血液系统疾病孕前评估及孕期管理

Pre-pregnancy assessment and management of pregnancy complicated with hematology system diseases

妊娠合并血液系统疾病可导致不良母儿结局。孕前应针对不同疾病进行全面的病情评估,把握适宜妊娠的指征和时机。妊娠期保健应重视原发病病情的监测,有治疗指征者应给予必要的支持或药物治疗;维持妊娠期安全的外周血三系细胞水平有助于减少母儿并发症。围分娩期应做好计划分娩,准备相应的血源,根据病情程度及产科情况综合考虑终止妊娠的时机和方式。产后应积极预防产后出血及感染的发生。

Pregnancy complicated with hematological disorders can lead to adverse maternal and neonatal outcomes.The illness condition should be evaluated comprehensively before pregnancy and the indication of conception should be carefully estimated.The primary disease should be closely monitored during pregnancy and the indications of therapeutic intervention to maintain the safety level of three series of peripheral blood cell is essential to get a good prognosis.Besides,delivery should be well planned,especially the blood supply.The time and method of pregnancy termination are according to the severity of the disease and obstetric conditions.Postpartum hemorrhage and infection should be prevented after delivery.