Prevention and treatment of prematurity in twin gestation
Prevention and treatment of prematurity in twin gestation
复制标题
双胎早产的预防和治疗
DOI：
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发表时间：
1993
影响因子：
2.4
通讯作者：
Peter Kleskeň
中科院分区：
文献类型：
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作者：
Karol Plank;Vladimír Mikulaj;Ján Štencl;Helena Drobná;Peter Kleskeň
早期产前诊断，加强产前护理，卧床休息，环扎术，预防性住院管理进行了讨论。作者介绍了一项为期5年的回顾性研究中83例双胎妊娠的处理和结局。双胎妊娠发生率为1.08%，分娩时平均孕龄为37.5周。第一胎平均出生体重为2453克，第二胎为2406克。早产发生率为31.3%，双胎围产儿死亡率为54.2%。双胎妊娠的早期产前诊断是产前管理中最重要的步骤。建议将产前护理集中在为“高危妊娠”指定的门诊部。建议将超声扫描作为筛选检查。建议在妊娠第25周之前卧床休息，但建议在妊娠第25周之后的所有情况下。28.9%的宫颈异常病例需要环扎术。住院治疗组的平均胎龄为38周，出生体重为2659克，与门诊治疗组的35.8周和2120.0克进行比较。32周前围产期死亡率为300/1000，33- 37周为62.5/1000，37周后为8.7/1000。作者建议在双胞胎妊娠第32周之前进行住院治疗。
Early prenatal diagnosis, intensive prenatal care, bed rest, cerclage, and preventive in-patient management are discussed. The authors present the management and outcome of 83 twin pregnancies in a 5-year retrospective study. The frequency of twin pregnancy wa 1.08%, the mean gestational age at the time of delivery was 37.5 weeks. Mean birth weight of the first fetus was 2453 grams, second 2406 grams. The incidence of preterm deliveries was 31.3% and perinatal mortality of twins came up to 54.2%. The early prenatal diagnosis of a twin pregnancy is the most important step in prenatal management. The centralization of prenatal care in the out-patient department designated for "high risk pregnancies" is recommended. Ultrasound scanning is recommended as a screening examination. Bed rest before the 25th gestational week is recommended on an individual basis though it is recommended in all cases after the 25th gestational week. Cerclage was indicated in 28.9% cases with unfavourable cervical findings. The mean gestational age of 38 weeks and the birth weight of 2659 grams found in the group who had in-patient management should be compared with 35.8 weeks and 2120.0 grams in the group managed on an out-patient basis. Perinatal mortality before 32nd week--300/1000, between 33-37th week--62.5/1000, and after 37th week--8.7/1000. The authors recommend in-patient management before the 32nd week of pregnancy in twins.