Van den Berg M M J, Vissenberg Rosa, Goddijn Mariëtte
Department of Obstetrics and Gynecology, Center for Reproductive Medicine, Academic Medical Center, H4-205, PO Box 22660, Amsterdam 1100 DD, The Netherlands.
Department of Obstetrics and Gynecology, Center for Reproductive Medicine, Academic Medical Center, H4-205, PO Box 22660, Amsterdam 1100 DD, The Netherlands.
Obstet Gynecol Clin North Am. 2014 Mar;41(1):145-55. doi: 10.1016/j.ogc.2013.10.010. Epub 2013 Dec 15.
A recurrent miscarriage clinic offers specialist investigation and treatment of women with recurrent first- and second-trimester miscarriages. Consultant-led clinics provide a dedicated and focused service to couples who have experienced at least two prior miscarriages. The best treatment strategy for couples with recurrent miscarriage is to discuss a treatment plan for a future pregnancy. Evidence-based up-to-date guidelines are required to reduce ineffective management of recurrent miscarriage couples, including overdiagnostics and underdiagnostics. Scientific research is necessary to study the effectiveness of new interventions, to study patient preferences, and to evaluate health care and costs or other outcomes.
复发性流产诊所为孕早期和孕中期反复流产的女性提供专业检查和治疗。由顾问主导的诊所为至少经历过两次流产的夫妇提供专门且专注的服务。对于复发性流产的夫妇,最佳治疗策略是讨论未来妊娠的治疗方案。需要基于证据的最新指南,以减少对复发性流产夫妇的无效管理,包括过度诊断和诊断不足。开展科学研究对于研究新干预措施的有效性、研究患者偏好以及评估医疗保健、成本或其他结果是必要的。