Götzmann L, Romann C, Schönholzer S M, Klaghofer R, Zimmermann R, Buddeberg C
Abteilung für Psychosoziale Medizin, Universitätsspital Zürich, Schweiz, Germany.
Gynakol Geburtshilfliche Rundsch. 2001;41(4):215-22. doi: 10.1159/000053032.
293 physicians in the German-speaking part of Switzerland were questioned about their practices of providing information during prenatal ultrasound examinations. Physicians were asked both how they provide information about the examination procedure itself as well as how they inform the pregnant woman if a fetal anomaly is detected.
In January 2000, a questionnaire was mailed to a sample of 500 physicians with a specialized qualification in pregnancy ultrasound examinations. The response rate was 59.2%.
90.1% of the physicians reported that they offer information consultations for routine ultrasound examinations. 50.2% mentioned in their answers to an open question that the screening for fetal anomalies is a component of their consultation. Female physicians mentioned this aspect significantly more often than male physicians. Regarding difficulties in the communication of a diagnosis of fetal malformation, the physicians reported most frequently the excessive strain on the pregnant woman, but also their own feelings of helplessness. The subjective emotional stress was considered as high; female physicians with experience of motherhood reported the highest levels of stress.
Screening for fetal anomalies is a difficult and often neglected subject when providing information on prenatal ultrasound examinations. The communication of the diagnosis of a fetal anomaly is not only emotionally stressful for the parents, but also for the physicians and requires high levels of communication competence. These communication aspects should be considered in the training for ultrasound examinations during pregnancy.
对瑞士德语区的293名医生进行了关于他们在产前超声检查中提供信息的做法的询问。医生们被问及他们如何提供有关检查程序本身的信息，以及如果检测到胎儿异常，他们如何告知孕妇。
2000年1月，向500名具有妊娠超声检查专业资质的医生样本邮寄了一份问卷。回复率为59.2%。
90.1%的医生报告说他们为常规超声检查提供信息咨询。在对一个开放式问题的回答中，50.2%的人提到对胎儿异常的筛查是他们咨询的一个组成部分。女医生提及这方面的频率明显高于男医生。关于胎儿畸形诊断的沟通困难，医生们最常提到的是给孕妇带来的过度压力，还有他们自己的无助感。主观情绪压力被认为很大；有育儿经验的女医生报告的压力水平最高。
在提供产前超声检查信息时，胎儿异常筛查是一个困难且常被忽视的主题。胎儿异常诊断的沟通不仅对父母来说在情感上压力很大，对医生也是如此，并且需要高水平的沟通能力。在孕期超声检查培训中应考虑这些沟通方面的问题。
