Moutard Marie-Laure, Moutel Grégoire, François Irène, Fauriel Isabelle, Feingold Josué, Ponsot Gérard, Hervé Christian
Service de Neuropédiatrie, Hôpital saint Vincent de Paul, 82, avenue Denfert-Rochereau, 75674, Paris cedex 14, France.
Ann Genet. 2004 Jan-Mar;47(1):41-51. doi: 10.1016/j.anngen.2003.10.004.
Fetal ultrasound (FU) is used during almost all pregnancies and makes a large contribution to the identification of fetal malformation. It is particularly difficult to announce a malformation, particularly those affecting the brain, because there are often doubts concerning both the diagnosis and the prognosis.
The aim of this study was to analyze how imaging for prenatal screening is organized and how couples are managed and supported. We concentrated on the procedures used to inform couples: content, method of delivery and consequences.
Study amongst large multidisciplinary centers in Paris and the Paris region, by semi-directed interviews using a questionnaire.
We showed that it is difficult to standardize the way in which information is supplied before and after the examination, and that doctors tend to recommend abortion when the prognosis is uncertain.
These results provide information that will help decision-making concerning a standardized procedure allowing couples to benefit from all the capacities of prenatal screening, particularly when the diagnosis and prognosis are uncertain. There is a need for multidisciplinary teams to support and to accompany the decision concerning whether to have an abortion or to continue the pregnancy.
几乎所有孕期都会进行胎儿超声检查（FU），这对胎儿畸形的识别有很大贡献。宣布胎儿畸形，尤其是那些影响大脑的畸形，特别困难，因为在诊断和预后方面往往存在疑问。
本研究的目的是分析产前筛查成像如何组织，以及如何管理和支持夫妇。我们专注于用于告知夫妇的程序：内容、传递方式和后果。
通过使用问卷进行半定向访谈，在巴黎及巴黎地区的大型多学科中心开展研究。
我们发现，检查前后提供信息的方式难以标准化，而且当预后不确定时，医生往往倾向于建议堕胎。
这些结果提供了有助于做出关于标准化程序决策的信息，使夫妇能够受益于产前筛查的所有能力，尤其是在诊断和预后不确定时。需要多学科团队来支持并陪伴做出是否堕胎或继续妊娠的决定。
