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中华产科急救电子杂志 ›› 2020, Vol. 09 ›› Issue (02) : 83 -86. doi: 10.3877/cma.j.issn.2095-3259.2020.02.005

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瘢痕子宫多胎妊娠的孕期管理
耿慧珍1, 王子莲1,()   
  1. 1. 510080 广州,中山大学附属第一医院妇产科
  • 收稿日期:2019-12-04 出版日期:2020-05-18
  • 通信作者: 王子莲

Pregnancy management of multiple pregnancy combined with scarred uterus

Huizhen Geng1, Zilian Wang1()   

  • Received:2019-12-04 Published:2020-05-18
  • Corresponding author: Zilian Wang
引用本文:

耿慧珍, 王子莲. 瘢痕子宫多胎妊娠的孕期管理[J]. 中华产科急救电子杂志, 2020, 09(02): 83-86.

Huizhen Geng, Zilian Wang. Pregnancy management of multiple pregnancy combined with scarred uterus[J]. Chinese Journal of Obstetric Emergency(Electronic Edition), 2020, 09(02): 83-86.

由于高龄孕妇和辅助生殖技术应用的增多,瘢痕子宫合并多胎妊娠的比例逐年增加,其中以双胎妊娠最为常见。瘢痕子宫与双胎妊娠均为高危妊娠,妊娠期风险及不良妊娠结局明显增加。对于此类患者,临床医生准确评估与正确管理、积极预防和及时处理妊娠并发症、合适的分娩方式与分娩时机的选择,充分的医患沟通及配合,可降低其妊娠期及分娩相关风险,最终保障母儿安全。

With increasing number of the older pregnant women and the application of assisted reproductive technology, the ratio of multiple pregnancy combined with scarred uterus has dramatically increased, and twin pregnancy is the most common.Both scarred uterus and twin pregnancy are high-risk gestation factors, which can increase risk in pregnancy and cause adverse pregnancy outcomes. How to reduce the risks of this situation for maternal pregnancy and childbirth? It needs clinical doctors to give accurate evaluation and proper management to prevent and treat pregnancy complications in time, choose the appropriate means of delivery and delivery time, and it also needs sufficient doctor-patient communication and cooperation to ensure the safety of mother and fetus.

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