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胎儿性别鉴定:芬兰产前筛查单位的妇产科医生的态度。

Fetal sex determination: obstetricians' attitudes in antenatal screening units in Finland.

机构信息

Department of Obstetrics and Gynecology, University of Tampere, Tampere, Finland.

出版信息

Scand J Public Health. 2010 Nov;38(7):756-60. doi: 10.1177/1403494810377680. Epub 2010 Sep 16.

Abstract

AIM

To study obstetricians' attitudes in Finnish antenatal screening units concerning fetal sex determination without medical indication.

METHODS

A structured questionnaire to all delivery units (n = 37) and the main outpatient screening units (n = 18) in the country.

RESULTS

The majority of units made fetal sex determination without medical indication at patient's request during the second-trimester ultrasonographic screening. This examination was seen to have consequences for maternal-fetal attachment, but it was also considered medically useless and sometimes harmful. Only three out of the responding 32 units maintained quality control of the examination. A false diagnosis resulted extremely seldom in any litigation process.

CONCLUSIONS

More precise guidelines are needed for fetal sex determination in healthcare organisation.

摘要

目的

研究芬兰产前筛查单位的产科医生对无医学指征的胎儿性别鉴定的态度。

方法

对全国所有分娩单位(n=37)和主要的门诊筛查单位(n=18)进行了一项结构化的问卷调查。

结果

大多数单位在孕妇的要求下,在妊娠中期超声筛查时进行无医学指征的胎儿性别鉴定。这种检查被认为对母婴关系有影响,但也被认为是医学上无用的,有时甚至是有害的。在32 个回复的单位中,只有 3 个单位对检查进行了质量控制。误诊在任何诉讼程序中都极为罕见。

结论

需要为医疗保健组织中的胎儿性别鉴定制定更精确的指南。

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