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Management of pregnancy after stillbirth.

机译:死产后的妊娠处理。

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摘要

It is difficult for clinicians to counsel, evaluate, and manage subsequent pregnancies after stillbirth as little is known about pregnancy outcome after a stillbirth. In a significant number of cases, either the evaluation was incomplete or the prior stillbirth remains unexplained despite a complete work-up. In addition, there are important psychological and emotional issues when dealing with a pregnancy resulting in a stillbirth. The overall recurrence risk for stillbirth is increased 2 to 10 folds in the next pregnancy, depending on the circumstances. Understanding the circumstances of the previous stillbirth is important for counseling about stillbirth recurrence risk. Categorization of the cause of the previous stillbirth will allow better estimation of individual recurrence risk of the condition that is associated with stillbirth and help guide management.
机译:由于对死产后的妊娠结局知之甚少,临床医生很难对死产后的妊娠进行咨询,评估和管理。在很多情况下,尽管进行了完整的检查,但评估仍不完整或无法解释先前的死产。另外,在处理导致死产的妊娠时,还有重要的心理和情感问题。在下一次妊娠中,死胎的总体复发风险会增加2到10倍,具体取决于情况。了解先前死胎的情况对于咨询死胎复发风险很重要。对先前死胎的原因进行分类将有助于更好地估计与死胎有关的疾病的个体复发风险,并有助于指导管理。

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