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机构地区:[1]华中科技大学同济医学院附属同济医院妇产科、国家妇产疾病临床研究中心,武汉430030
出 处:《中华产科急救电子杂志》2024年第2期73-78,共6页Chinese Journal of Obstetric Emergency(Electronic Edition)
摘 要:随着体外受精-胚胎移植(in vitro fertilization-embryo transfer,IVF-ET)技术快速发展和广泛应用,其不良妊娠结局发生风险也逐渐升高,其中早产问题尤为突出。与自然妊娠孕妇相比,接受IVF-ET治疗后妊娠患者早产发生风险增加。本文将系统阐述IVF-ET与早产的关系,并深入探讨IVF-ET妊娠早产风险增加的危险因素,包括多胎妊娠、宫颈或宫腔操作、女性因素不孕、前置胎盘、胎膜早破等。针对以上危险因素,本文总结了一系列的防治措施,旨在为临床降低IVF-ET妊娠早产发生风险提供思考的新视角。With the rapid development and widespread application of in vitro fertilization-embryo transfer(IVF-ET)technology,the incidence of adverse pregnancy outcomes has gradually increased,with preterm birth being a prominent issue.Compared to pregnant women with natural conceptions,those undergoing IVF-ET treatment face an elevated risk of preterm birth.This article will discuss the relationship between IVF-ET and preterm birth,investigating various risk factors that contribute to an increased risk of preterm birth in IVF-ET pregnancies,including multiple pregnancies,cervical or uterine procedures,female infertility factors,placenta previa,and premature rupture of membranes.In response to these risk factors,the paper summarizes a series of preventive and treatment measures,aiming to provide a new perspective for reducing the risk of preterm birth in IVF-ET pregnancies.
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