PDF(Pubmed)
Abstract：
Exploring the intricacies of managing high-risk pregnancies complicated by intrauterine growth restriction (IUGR), placenta previa, and a single umbilical artery requires a comprehensive understanding of their etiologies, mechanisms, and treatment recommendations. This case report delves into the clinical course of a 34-year-old smoker with a pre-pregnancy body mass index of 14.2 kg/m2, shedding light on the considerations posed by a pregnancy in which several risk factors are superimposed on one another. IUGR, affecting 10%-15% of pregnancies, elevated the risk of adverse outcomes during labor and delivery, necessitating careful antenatal monitoring. Placenta previa, with an incidence of 0.3% to 2% in pregnancies, introduced further complications impacting delivery modes and raising the risk of hemorrhage. This report aims to showcase the interconnectedness between these various obstetrical complications and risk factors, to guide maternal-fetal-medicine specialists in making informed decisions during the management of high-risk pregnancies.
摘要：
探索复杂的高危妊娠宫内生长受限（IUGR）管理的复杂性，前置胎盘,单根脐动脉需要全面了解其病因，机制,和治疗建议。该病例报告深入研究了一名34岁吸烟者的临床过程，其孕前体重指数为14.2kg/m2，阐明了怀孕所引起的考虑因素，其中几个危险因素相互叠加。IUGR,影响10%-15%的怀孕，增加了分娩和分娩期间不良后果的风险，需要仔细的产前监测。前置胎盘,妊娠发生率为0.3%至2%，引入了影响分娩方式和增加出血风险的进一步并发症。本报告旨在展示这些不同的产科并发症和危险因素之间的相互联系。指导母胎医学专家在高危妊娠的管理过程中做出明智的决定。
