中国实用妇科与产科杂志 ›› 2023, Vol. 39 ›› Issue (6): 581-584.DOI: 10.19538/j.fk2023060102

• 专题笔谈 • 上一篇    下一篇

优化妊娠间隔 改善妊娠结局

  

  1. 南方医科大学南方医院妇产科,广东 广州 510515
  • 出版日期:2023-06-02 发布日期:2023-06-02
  • 通讯作者: 王志坚
  • 基金资助:
    国家自然科学基金面上项目(81971415,82271709);广东省自然科学基金面上项目(2023A1515012094)

Optimizing interpregnancy interval to improve pregnancy outcome.  

  1. Department of Obstetrics and Gynecology,Nanfang Hospital,Southern Medical University,Guangzhou 510515,China
  • Online:2023-06-02 Published:2023-06-02

摘要: 短妊娠间隔(≤6~18个月)和长妊娠间隔(>60个月)与不良妊娠结局相关。在围产儿结局方面:短妊娠间隔和长妊娠间隔均与早产、低出生体重儿、小于胎龄儿的发生风险增加有关;在母体结局方面:长妊娠间隔增加了子痫前期的发生风险,短妊娠间隔增加了瘢痕子宫阴道试产子宫破裂的发生风险。考虑到妊娠间隔是一个可控因素,产后应个性化指导每名产妇的最佳妊娠间隔,优化下次妊娠结局。

关键词: 妊娠间隔, 母体结局, 胎儿结局, 早产, 子痫前期

Abstract: Both short(≤6-18 months)and long(>60 months)interpregnancy interval(IPI)correlates with adverse maternal and fetal outcomes.In fetal outcome,short IPI increases the incidence of preterm birth,low birth weight and small for gestational age.In maternal outcome,long IPI increases the incidence of preeclampsia,short IPI increases the incidence of uterine rupture during trial of labor after previous cesarean section.Considering IPI is a potentially modifiable factor.It is recommended to advise the optimal interpregnancy interval in pregnant women individually after delivery in order to improve next pregnancy outcome.

Key words: interpregnancy interval, maternal outcome, fetal outcome, preterm birth, preeclampsia

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