Suker Adriana, Li Ying, Robson Danielle, Marren Anthony
Department of Obstetrics and Gynaecology, Liverpool Hospital, Sydney, New South Wales, Australia.
Department of Reproductive Endocrinology and Infertility, Royal Prince Alfred Hospital, Sydney, New South Wales, Australia.
Aust N Z J Obstet Gynaecol. 2024 Oct;64(5):445-458. doi: 10.1111/ajo.13820. Epub 2024 Jun 27.
Part II of the Australasian guideline for the investigation and management of recurrent pregnancy loss (RPL) provides evidence-based guidance on the management of RPL provided. The implications of inherited and acquired thrombophilia with respect to RPL and suggestions for clinical management are provided. Autoimmune factors, including human leukocyte antigen, cytokines, antinuclear antibodies and coeliac antibodies, and guidance for management are discussed. Infective, inflammatory and endometrial causes of RPL are discussed in detail. Environmental and lifestyle factors, male factor and unexplained causes are outlined. Levels of evidence and grades of consensus are provided for all evidence-based statements.
《澳大拉西亚复发性流产(RPL)诊治指南》第二部分针对复发性流产的管理提供了循证指导。文中阐述了遗传性和获得性血栓形成倾向对复发性流产的影响以及临床管理建议。讨论了自身免疫因素,包括人类白细胞抗原、细胞因子、抗核抗体和乳糜泻抗体,以及管理指南。详细探讨了复发性流产的感染性、炎症性和子宫内膜病因。概述了环境和生活方式因素、男性因素及不明原因。为所有循证声明提供了证据水平和共识等级。