Cameron Martin J, Penney Gillian C
Scottish Programme for Clinical Effectiveness in Reproductive Health, Department of Obstetrics and Gynaecology, Aberdeen Maternity Hospital, Aberdeen, UK.
J Fam Plann Reprod Health Care. 2005 Oct;31(4):313-4. doi: 10.1783/147118905774480761.
The Royal College of Obstetricians and Gynaecologists recommends that patient-focused terminology be used in early pregnancy care. The objective of the study was to evaluate whether inappropriate terminology is continuing to be used in Scottish gynaecology services.
A case note review (1259 records) and a patient survey (648 replies) assessed usage of four inappropriate terms ('abortion', 'blighted ovum', 'incompetent cervix' and 'pregnancy failure') in 18 Scottish hospitals providing secondary care to women with early pregnancy loss.
Women reported hearing 'abortion' in 4.2% of hospital episodes (95% CI 2.9-6.0), but the term was used in 9.9% (95% CI 8.4-11.7) of hospital records.
In order to meet national recommendations on terminology for early pregnancy loss, clinicians should not only say 'miscarriage' but also write it.
皇家妇产科医师学院建议在早期妊娠护理中使用以患者为中心的术语。本研究的目的是评估苏格兰妇科服务中是否仍在使用不恰当的术语。
一项病历回顾(1259份记录)和一项患者调查(648份回复)评估了18家为早期妊娠丢失女性提供二级护理的苏格兰医院中四个不恰当术语(“流产”“枯萎卵”“宫颈机能不全”和“妊娠失败”)的使用情况。
女性报告在4.2%(95%置信区间2.9 - 6.0)的医院诊疗过程中听到了“流产”一词,但该术语在9.9%(95%置信区间8.4 - 11.7)的医院记录中被使用。
为了符合关于早期妊娠丢失术语的国家建议,临床医生不仅应该说“自然流产”,还应该书写该词。