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女性在胎儿宫内死亡前的预感,以及她们如何应对感觉胎儿可能不适的情绪。

Women's premonitions prior to the death of their baby in utero and how they deal with the feeling that their baby may be unwell.

机构信息

School of Health, Care and Social Welfare, Mälardalen University, Eskilstuna/Västerås.

Institute of Health and Care Sciences, University of Gothenburg, Gothenburg.

出版信息

Acta Obstet Gynecol Scand. 2012 Jan;91(1):28-33. doi: 10.1111/j.1600-0412.2011.01209.x. Epub 2011 Jul 22.

Abstract

OBJECTIVE

To identify whether mothers of stillborn babies had had a premonition that their unborn child might not be well and how they dealt with that premonition. Design. A mixed method approach.

SETTING

One thousand and thirty-four women answered a web questionnaire.

SAMPLE

Six hundred and fourteen women fulfilled the inclusion criteria of having a stillbirth after the 22nd gestational week and answered questions about premonition.

METHODS

Qualitative content analysis was used for the open questions and descriptive statistics for questions with fixed alternatives.

MAIN OUTCOME MEASURE

The premonition of an unwell unborn baby.

RESULTS

In all, 392 of 614 (64%) of the women had had a premonition that their unborn baby might be unwell; 274 of 614 (70%) contacted their clinic and were invited to come in for a check-up, but by then it was too late because the baby was already dead. A further 88 of 614 (22%) decided to wait until their next routine check-up, believing that the symptoms were part of the normal cycle of pregnancy, and that the fetus would move less towards the end of pregnancy. Thirty women (8%) contacted their clinic, but were told that everything appeared normal without an examination of the baby.

CONCLUSIONS

Women need to know that a decrease in fetal movements is an important indicator of their unborn baby's health. Healthcare professionals should not delay an examination if a mother-to-be is worried about her unborn baby's wellbeing.

摘要

目的

识别胎死腹中的母亲是否曾预感自己的胎儿可能不健康,以及她们如何应对这种预感。设计:混合方法研究。

地点

1034 名女性回答了网络问卷。

样本

614 名符合纳入标准的女性在妊娠 22 周后发生死胎,并回答了关于预感的问题。

方法

对开放性问题进行定性内容分析,对有固定选择的问题进行描述性统计。

主要观察指标

对胎儿不健康的预感。

结果

在所有 614 名女性中,392 名(64%)曾预感自己的胎儿可能不健康;274 名(70%)联系了她们的诊所并被邀请进行检查,但为时已晚,因为婴儿已经死亡。另外 88 名(22%)决定等到下一次例行检查,因为她们认为症状是妊娠正常周期的一部分,并且胎儿在妊娠末期会动得更少。30 名(8%)名女性联系了她们的诊所,但被告知一切正常,没有对胎儿进行检查。

结论

女性需要知道胎儿运动减少是胎儿健康的重要指标。如果孕妇对胎儿的健康状况感到担忧,医护人员不应推迟检查。

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