多胎妊娠早期母儿并发症预测及规范化管理  

Prediction of Mater-fetal Complications and Standardized Management of Multiple Pregnancy in the Early Term

作　　者：瞿晓娴[1] 应豪[1] 

机构地区：[1]同济大学附属第一妇婴保健院产科,上海200040

出　　处：《国际妇产科学杂志》2013年第6期492-495,共4页Journal of International Obstetrics and Gynecology

基　　金：上海市卫生局科研课题(20124037);上海市科委课题(13ZR1432900)

摘　　要：随着辅助生殖技术的进步和妇女生育年龄的提高,多胎妊娠的发生率也增高。由此带来了许多母儿并发症,增加了母胎的发病率及死亡率。因此从妊娠早期进行多胎妊娠母儿并发症的预测及规范化管理,有助于减少流产、贫血、子痫前期、妊娠期糖尿病等相关母儿的风险。根据最近的研究,对于妊娠早期多胎妊娠的管理需要注意绒毛膜性诊断、胎儿并发症的筛查(包括非整倍体筛查及超声筛查)、母体并发症的预测及多胎妊娠早期的规范化监护。从而减少母儿并发症,改善母儿结局。With the progress of assisted reproductive technology and the increase of women＇s reproductive age,the incidence of multiple pregnancy is also increased. Multiple pregnancy increased the morbidity and mortality of maternal-fetal complications. Therefore, prediction of mater-fetal complications and the standardized management of multiple pregnancy in the early term helps to reduce the matemal-fetal risks including abortion, anemia, preeclampsia and gestational diabetes mellitus. According to recent studies,the management of multiple pregnancy in the early term should pay attention to chorionic judgment,screening of fetal complications （screening for aneuploidies and ultrasound scanning）, prediction of mater complications and standardized monitoring during early pregnancy,thereby reducing the mater-fetal complications and improve mother and child outcome.

关 键 词：妊娠 多胎 产前诊断 颈部透明带检查 双胎输血综合征 绒毛膜 孕期管理 

分 类 号：R714.23[医药卫生—妇产科学]