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首页> 外文期刊>Journal of Clinical Medicine Research >What’s Happening When the Pregnancies Are Not Terminated in Case of Anencephalic Fetuses?
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What’s Happening When the Pregnancies Are Not Terminated in Case of Anencephalic Fetuses?

机译：当无脑胎儿时，妊娠未终止会发生什么？

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Background: To review the obstetric outcomes of pregnancies with anencephalic fetuses when these pregnancies are not terminated and ongoing. Methods: A retrospective chart review is made of the cases with a prenatal diagnosis of anencephaly and who were opted to continue the pregnancy in 1-year period. The evaluated data included gestational age at diagnosis, gestational age at birth, labor induction rates, cesarean delivery rates, stillbirth, shoulder dystocia rate, antepartum and postpartum hemorrhage. Results: A total of 28 cases that were selected from 87 cases with the diagnosis of anencephaly are included in the study. The average gestational age at diagnosis was 18 weeks. The average gestational age at birth was 31 weeks (range 23 - 37 weeks). Stillbirths were reported in 32% (9/28). Polyhydramnios developed at six patients and two of them required amniodrainage due to severe polyhydramnios. Vaginal birth was achieved in 67% (19/28) of the patients. Labor induction was applied at total 17 patients and one of them had gone to cesarean section due to failed induction. There were two cases of shoulder dystocia. Nine patients had gone to cesarean delivery. Any other complication was not encountered. Conclusions: Parents should be counseled in detail about continuation of an anencephalic pregnancy before making their decision. The information about “what an anencephalic pregnancy can lead”' should be given. The redundant cesarean deliveries, polyhydramnios and associated complications, obstetrical hemorrhage risk should be discussed with patients. It should also be emphasized that these maternal risks are for the sake of a non-life expectant baby.
机译：背景：回顾未终止和进行中的无脑胎儿妊娠的产科结局。方法：回顾性图表回顾了那些在产前诊断为无脑且选择在1年内继续妊娠的病例。评估数据包括诊断时的胎龄，出生时的胎龄，引产率，剖宫产率，死产，肩难产率，产前和产后出血。结果：从87例无脑病的患者中选择了28例。诊断时的平均胎龄为18周。出生时的平均胎龄为31周（范围23-37周）。报告死胎的比例为32％（9/28）。有6例患者出现羊水过多，其中2例由于严重羊水过多而需要羊水引流。 67％（19/28）的患者实现了阴道分娩。共有17例患者进行了引产，其中1例由于引产失败而去了剖宫产。有两例肩难产。九名患者去剖宫产。没有遇到其他并发症。结论：在做出决定前，应详细告知父母无脑妊娠的继续。应该提供有关“脑性妊娠可以导致什么”的信息。多余的剖宫产，羊水过多及相关并发症，产科出血风险应与患者讨论。还应强调的是，这些孕产妇风险是出于无预期寿命的婴儿的缘故。

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