Robson Stephen J, Leader Leo R, Bennett Michael J, Dear Keith B G
Australian National University Medical School, Canberra, Australian Capital Territory, Australia.
J Obstet Gynaecol Res. 2010 Feb;36(1):108-14. doi: 10.1111/j.1447-0756.2009.01113.x.
The aim of this study was to examine women's perceptions of their care at the time of unexplained stillbirth, and whether these appear to affect wishes for management in subsequent pregnancy.
An Internet-based survey was conducted of women after unexplained stillbirth, seeking information about their perceptions of management, and their wishes for care in a subsequent pregnancy.
One hundred and five completed surveys were included in the study group. Only 18 respondents (17%) reported that the diagnosis was broken in an uncaring way. Twenty respondents (19%) felt 'rushed into making decisions'. Almost all respondents (95%) felt that they were given adequate time with the baby after delivery. Fifty-seven respondents (54%) consented to perinatal autopsy. Most women (93%) wanted additional testing in their next pregnancy, 81% wanted delivery before the due date, but only 26% wanted cesarean delivery next time.
Women's perceptions of care at the time of an unexplained stillbirth did not appear to influence their wishes for management in the next pregnancy.
本研究旨在调查女性在不明原因死胎时对其护理的看法,以及这些看法是否似乎会影响她们对后续妊娠管理的期望。
对不明原因死胎后的女性进行了一项基于互联网的调查,以获取她们对管理的看法以及对后续妊娠护理的期望的信息。
研究组纳入了105份完成的调查问卷。只有18名受访者(17%)报告说诊断是以冷漠的方式告知的。20名受访者(19%)觉得“被迫匆忙做决定”。几乎所有受访者(95%)都觉得产后有足够的时间陪伴婴儿。57名受访者(54%)同意进行围产期尸检。大多数女性(93%)希望在下次怀孕时进行额外检查,81%希望在预产期前分娩,但只有26%希望下次进行剖宫产。
女性在不明原因死胎时对护理的看法似乎并未影响她们对下次妊娠管理的期望。