“二孩”生育政策后再生育的临床思考  

Clinical concern of the second pregnancy under the two-child policy

作　　者：陈子江[1] CHEN Zijiang(Center for Reproductive Medicine, Shandong University,National Research Center for Assisted Reproductive Technology and Reproductive Genetics, Key Laboratory of Reproductive Endocrinology （ Shandong University）, Ministry of Education, Shandong Provincial Key Laboratory of Reproductive Medicine, Jinan 250001, Shandong, China)

机构地区：[1]山东大学附属生殖医院国家辅助生殖与优生工程技术研究中心生殖内分泌教育部重点实验室(山东大学)山东省生殖医学重点实验室,山东济南250001

出　　处：《山东大学学报（医学版）》2017年第1期1-4,共4页Journal of Shandong University:Health Sciences

基　　金：国家自然科学基金重点项目(81430029);卫生公益性行业科研专项(201402004);山东大学基本科研业务费专项资金(2015QY004-19)

摘　　要："二孩"生育政策放开为妇产科领域带来了更多的压力与挑战。高龄产妇面临着自身生育力、健康情况的下降等问题,临床医生需要加强沟通和充分告知,谨慎、全面、个体化的评估其生育力及身体状态,并采取合理有效的助孕措施。此外,剖宫产术后瘢痕子宫再次妊娠所伴随的相关临床问题要求更规范的孕检制度;高龄生育相关子代健康问题亦不容忽视。"二孩"生育的临床管理将会成为一个新的课题,有待临床重视及规范。The decree of two-child policy has brought more pressure and challenges for obstetrics and gynecology.Considering the declining fertility and health of elderly mothers,clinicians need to communicate sufficiently with them,assess carefully their fertility and physical status,and implement effective assisted reproductive measures. Moreover,it is necessary to establish a standardized pregnancy examination system for women with scarred uterus due to caesarean section. In addition,the newborns＇ health condition should not be neglected. In conclusion,clinical management of second delivery will become a newfocus,which needs concern and specification.

关 键 词：二胎政策 高龄生育 辅助生殖技术 

分 类 号：R711[医药卫生—妇产科学]