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Additional risks for preterm delivery in highly risky women: Identification and prevention

机译:早产权在高危女性中的额外风险:识别和预防

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Preterm births accompanied with preterm premature rupture of membranes (PPROM), defined as the delivery before 37 full gesta- tional weeks have a significantly negative impact on both maternal or neonatal health and life [1e3], because of associated various grades of sequelae, which are not limited to the newborns (cerebral palsy, neurodevelopment impairment, retinopathy, and broncho- pulmonary dysplasia are an example), but also involved in the mothers, such as postpartum hemorrhage (PPH), sepsis, and many others [4e6]. Due to its severity, the precipitated factors of preterm births have been carefully evaluated, including the maternal factors (pregnancy induced hypertension, preeclampsia, eclampsia, shortening of cervix, autoimmune disease, etc.) and neonatal associated causes (congenital anomaly, or environmental origin, such as exposure of heavy metal intoxication, deficiency of essential micronutrients, stress, etc.) [7e12]. Many strategies have been available to manipulate these factors, including the use of an effectively screening tool to identify the highly risky population and an early intervention of these associated risk factors [2]. The aims of these strategies would like to provide an opportunity to reverse or correct the underlying problems or potential deficiency to stop the process of the preterm births [13]. In the March issue of the Taiwanese Journal of Obstetrics and Gynecology (TJOG), the Ja- pan's study fulfilled the aforementioned criteria [13]. Therefore, this publication is worthy of further discussion.
机译:早产伴有早产的膜(PPROM)的过早破裂,定义为37个完全播种周之前的递送对母体或新生儿健康和生命的显着负面影响[1E3],因为相关的各种后遗症不限于新生儿(脑瘫,神经发育障碍,视网膜病变和支气管发育不良)是一个例子,但也参与母亲,例如产后出血(PPH),败血症和许多其他[4e6]。由于其严重程度,已经仔细评估了早产出生物的沉淀因子,包括母体因素(怀孕诱导的高血压,预坦克敏,异国葡萄球菌,颈椎,自身免疫病等缩短)和新生儿相关原因(先天性异常或环境来源,例如暴露重金属中毒,必需微量营养素缺乏,应力等)[7e12]。有许多策略可用于操纵这些因素,包括使用有效的筛选工具来识别高风险的人口和这些相关危险因素的早期干预[2]。这些战略的目标是提供扭转或纠正潜在问题或潜在缺陷的机会,以阻止早产的过程[13]。在台湾妇产科(TJog)的3月期间,JA-PAN的研究符合上述标准[13]。因此,本出版物值得进一步讨论。

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