目的分析双胎妊娠双胎之一宫内死亡（s IUFD）母儿预后情况及相关影响因素。方法回顾分析56例双胎妊娠一胎宫内死亡病例的临床资料。结果 s IUFD发生率为11.57%（56/484）,其中单卵双胎24例,双卵双胎32例。存活新生儿体重为1150-2870 g...目的分析双胎妊娠双胎之一宫内死亡（s IUFD）母儿预后情况及相关影响因素。方法回顾分析56例双胎妊娠一胎宫内死亡病例的临床资料。结果 s IUFD发生率为11.57%（56/484）,其中单卵双胎24例,双卵双胎32例。存活新生儿体重为1150-2870 g,平均体重（2290±366）g,其中48例未发生新生儿窒息,6例轻度窒息,2例重度窒息。死胎原因包括胎盘早剥14例、脐带扭转10例,胎儿畸形8例,染色体异常2例,双胎输血综合症6例,原因不明16例。母儿结局：流产11例,早产21例,足月产24例。围生儿6例死亡,小于胎龄儿2例。结论 s IUFD的处理办法和终止妊娠的时间仍无统一定论,发生s IUFD时应当加强监测,根据个体情况选择合适的治疗方式,是改善母婴结局的有效方式。展开更多
Objective.Analysis of the cause of intrauterine death of one fetus of twin and to evaluate the outcome of conservative management of twin pregnancy with single fetal death. Method.A retrospective review was undertaken...Objective.Analysis of the cause of intrauterine death of one fetus of twin and to evaluate the outcome of conservative management of twin pregnancy with single fetal death. Method.A retrospective review was undertaken on PUMC hospital records of women who delivered twin between Jan. 1987 and Dec. 1998. Result.During the recent 12 years, 99 pregnant women were documented as twin pregnancies. Of the twin pregnancies during this period, 13 were complicated by a single intrauterine death. Four women suffered this complication during their first trimester. In the remain 9 cases one fetus died during second or third trimester. The cesarean section was given in three pregnant women soon after a single intrauterine death because of the survival fetal distress. No consumptive coagulopathy was apparent in all 13 pregnant women. It is wise that the pregnancy was managed conservatively, with regular coagulation parameters obtained. Conclusion.Our results support conservative management in twin pregnancies complicated by single fetal death.展开更多
Oligohydramnios of late pregnancy is an extremely important signal of a life threatening to the fetus, which severely affect the prognosis of perinatal and makes perinatal mortality rate 5 times higher. [1].As one of ...Oligohydramnios of late pregnancy is an extremely important signal of a life threatening to the fetus, which severely affect the prognosis of perinatal and makes perinatal mortality rate 5 times higher. [1].As one of the conditions that should be prevented in late pregnany, timely discovery and treatment of oligohydramnios can significantly reduce the perinatal mortality rate and improve the quality ofperinatal [2] We will make a summary on the influence of oligohydramnios in late pregnancy outcome in this article. Normally, amniotic fluid volume increases with the passes of gestational week and the volumes increases to about 800ml during late pregnancy to full-term pregnancy.We call it oligohydramnios when if the volume is less than 300m1.[3].展开更多
文摘目的分析双胎妊娠双胎之一宫内死亡（s IUFD）母儿预后情况及相关影响因素。方法回顾分析56例双胎妊娠一胎宫内死亡病例的临床资料。结果 s IUFD发生率为11.57%（56/484）,其中单卵双胎24例,双卵双胎32例。存活新生儿体重为1150-2870 g,平均体重（2290±366）g,其中48例未发生新生儿窒息,6例轻度窒息,2例重度窒息。死胎原因包括胎盘早剥14例、脐带扭转10例,胎儿畸形8例,染色体异常2例,双胎输血综合症6例,原因不明16例。母儿结局：流产11例,早产21例,足月产24例。围生儿6例死亡,小于胎龄儿2例。结论 s IUFD的处理办法和终止妊娠的时间仍无统一定论,发生s IUFD时应当加强监测,根据个体情况选择合适的治疗方式,是改善母婴结局的有效方式。
文摘Objective.Analysis of the cause of intrauterine death of one fetus of twin and to evaluate the outcome of conservative management of twin pregnancy with single fetal death. Method.A retrospective review was undertaken on PUMC hospital records of women who delivered twin between Jan. 1987 and Dec. 1998. Result.During the recent 12 years, 99 pregnant women were documented as twin pregnancies. Of the twin pregnancies during this period, 13 were complicated by a single intrauterine death. Four women suffered this complication during their first trimester. In the remain 9 cases one fetus died during second or third trimester. The cesarean section was given in three pregnant women soon after a single intrauterine death because of the survival fetal distress. No consumptive coagulopathy was apparent in all 13 pregnant women. It is wise that the pregnancy was managed conservatively, with regular coagulation parameters obtained. Conclusion.Our results support conservative management in twin pregnancies complicated by single fetal death.
文摘Oligohydramnios of late pregnancy is an extremely important signal of a life threatening to the fetus, which severely affect the prognosis of perinatal and makes perinatal mortality rate 5 times higher. [1].As one of the conditions that should be prevented in late pregnany, timely discovery and treatment of oligohydramnios can significantly reduce the perinatal mortality rate and improve the quality ofperinatal [2] We will make a summary on the influence of oligohydramnios in late pregnancy outcome in this article. Normally, amniotic fluid volume increases with the passes of gestational week and the volumes increases to about 800ml during late pregnancy to full-term pregnancy.We call it oligohydramnios when if the volume is less than 300m1.[3].
