一大群妊娠剧吐女性的选择性终止妊娠情况。
Elective pregnancy termination in a large cohort of women with hyperemesis gravidarum.
作者信息
Poursharif Borzouyeh, Korst Lisa M, Macgibbon Kimber W, Fejzo Marlena S, Romero Roberto, Goodwin T Murphy
机构信息
Department of Obstetrics and Gynecology, University of Southern California, Keck School of Medicine, Los Angeles, CA 90033, USA.
出版信息
Contraception. 2007 Dec;76(6):451-5. doi: 10.1016/j.contraception.2007.08.009. Epub 2007 Nov 9.
BACKGROUND
This study was conducted to describe characteristics of women who terminated their pregnancies secondary to hyperemesis gravidarum (HG).
STUDY DESIGN
Data were obtained from a survey provided on an HG Web site from 2003 to 2005.
RESULTS
Of 808 women who completed the survey, 123 (15.2%) had at least one termination due to HG, and 49 (6.1%) had multiple terminations. Prominent reasons given for the terminations were inability to care for the family and self (66.7%), fear that they or their baby could die (51.2%), or that the baby would be abnormal (22.0%). These same women were three times as likely to state that their health care providers were uncaring or did not understand how sick they were [64/123 (52.0%) vs. 168/685 (24.5%), odds ratio 3.34 (95% CI 2.21-5.05), p<.001].
CONCLUSION
These data suggest that the physical and psychological burden of HG has been underestimated, and that further education within the medical community may be warranted.
背景
本研究旨在描述因妊娠剧吐（HG）而终止妊娠的女性的特征。
研究设计
数据来自2003年至2005年在一个HG网站上进行的一项调查。
结果
在808名完成调查的女性中，123名（15.2%）因HG至少终止过一次妊娠，49名（6.1%）有多次终止妊娠经历。终止妊娠的主要原因是无法照顾家人和自己（66.7%）、担心自己或胎儿可能死亡（51.2%）或胎儿会异常（22.0%）。这些女性表示其医疗服务提供者冷漠或不理解她们病情严重程度的可能性是其他女性的三倍[64/123（52.0%）对168/685（24.5%），比值比3.34（95%可信区间2.21 - 5.05），p<0.001]。
结论
这些数据表明，HG的身心负担被低估了，医学界可能需要进一步开展教育。
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