2001-06-01
期刊：
影响因子：
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通讯作者：
Clerici, G
中科院分区：
文献类型：
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作者：
Di Renzo, G C;Luzietti, R;Clerici, G
多胎妊娠是产科面临的一个挑战，也带来了严重的心理、社会和经济问题。通过适当的预防、诊断和管理战略，通过提供具体的技能和经验，以及通过多学科的方法，可以提高取得成功结果的机会。本文指出并讨论了，根据目前的证据，什么可以被认为是在多胎妊娠提供最佳护理方面的十大“戒律”。特别是在这篇综述中，我们重点关注以下主题：心理支持和临床咨询;绒毛膜的诊断和表征;转诊中心的管理;个性化护理;避免最常见的并发症;考虑特定的病理;胎儿解剖学评价;胎儿监测;分娩时间和方式的规划;产后母亲的监测。
Multiple pregnancy represents a challenge for obstetrics and also poses significant psychological, social and economic problems. The chances of a successful outcome may be improved by appropriate preventive, diagnostic and management strategies, by the availability of specific skills and experience and by a multidisciplinary approach. In this paper are indicated and discussed, on the basis of current evidences, what can be considered the ten "commandments" in terms of providing optimal care in multiple pregnancies. In particular in this review we focus on the following topics: psychological support and clinical counseling; diagnosis and characterization of chorionicity; management at referral centers; individualization of care; avoidance of most frequent complications; consideration of specific pathologies; evaluation of fetal anatomy; monitoring of fetuses; planning of time and mode of delivery; monitoring of the mother during postpartum.