仅通过病史采集来识别潜在麻疹疫苗接种者中早期妊娠的能力。
Ability of history taking alone to identify early pregnancies among potential measles vaccinees.
作者信息
Mead P B
机构信息
Department of Obstetrics and Gynecology University of Vermont College of Medicine and Employee Health Service Medical Center Hospital of Vermont, Burlington, VT, USA.
出版信息
Infect Dis Obstet Gynecol. 1994;2(2):56-9. doi: 10.1155/S1064744994000402.
OBJECTIVE
This study was undertaken to determine the ability of history taking alone, compared with pregnancy testing, to identify early pregnancies among potential female measles vaccinees.
METHODS
As part of an institution-wide measles immunization program, 326 female health care workers (HCWs) who denied being pregnant underwent a urine pregnancy test prior to vaccination.
RESULTS
Of the 326 women, 3 had positive pregnancy tests and were ultimately confirmed to be pregnant. Although all 3 women denied the possibility of pregnancy prior to testing, 2 had been unable to give an exact date for their last menstrual period (LMP).
CONCLUSIONS
In this group of 326 northern New England HCWs being immunized against measles during an outbreak, history taking alone failed to identify 3 pregnancies. If the inability to give an exact date of the LMP had been included as a discriminator, 2 additional pregnancies could have been suspected, but 1 pregnancy still would have gone undetected.
目的
本研究旨在确定仅通过问诊与进行妊娠检测相比，在潜在的女性麻疹疫苗接种者中识别早期妊娠的能力。
方法
作为一项全机构范围的麻疹免疫计划的一部分，326名否认怀孕的女性医护人员在接种疫苗前接受了尿液妊娠检测。
结果
在这326名女性中，3人妊娠检测呈阳性，最终被确诊怀孕。尽管这3名女性在检测前均否认怀孕的可能性，但其中2人无法给出末次月经的确切日期。
结论
在新英格兰北部爆发麻疹期间接受麻疹免疫接种的这326名医护人员中，仅通过问诊未能识别出3例妊娠。如果将无法给出末次月经的确切日期作为一个判别因素，可能会多怀疑2例妊娠，但仍有1例妊娠会未被发现。
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