孕妇血清筛查与孕期心理社会依恋
Maternal serum screening and psychosocial attachment to pregnancy.
作者信息
Lawson Karen L, Turriff-Jonasson Shelley I
机构信息
Department of Psychology, University of Saskatchewan, 9 Campus Drive, Saskatoon, Saskatchewan, Canada.
出版信息
J Psychosom Res. 2006 Apr;60(4):371-8. doi: 10.1016/j.jpsychores.2006.01.010.
OBJECTIVE
The purpose of this study was to examine whether maternal serum screening (MSS) is associated with lower maternal attachment to pregnancy.
METHODS
One hundred one pregnant women identified as at risk for fetal anomaly due to advanced maternal age completed a survey targeting their decisions regarding prenatal testing and their psychological attachment to their pregnancy. Of these women, 38 opted for no prenatal testing, 32 underwent MSS, and 31 had amniocentesis in their current pregnancy.
RESULTS
The results indicate that, throughout their pregnancy, the women who underwent MSS reported lower bonding levels as compared with those who chose either amniocentesis or no testing procedures.
CONCLUSION
The results suggest that MSS may disrupt the developmental trajectory of the maternal-fetal bond even after favorable results are known. This may be due in part to the fact that the probabilistic nature of MSS results creates feelings of confusion rather than reassurance for many women following receipt of favorable results.
目的
本研究旨在探讨母体血清筛查（MSS）是否与较低的孕期母体依恋度相关。
方法
101名因母亲年龄较大而被确定为胎儿异常风险的孕妇完成了一项调查，该调查针对她们关于产前检测的决定以及她们对怀孕的心理依恋。在这些女性中，38人选择不进行产前检测，32人接受了MSS，31人在本次怀孕中进行了羊水穿刺。
结果
结果表明，在整个孕期，接受MSS的女性与选择羊水穿刺或不进行检测的女性相比，报告的情感联结水平较低。
结论
结果表明，即使在已知检测结果良好后，MSS也可能扰乱母婴联结的发展轨迹。这可能部分是由于MSS结果的概率性质在许多女性收到良好结果后产生了困惑而非安心的感觉。
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