Pretorius Dolores H, Gattu Shilpa, Ji Eun-Kyung, Hollenbach Kathryn, Newton Ruth, Hull Andrew, Carmona Susana, D'Agostini Deborah, Nelson Thomas R
Department of Radiology, University of California, San Diego, La Jolla, CA 92037 USA.
J Ultrasound Med. 2006 Nov;25(11):1411-21. doi: 10.7863/jum.2006.25.11.1411.
The purpose of this study was to determine whether there is a change in parental bonding and couples' attitudes toward their fetus after undergoing 3-/4-dimensional ultrasonography (3D/4DUS).
Sixty-five fathers and 124 mothers were asked to fill out a maternal-fetal attachment questionnaire relating to how they felt about their fetus before and after 3D/4DUS and to mark on a line indicating their feelings about the ultrasonography experience. In addition, 135 parents filled out a positive feelings questionnaire consisting of 5 sections assessing their feelings about the fetus. The 3D/4DUS examination included rendering of the fetal face, limbs, and thorax.
One hundred forty-two patients filled out all questions and were analyzed for the total attachment score. The difference of the total score for the maternal-fetal attachment questionnaire before and after 3D/4DUS had a z value of 5.6 for all patients and was statistically significant (P < .0001). In analyzing each question, 5 were found to have a statistically significantly different score for women, but only 2 were found so for men. The scores for the line, before and after 3D/4DUS, showed a significant difference for men but not women. The women studied did not show a change using this instrument because their median response was at the maximum measurement before their sonograms. The positive feelings questionnaire showed a statistically significant change for women in all sections but for men in only 2.
Parents have a change in attitude regarding their fetus after undergoing 3D/4DUS. Mothers showed an increase in bonding to their fetus after 3D/4DUS in more categories than fathers.
本研究旨在确定父母在接受三维/四维超声检查（3D/4DUS）后，其亲子关系及对胎儿的态度是否发生变化。
65名父亲和124名母亲被要求填写一份母婴依恋问卷，内容涉及他们在3D/4DUS检查前后对胎儿的感受，并在一条线上标记出他们对超声检查体验的感受。此外，135名父母填写了一份由5个部分组成的积极感受问卷，评估他们对胎儿的感受。3D/4DUS检查包括对胎儿面部、四肢和胸部的成像。
142名患者回答了所有问题，并对其总依恋得分进行了分析。所有患者在3D/4DUS检查前后母婴依恋问卷的总分差异，z值为5.6，具有统计学意义（P <.0001）。在分析每个问题时，发现有5个问题女性的得分在统计学上有显著差异，但男性只有2个问题得分有显著差异。3D/4DUS检查前后在线上的得分，男性有显著差异，女性则没有。接受研究的女性使用该工具未显示出变化，因为她们的中位数反应在超声检查前已达到最大测量值。积极感受问卷显示，除2个部分外，女性在所有部分的得分在统计学上均有显著变化，而男性只有2个部分有显著变化。
父母在接受3D/4DUS检查后对胎儿的态度发生了变化。与父亲相比，母亲在3D/4DUS检查后在更多类别中对胎儿的情感联系有所增加。
