Hardwick J Christopher R, MacKenzie Fiona M
Princess Royal Maternity Hospital, 16 Alexander Parade, G31 2ER, Glasgow, UK.
Eur J Obstet Gynecol Reprod Biol. 2003 Jan 10;106(1):60-3. doi: 10.1016/s0301-2115(02)00357-3.
To identify websites providing information about early pregnancy loss and compare this information with published guidelines from the Royal College of Obstetricians and Gynaecologists (RCOG). The value of 'Silberg' and 'Health on the net (HON)' website scoring systems in predicting the information provided via websites identified was assessed.
A cross-sectional survey.
Nineteen websites identified via two search engines (http://www.lycos.co.uk and http://www.msn.co.uk).
Websites were searched for specific information in a structured manner and then scored by two independent observers against the website scoring systems and against a scoring system derived from guidelines published by the RCOG.
Website scores against the scoring systems and against RCOG guidelines.
Information concerning miscarriage contained within these websites was poor and scored accordingly against the RCOG guidelines (median score, 4.5/8). The website scoring systems did not predict the RCOG scores for a website (HON score R(S)=0.193 (95% confidence interval from -0.286 to 0.595), Silberg score, R(S)=0.035 (95% confidence interval from -0.426 to 0.482)).
Few relevant websites were identified despite searching a large number via two search engines. The websites found did not answer our specific questions and consequently scored poorly against the RCOG guidelines. RCOG scores did not correlate with either scoring system. Web-based information for women attending with early pregnancy complications needs to be easily accessed and comprehensive. Written information given to women when seen with early pregnancy complications should include details of available comprehensive websites. Professional organisations, colleges or Government agencies should provide this type of information.
识别提供早期妊娠丢失信息的网站，并将这些信息与皇家妇产科医师学院（RCOG）发布的指南进行比较。评估“西尔伯格”和“健康在线（HON）”网站评分系统在预测通过已识别网站提供的信息方面的价值。
横断面调查。
通过两个搜索引擎（http://www.lycos.co.uk和http://www.msn.co.uk）识别出19个网站。
以结构化方式在网站上搜索特定信息，然后由两名独立观察者根据网站评分系统以及根据RCOG发布的指南得出的评分系统进行评分。
网站根据评分系统和RCOG指南的得分。
这些网站中包含的有关流产的信息较差，根据RCOG指南相应评分（中位数得分，4.5/8）。网站评分系统无法预测网站的RCOG得分（HON得分R(S)=0.193（95%置信区间为-0.286至0.595），西尔伯格得分，R(S)=0.035（95%置信区间为-0.426至0.482））。
尽管通过两个搜索引擎搜索了大量网站，但识别出的相关网站很少。找到的网站没有回答我们的具体问题，因此根据RCOG指南得分较低。RCOG得分与任何一个评分系统均无相关性。对于有早期妊娠并发症的女性，基于网络的信息需要易于获取且全面。在女性出现早期妊娠并发症时提供的书面信息应包括可用综合网站的详细信息。专业组织、学院或政府机构应提供此类信息。
