Al R A, Yalvac S, Altar O Y, Dolen I
Unit of Perinatology, SSK Ankara, Maternity and Women's Health Teaching Hospital, Ankara, Turkey.
Clin Exp Obstet Gynecol. 2009;36(3):184-6.
To examine maternal perception of pain and anxiety before and soon after midtrimester genetic amniocentesis.
Two hundred and ninety-two women consecutive were prospectively included in the study between March and December 2002. Study variables included age, gestational age, gravidity, parity, educational history, history of previous invasive prenatal procedures, indication for amniocentesis and source of information regarding amniocentesis. Maternal pain and anxiety associated with performing amniocentesis were subjectively quantified with the use of the visual analog scale (VAS).
Actual pain after amniocentesis was significantly lower compared with perceived pain before the procedure (3 [0-10] vs. 5 [0-10], p < 0.001). Perceived anxiety before amniocentesis was significantly higher than perceived anxiety immediately after amniocentesis (7 [0-10] vs. 5 [0-10], p < 0.001). Women who were informed about the procedure beforehand perceived the procedure to be less painful and expressed less anxiety before and after amniocentesis.
Pre-amniocentesis counseling should emphasize that the actual pain and anxiety experienced during the procedure are low in intensity and significantly lower than expected.
研究孕中期羊膜腔穿刺术前及术后不久孕妇对疼痛和焦虑的感知。
2002年3月至12月，连续纳入292名妇女进行前瞻性研究。研究变量包括年龄、孕周、孕次、产次、教育史、既往侵入性产前检查史、羊膜腔穿刺术的指征以及羊膜腔穿刺术的信息来源。使用视觉模拟量表（VAS）对与羊膜腔穿刺术相关的孕妇疼痛和焦虑进行主观量化。
羊膜腔穿刺术后的实际疼痛明显低于术前的感知疼痛（3[0 - 10]对5[0 - 10]，p < 0.001）。羊膜腔穿刺术前的感知焦虑明显高于术后即刻的感知焦虑（7[0 - 10]对5[0 - 10]，p < 0.001）。事先了解该操作的妇女认为该操作疼痛较轻，并且在羊膜腔穿刺术前和术后表达的焦虑较少。
羊膜腔穿刺术前咨询应强调，术中实际经历的疼痛和焦虑强度较低，且明显低于预期。
