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首页> 外文期刊>International Journal of Reproduction, Contraception, Obstetrics and Gynecology >Expectant management of intrauterine growth restriction pregnancy: perinatal outcome
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Expectant management of intrauterine growth restriction pregnancy: perinatal outcome

机译：宫内生长受限妊娠的预期管理：围产期结局

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Background: Intrauterine growth restriction (IUGR) is the reason for increased morbidity and mortality in all periods of human life. The development of this pathology defines a variety of factors many of which are preventable. There is still no developed effective tactics for pregnancy and delivery, which would protect both mother and child from undesirable consequences. Methods: The research was made in Riga Maternity hospital in Latvia. In the research were included 96 neonates with the weight below 10th percentile (IUGR group) as well there was compiled the control group. We evaluated the condition of neonate by 13 criteria and studied its frequency depending on the gestational period. The weight of neonates was estimated using the percentile scales - intrauterine growth curves based on U.S. data. Results: In the subgroup of 37-39th week in the IUGR group in comparison with 40-42nd week subgroup, statistically more often was noticed hypoglycaemia, polycythaemia, acidosis, poor feeding, neurological abnormalities, transportation to an intensive care unit, transportation to another hospital for the further treatment and there was a higher number of days spent in the hospital. In the subgroup of 37-39th week in the control group were just 2 criteria that were statistically more frequent. Conclusions: Recognizing the IUGR to the fetus, there is justified the temporizing tactics with regard to resolution of pregnancy if only the health status of mother allows that and preeclampsia is excluded.
机译：背景：宫内生长受限（IUGR）是人类整个生命周期内发病率和死亡率增加的原因。这种病理学的发展定义了多种因素，其中许多是可以预防的。仍然没有制定出有效的怀孕和分娩策略，可以保护母婴免受不良后果的影响。方法：这项研究是在拉脱维亚的里加妇产医院进行的。在研究中，包括96名体重低于10％的新生儿（IUGR组），并编入了对照组。我们通过13条标准评估了新生儿的状况，并根据妊娠期研究了其发生频率。新生儿的体重是根据百分位数刻度-根据美国数据得出的宫内生长曲线估算的。结果：IUGR组第37-39周的亚组与第40-42周的亚组相比，统计学上更常见的是低血糖，红细胞增多症，酸中毒，进食不良，神经系统异常，运送到重症监护室，运送到另一个医院接受进一步治疗，住院时间更长。在对照组的第37-39周亚组中，仅有2个标准在统计学上更为频繁。结论：如果只有母亲的健康状况允许并排除先兆子痫，则对胎儿的宫内节育器（IUGR）认识到，有合理的临时措施可以解决妊娠问题。

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