了解胎儿发育和新生儿出生体重图表的实用指南

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引用次数: 0

摘要

适当的胎儿生长评估对于安全的临床护理至关重要。近来有许多改进胎儿异常生长模式检测的策略,其中之一就是优化胎儿生长百分位图。近年来,关于临床使用的最佳生长曲线图的争论一直不断。当生长曲线图显示胎儿在生长极值范围内的比例差异较大时,就会引起争议。生长图表的标准需要以证据为基础,并根据妊娠结果进行验证,以证明其临床实用性和广泛使用性。这些标准应由高质量的方法论推理提供,最好通过大型前瞻性多中心研究加以证明。由于生长百分位表的分类术语不一,包括现有的各种图表,医护人员很难完全理解。本实用指南旨在阐明这一多样化的主题。
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A practical guide to understanding fetal growth and newborn birthweight charts

Appropriate assessment of fetal growth is essential for safe clinical care. There have been many recent strategies to improve the detection of aberrant fetal growth patterns, one of which has been to optimize fetal growth centile charts. Over recent years there has been ongoing debates regarding the optimal growth chart for clinical usage. Controversy can arise where growth charts have demonstrated wide variance in the proportion of fetuses classified within the extremities of growth. Standards for growth charts need to be evidenced based and validated against pregnancy outcomes to demonstrate clinical utility and widespread usage. They should be supplied by high quality methodological reasoning and ideally evidenced through large prospective multicentre studies. Given the variable terminology to classify growth centile charts, including the variety of charts available, a complete understanding by healthcare professional can be troublesome to achieve. This practical guide aims to provide clarity on this diverse subject.

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来源期刊
Obstetrics, Gynaecology and Reproductive Medicine
Obstetrics, Gynaecology and Reproductive Medicine Medicine-Obstetrics and Gynecology
CiteScore
0.90
自引率
0.00%
发文量
67
期刊介绍: Obstetrics, Gynaecology and Reproductive Medicine is an authoritative and comprehensive resource that provides all obstetricians, gynaecologists and specialists in reproductive medicine with up-to-date reviews on all aspects of obstetrics and gynaecology. Over a 3-year cycle of 36 issues, the emphasis of the journal is on the clear and concise presentation of information of direct clinical relevance to specialists in the field and candidates studying for MRCOG Part II. Each issue contains review articles on obstetric and gynaecological topics. The journal is invaluable for obstetricians, gynaecologists and reproductive medicine specialists, in their role as trainers of MRCOG candidates and in keeping up to date across the broad span of the subject area.
期刊最新文献
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