Aite L, Trucchi A, Nahom A, Zaccara A, La Sala E, Bagolan P
Newborn Surgery Unit, Bambino Gesù Children Hospital, Rome, Italy.
J Perinatol. 2003 Dec;23(8):652-4. doi: 10.1038/sj.jp.7210992.
To assess whether or not a correlation exists between antenatal consultations and parental anxiety.
In total, 31 couples undergoing prenatal consultation after a diagnosis of a surgically correctable anomaly were asked to fill in a questionnaire (Spielberger State-Trait Anxiety Inventory) measuring anxiety levels (AL) both after the first consultation and at birth. Prenatal counselling was done by a perinatal team including paediatric surgeon, obstetrician, and psychologist.
Malformations were: eight diaphragmatic hernias, 10 intestinal atresias, four abdominal masses, nine abdominal wall defects. Each fetus was subsequently followed up at regular intervals from diagnosis to birth. AL at birth were then compared with the number of antenatal consultations. A negative correlation (r=-0.688, p<0.001) was found between the number of consultations and the level of anxiety at birth. Patients having at least two consultations had significantly lower anxiety levels at birth.
Irrespective of the type of malformation, there is evidence that having more than one antenatal consultation may significantly reduce AL at birth. Therefore, early antenatal diagnosis should be encouraged in order to increase as much as possible chances of repeated consultations for the prospective parents.
评估产前咨询与父母焦虑之间是否存在相关性。
总共31对夫妇在被诊断出患有可通过手术矫正的异常情况后接受产前咨询，他们被要求填写一份问卷（斯皮尔伯格状态-特质焦虑量表），以测量首次咨询后和出生时的焦虑水平（AL）。产前咨询由包括小儿外科医生、产科医生和心理学家在内的围产期团队进行。
畸形情况包括：8例膈疝、10例肠道闭锁、4例腹部肿块、9例腹壁缺损。从诊断到出生，每个胎儿随后都定期接受随访。然后将出生时的AL与产前咨询次数进行比较。发现咨询次数与出生时的焦虑水平呈负相关（r = -0.688，p < 0.001）。至少进行两次咨询的患者在出生时的焦虑水平显著较低。
无论畸形类型如何，有证据表明进行不止一次产前咨询可能会显著降低出生时的AL。因此，应鼓励早期产前诊断，以便尽可能增加准父母进行反复咨询的机会。
