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02 May 2020, Volume 36 Issue 5 Previous Issue    Next Issue

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Etiological analysis and management strategy of stillbirth. BAI Gui-qin，LI Xia 2020, 36(5): 389-394.  DOI: 10.19538/j.fk2020050102 Abstract ( )   Stillbirth is one of the most serious complications of pregnancy.This paper summarized the risk factors，etiology and management of stillbirth，as well as the relevant measures for subsequent pregnancy.It was emphasized that it was significant to find the etiologies of stillbirth in the process of its management，and it was suggested that the autopsy，placental pathological examination and gene detection should be carried out in all cases so as to offer more targeted guidance for subsequent pregnancy.

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Health care for a second pregnancy in women with previous preeclampsia. WANG Yuan，HU Ya-li 2020, 36(5): 394-397.  DOI: 10.19538/j.fk2020050103 Abstract ( )   The history of preeclampsia is an independent risk factor for recurrence of preeclampsia during pregnancy，which has more severe adverse pregnancy outcomes.Recurrence of this disease is affected by multiple factors，and prevention is especially critical.Comprehensive assessment of maternal risk factors，strengthening individualized management during pregnancy，implementation of early prevention and early intervention，and termination of pregnancy at an appropriate time are the keys to reducing or avoiding recurrence of preeclampsia and improving pregnancy outcome and long-term prognosis.

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Abdominal nonobstetric operation in pregnancy and adverse pregnancy outcome. WANG Zhi-jian，JIN Jin 2020, 36(5): 397-401.  DOI: 10.19538/j.fk2020050104 Abstract ( )   The relationship between the treatment of abdominal nonobstetric operation and the adverse pregnancy outcome has been the focus of debate in obstetrics debate.The trauma caused by operation and the adverse consequences caused by conservative treatment make clinicians face a dilemma.This paper summarizes the main etiology，indications and perioperative management of abdominal nonobstetric surgery in pregnancy，and analyzes the correlation between pregnancy surgery and adverse pregnancy outcomes，providing reference for clinicians.

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Adverse pregnancy outcomes in pregnant patients with chronic kidney disease. HE Ying-dong，CHEN Qian 2020, 36(5): 401-405.  DOI: 10.19538/j.fk2020050105 Abstract ( )   The prevalence of chronic kidney disease in women at childbearing age is about 3%，and the risk of adverse pregnancy outcomes in these patients is significantly higher than that in healthy women.The basal renal function，concomitant system disease，hypertension and proteinuria have important effect on pregnancy outcomes.In this paper，we review the adverse pregnancy outcomes in patients with chronic kidney disease and introduce the therapies to improve the pregnancy outcomes of such patients.

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Poor control of  blood glucose and adverse pregnancy outcome. WANG Zi-lian，CHEN Hai-tian 2020, 36(5): 405-408.  DOI: 10.19538/j.fk2020050106 Abstract ( )   Hyperglycemia during pregnancy is the most common complication of pregnancy.Poor control of blood glucose during pregnancy will increase the incidence of adverse pregnancy outcome，including various maternal and fetal risks in the short and long term.In this paper，we will introduce the relationship between poor blood control of glucose and adverse pregnancy outcome，so as to improve the awareness of health care workers and pregnant women with diabetes mellitus on the harm of hyperglycemia during pregnancy.

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Anemia during pregnancy and adverse pregnantcy outcomes. CUI Yu-tong，LI Xiao-tian 2020, 36(5): 408-412.  DOI: 10.19538/j.fk2020050107 Abstract ( )   Anemia during pregnancy can lead to a variety of adverse pregnancy outcomes，such as premature delivery，reduced bleeding tolerance，postpartum hemorrhage and even hemorrhagic shock，puerperal infection，as well as low neonatal weight and neonatal death，which do serious harm to maternal and fetal health.Guidelines for the diagnosis and treatment of iron deficiency and iron-deficiency anemia during pregnancy in China suggest that through active monitoring of hemoglobin and serum iron，dietary iron supplementation should be strengthened to prevent anemia during pregnancy，thus avoiding the occurrence of adverse pregnancy outcomes.

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Pregnancy with systemic lupus erythematosus and adverse pregnancy outcome. HE Fang 2020, 36(5): 412-416.  DOI: 10.19538/j.fk2020050108 Abstract ( )   Systemic lupus erythematosus （SLE） is an autoimmune connective tissue disease that affects women at child-bearing ages.Adverse pregnancy outcome （APO） occurred in 19.0%-70% of pregnancies with SLE，including recurrent lupus，pregnancy loss，preterm delivery，preeclampsia，fetal growth restriction，neonatal lupus and so on.When the SLE is accompanied specific antibody，such as antiphospholipid antibody，the APO rate increases by 28.4%，and when the SLE is accompanied by anti-Ro /La antibody，the occurrence rate of fetal or neonatal heart block is 1%-2%.Planned pregnancies in stable stage of SLE，close monitoring and individualized multidisciplinary management during pregnancy are keys to improving APO.

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Use of radiographic parameters in judging adverse pregnancy outcomes in patients with placenta implantation. WANG Yuan-yuan，CHEN Lian 2020, 36(5): 416-419.  DOI: 10.19538/j.fk2020050109 Abstract ( )   With the increasing incidence of placenta accrete spectrum disorders，the high rates of uterine resection and postpartum hemorrhage and the threat to the safety of maternal and infant life，make it very important and urgent to perform prenatal recognition，diagnosis and appropriate perioperative management. This paper summarizes the prenatal diagnosis of placenta implantation by ultrasound and magnetic resonance imaging.

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Serial ultrasonography to predict adverse pregnancy outcomes in the third trimester. CHEN Bing-nan，QIAO Chong 2020, 36(5): 419-423.  DOI: 10.19538/j.fk2020050110 Abstract ( )   Ultrasonography is a very important examination during pregnancy.A variety of biological information of the fetus，placenta and uterus can be obtained non-invasively through ultrasonography，by which clinicians can discover fetal and maternal related diseases.In addition to dynamic assessment of intrauterine growth and development，and detection of fetal structural abnormality，the third trimester serial ultrasonography plays a certain role in predicting adverse pregnancy outcomes，such as preterm birth，hypertensive disorder during pregnancy，and uterine rupture.This article reviews the relationship between different adverse perinatal outcomes and the third-trimester serial ultrasonography from the fetal and maternal aspects respectively.

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Fever during pregnancy and adverse pregnancy outcomes. ZHANG Jing-yi，FENG Ling 2020, 36(5): 424-428.  DOI: 10.19538/j.fk2020050111 Abstract ( )   Fever is a common clinical symptom during pregnancy. It remains controversial whether fever during pregnancy directly leads to adverse pregnancy outcomes.  In this paper，based on the recent studies on fever during pregnancy and adverse pregnancy outcomes，the correlation between them is elaborated，in order to provide reference for the clinical diagnosis and treatment of fever during pregnancy，reduce complications，and improve maternal and fetal outcomes.

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Intrapartum ultrasound monitoring improves pregnancy outcomes. LIU Hong-li，QI Hong-bo 2020, 36(5): 428-431.  DOI: 10.19538/j.fk2020050112 Abstract ( )   Ultrasound is gradually used in assessing the progress of labor by judging the fetal position and head station，assisting clinical management.On the basis of guidelines and clinical studies，this paper describes the role of prenatal ultrasound and ultrasonic parameters and their effects on pregnancy outcomes.