Adverse Pregnancy Outcomes and Postpartum Care as a Pathway to Future Health.
Adverse Pregnancy Outcomes and Postpartum Care as a Pathway to Future Health.
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DOI：
10.1097/grf.0000000000000724
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发表时间：
2022-09-01
影响因子：
1.5
通讯作者：
Carter, Ebony B.
中科院分区：
文献类型：
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作者：
Barry, Valene Garr;Johnson, Traci N.;Herrick, Cynthia;Lindley, Kathryn;Carter, Ebony B.
关键词：
不良妊娠结局（APO）总体上是孕产妇和新生儿发病和死亡的主要原因。除了妊娠期和产褥期 APO 可能造成的破坏性影响外，被诊断患有 APO 的女性未来患心血管疾病的风险会增加 2 至 4 倍。幸运的是，APO 发生在成年早期到中期的适当时机，此时一级和二级预防策略可以改变疾病轨迹并改善长期健康结果。本章采用生命全程方法来探讨 1) APO 的流行病学，2) 临床医生管理 APO 的循证策略，以及 3) APO 研究和临床实践的未来方向。
Adverse pregnancy outcomes (APOs) collectively represent the leading causes of maternal and neonatal morbidity and mortality. Beyond the potentially devastating impact of APOs during pregnancy and the puerperium, women diagnosed with APOs have a 2- to 4-fold increased risk of future cardiovascular disease. Fortunately, APOs occur at an opportune time, in early- to mid-adulthood, when primary and secondary prevention strategies can alter the disease trajectory and improve long-term health outcomes. This chapter takes a life-course approach to 1) the epidemiology of APOs, 2) evidence-based strategies for clinicians to manage APOs, and 3) future directions for APO research and clinical practice.