Leveraging the placenta to advance neonatal care.

Leveraging the placenta to advance neonatal care.
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DOI:
10.3389/fped.2023.1174174
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发表时间:
2023
影响因子:
2.6
通讯作者:
--
中科院分区:
医学3区
文献类型:
--
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胎盘功能障碍和胎盘损伤对胎儿和新生儿的影响已成为新生儿疾病研究中越来越感兴趣的话题。然而,胎盘病理学在指导或影响新生儿临床管理中的应用仍然受到各种原因的限制,其中一些原因是历史性的,因此今天很容易克服。在这篇综述中,我们总结了最新的文献胎盘功能与新生儿的结果,侧重于临床胎盘病理学发现和最常见的新生儿诊断,已与胎盘功能障碍。我们讨论了新生儿和围产期医学的最新技术进步如何使我们能够进行范式转变,其中胎盘提供的有价值的信息可用于更有效地指导新生儿管理,并最终加强新生儿护理,以改善我们的新生儿护理结果。患者结果。我们提出了临床管理的新途径,其中胎盘可以作为一种诊断工具,以实现更个性化的新生儿重症监护室管理。
The impact of placental dysfunction and placental injury on the fetus and newborn infant has become a topic of growing interest in neonatal disease research. However, the use of placental pathology in directing or influencing neonatal clinical management continues to be limited for a wide range of reasons, some of which are historical and thus easily overcome today. In this review, we summarize the most recent literature linking placental function to neonatal outcomes, focusing on clinical placental pathology findings and the most common neonatal diagnoses that have been associated with placental dysfunction. We discuss how recent technological advances in neonatal and perinatal medicine may allow us to make a paradigm shift, in which valuable information provided by the placenta could be used to guide neonatal management more effectively, and to ultimately enhance neonatal care in order to improve our patient outcomes. We propose new avenues of clinical management in which the placenta could serve as a diagnostic tool toward more personalized neonatal intensive care unit management.
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