臨床婦人科産科70巻10号

2016年10月発行

今月の臨床 胎児発育不全（FGR）の管理Up To Date

病態の最新知見

FGR児における羊水量の評価

著者： 小松篤史¹

所属機関： ¹東京大学産婦人科

ページ範囲：P.900 - P.907

文献概要

●FGR児のwell-beingを評価することは至適分娩時期を判断するうえで非常に重要であり，羊水量は胎児心拍数モニタリングとともにその根幹をなす．

●羊水過多を伴うFGR児には高頻度に染色体異常を含む胎児異常が合併し，羊水過少を伴うFGR児では妊娠高血圧症候群を含む胎児胎盤機能不全を合併する可能性が高いことを認識する．

●ヒトにおける羊水量調節は未知な部分が多いが，胎児尿や嚥下とともに羊水から胎児血中に移行するintramembranous absorptionが重要な役割を担っている可能性がある．

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