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02 February 2020, Volume 36 Issue 2 Previous Issue    Next Issue

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Assessment of prenatal diagnosis testing in twin pregnancies. CAI Lu-yao，SUN Lu-ming 2020, 36(2): 101-104.  DOI: 10.19538/j.fk2020020102 Abstract ( )   Invasive prenatal testing（eg，chorionic villus sampling or amniocentesis）remains the standard for diagnosis of fetal genetic disorders. We post a comprehensive introduction to the twins' label system, different sampling techniques and procedure-related risks. This article can provide reference for clinicians to offer patients evidence-based consultation and individual management for twin pregnancies.

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Prenatal care and management during delivery of re-pregnancy with scarred uterus. LI Na，LIU Cai-xia 2020, 36(2): 104-107.  DOI: 10.19538/j.fk2020020103 Abstract ( )   In recent years，with the comprehensive opening of the two child policy，the number of second pregnancies after cesarean section and elderly pregnant women has increased rapidly，followed by the increase of adverse pregnancy outcomes. We should make clear the risks of the second pregnancy of scarred uterus，make pre-pregnancy consultation and evaluation，and strengthen the management of pregnancy and delivery，for these are the keys to ensuring the safety of mothers and infants and improve the quality of obstetrics.

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Recognition and management of placenta implantation complicated with placenta previa. ZHANG Li-zi，BI Shi-lei 2020, 36(2): 107-110.  DOI: 10.19538/j.fk2020020104 Abstract ( )   With the increase of advanced maternal age and cesarean delivery rate，the incidence of placenta implantation complicated with placenta previa increta increases year by year，which causes postpartum hemorrhage and hysterectomy，even threatens maternal life in serious cases.Better understanding the pathogenesis of placenta previa increta complicated with palcenta implantation based on the patients' risk factors，and making full use of prenatal imaging examination can improve the diagnostic accuracy.For patients with high risks or definite diagnosis，an experienced medical team is necessary to evaluate and perform multiple disciplines management during preoperative and intraoperative period to reduce the occurrence of serious complications with individualized treatment.

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Current research and existed problems on diagnosis and treatment of preterm birth. LUO Xin，QI Hong- bo 2020, 36(2): 111-114.  DOI: 10.19538/j.fk2020020105 Abstract ( )   In the past two decades，China has made great efforts on reducing the incidence of preterm birth and improving the outcome of preterm infants and has achieved great success. However，due to the huge population base，the number of preterm births should still not be underestimated. Additionally，the mechanism of preterm birth and delivery initiation has not been fully elucidated yet. Furthermore，there are great differences between the diagnosis and treatment level of preterm birth and the treatment level of preterm infants in the region. Consequently，the development of the diagnosis and treatment level of preterm birth is limited to a certain extent. Accordingly，Chinese workers on perinatology still take the responsibilities for further reducing the rate of preterm birth and improving the long-term & short-term outcome of preterm infants，which is truly a long-term task.

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Gestational management of twin pregnancy. ZHANG Shu-qin，WANG Jing 2020, 36(2): 114-117.  DOI: 10.19538/j.fk2020020106 Abstract ( )   The incidence of multiple pregnancy is closely related to assisted reproduction. In the management of multiple pregnancy，we should pay more attention to chorionicity and the corresponding fetal complications. The incidence of maternal complications such as gestational diabetes，preterm birth and preeclampsia also rises obviously. As a result，in order to minimize the adverse outcomes of fetus and pregnant woman，close monitoring is needed.

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Diagnosis and management strategies for hyperglycemia in pregnancy. WEI Yu-mei，YANG Hui-xia 2020, 36(2): 117-120.  DOI: 10.19538/j.fk2020020107 Abstract ( )   Hyperglycemia in pregnancy（HIP） is an issue of increasing concern to both obstetricians and administrators and it brings health issues for both mothers and offspring，not only early complications，but also long-term effects. HIP may either have been PGDM，or GDM. After two-child policy was fully carried out in China，the incidence of HIP has been increased further. Many important issues such as the screening and diagnosis of DM during pregnancy and the strategies of GDM management in China need to  be dealt with.

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Intervention and management of preeclampsia. GU Wei-rong，LI Xiao-tian 2020, 36(2): 120-123.  DOI: 10.19538/j.fk2020020108 Abstract ( )   Preeclampsia is featured with pathogenic heterogeneity，diverse clinical manifestations，poor maternal and fetal prognosis. To improve maternal and fetal outcomes by diagnosing and managing correctly，effective means should be adopted，including care of high risk women，early warning of severe complication，standardized management of key points，and regular emergency skill training.

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Prevention and management of postpartum hemorrhage. LIU Xing-hui，HE Lei 2020, 36(2): 123-126.  DOI: 10.19538/j.fk2020020109 Abstract ( )   Postpartum hemorrhage remains the leading cause of maternal mortality worldwide.Effective treatment can avoid serious bleeding and following complications. This paper discussed  prevention and management of postpartum hemorrhage.