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Previous stillbirth, late preterm, and early-term birth.

机译:以前的死产,早产和早产。

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摘要

Subsequent pregnancies are emotionally traumatic for families with previous stillbirths. Such pregnancies have a 2- to 10-fold increase in the risk for stillbirth as well as an increased probability of other adverse obstetrical outcomes. These medical risks as well as anxiety on the part of families and care providers contribute to an increase in late preterm and early-term birth. However, delivery before 39 weeks' gestation has not been proven to reduce the risk of recurrent stillbirth or adverse pregnancy outcomes in women with previous stillbirths. This work reviews data regarding the optimal timing of delivery in subsequent pregnancies after previous stillbirth, as well as for patients at risk from stillbirth in general. Management recommendations from current data are presented and knowledge gaps are highlighted.
机译:随后的怀孕对死胎较重的家庭在情感上造成创伤。此类妊娠死产的风险增加2到10倍,其他产科不良后果的可能性也增加。这些医疗风险以及家庭和护理提供者的焦虑,导致早产和早产的增加。但是,尚未证明在妊娠39周之前分娩可降低以前死产的妇女再次死产或不良妊娠结局的风险。这项工作回顾了有关先前死胎后再进行分娩的最佳时机以及一般有死胎风险的患者的数据。提出了来自当前数据的管理建议,并强调了知识差距。

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