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孕中期的超声筛查。孕妇的背景知识、期望、经历及接受程度。

Ultrasound screening in the 2nd trimester. The pregnant woman's background knowledge, expectations, experiences and acceptances.

作者信息

Larsen T, Nguyen T H, Munk M, Svendsen L, Teisner L

机构信息

Department of Ultrasound, Herlev Hospital, University of Copenhagen, Denmark.

出版信息

Ultrasound Obstet Gynecol. 2000 May;15(5):383-6. doi: 10.1046/j.1469-0705.2000.00112.x.

DOI:10.1046/j.1469-0705.2000.00112.x
PMID:10976478
Abstract

OBJECTIVE

Ultrasound screening in the second trimester is widely used in maternal health care. To secure the pregnant woman's autonomy, it is essential to obtain information relating to her understanding and wishes as a starting point for the provision of information. The aim of the study was to explore the pregnant woman's background knowledge, expectations, experiences, and acceptances of second trimester ultrasound screening.

DESIGN

Five-hundred consecutive, unselected pregnant woman, of gestational age between 16 and 20 weeks were asked to fill in a questionnaire containing defined and open ended questions.

RESULTS

Approximately 70% of the women recruited had undergone a pregnancy-related ultrasound examination previously. Ninety percent answered that they had received information, either from the family doctor or as written material from the hospital (or both), concerning the purpose of the examination. Literature/newspaper/TV, family and friends played an important role as sources for general information. The pregnant women wished to undertake the ultrasound examination to ensure that the fetus was alive, healthy and without any malformation. Few answers were clinically irrelevant. The womens' expectations were fulfilled in 96% of cases, 86% felt 'more secure' after the examination while 2% did not have their expectations fulfilled. Only 0.8% felt more insecure after the examination. The vast majority of both pregnant women and their partners reported a positive experience from the event.

CONCLUSION

Pregnant women have a good knowledge of ultrasound examination although the quality of information could be improved. Expectations are fulfilled and are clinically relevant. The acceptability and experiences of the examination are very high.

摘要

目的

孕中期超声筛查在孕产妇保健中被广泛应用。为保障孕妇的自主权,获取与她的理解和意愿相关的信息作为提供信息的起点至关重要。本研究的目的是探讨孕妇对孕中期超声筛查的背景知识、期望、经历及接受程度。

设计

连续选取500名未经过挑选的孕周在16至20周的孕妇,要求她们填写一份包含既定问题和开放式问题的问卷。

结果

约70%的入选孕妇此前曾接受过与妊娠相关的超声检查。90%的孕妇回答称她们已从家庭医生处或医院提供的书面材料(或两者皆有)中获得了关于检查目的的信息。文献/报纸/电视、家人及朋友作为一般信息来源发挥了重要作用。孕妇希望进行超声检查以确保胎儿存活、健康且无任何畸形。极少回答与临床无关。96%的情况满足了孕妇的期望,86%的孕妇在检查后感觉“更安心”,而2%的孕妇期望未得到满足。只有0.8%的孕妇在检查后感觉更不安。绝大多数孕妇及其伴侣均报告称此次检查体验良好。

结论

尽管信息质量有待提高,但孕妇对超声检查有较好的了解。期望得到满足且与临床相关。检查的可接受性和体验度非常高。

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Ultrasound Obstet Gynecol. 2000 May;15(5):383-6. doi: 10.1046/j.1469-0705.2000.00112.x.
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