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美国妇产科医师学会“晚期足月和过期妊娠指南2014版”要点解读
过期妊娠(postterm pregnancy)指孕周达到或超过42 周(从末次月经算起)仍未分娩,晚期足月妊娠(late-term pregnancy)指孕周达41+0周至41+6周。世界各地报道的发生率不同,部分原因在于不同地区对超过预产期后的处理方式有所不同。准确判定孕周对于过期妊娠的诊断和处理至关重要。由于晚期足月妊娠和过期妊娠所致的围生儿病率与死亡率升高,需要加强胎儿状况的监测和及时的引产。为此,美国妇产科医师学会(ACOG)在循证医学研究的基础上,颁布了该指南,期望对晚期足月和过期妊娠的规范处理有指导价值。
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(2015-01-08收稿)
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