胎儿保健时代的产前诊断胎儿情况：咨询者重要吗？
Prenatally diagnosed fetal conditions in the age of fetal care: does who counsels matter?
机构信息
Department of Radiology, Children's Hospital Boston, Boston, MA 02115, USA.
出版信息
Am J Obstet Gynecol. 2012 May;206(5):409.e1-11. doi: 10.1016/j.ajog.2012.01.026. Epub 2012 Feb 14.
OBJECTIVE
We sought to characterize practices and attitudes of maternal-fetal medicine (MFM) and fetal care pediatric (FCP) specialists regarding fetal abnormalities.
STUDY DESIGN
This was a self-administered survey of 434 MFMs and FCPs (response rate: MFM 60.9%; FCP 54.2%).
RESULTS
For Down syndrome (DS), congenital diaphragmatic hernia (CDH), spina bifida: MFMs were more likely than FCPs to support termination (DS 52% vs 35%, P < .001; CDH 49% vs 36%, P < .001; spina bifida 54% vs 35%, P < .001), and consider offering termination options as highly important (DS 90% vs 70%, P < .001; CDH 88% vs 69%, P < .001; spina bifida 88% vs 70%, P < .001). For DS only, MFMs were less likely than FCPs to think that pediatric specialist consultation should be offered prior to a decision regarding termination (54% vs 75%, P < .001). MFMs reported report higher termination rates among patients only for DS (DS 51% vs 21%, P < .001).
CONCLUSION
MFM and FCP specialists' counseling attitudes differ for fetal abnormalities.
目的
我们旨在描述母胎医学（MFM）和胎儿护理儿科（FCP）专家在胎儿异常方面的实践和态度。
研究设计
这是对 434 名 MFM 和 FCP（响应率：MFM 为 60.9%；FCP 为 54.2%）进行的自我管理调查。
结果
对于唐氏综合征（DS）、先天性膈疝（CDH）、脊柱裂：MFM 比 FCP 更有可能支持终止妊娠（DS 为 52%比 35%，P<0.001；CDH 为 49%比 36%，P<0.001；脊柱裂为 54%比 35%，P<0.001），并认为提供终止妊娠选项非常重要（DS 为 90%比 70%，P<0.001；CDH 为 88%比 69%，P<0.001；脊柱裂为 88%比 70%，P<0.001）。仅对于 DS，MFM 比 FCP 更不可能认为在决定终止妊娠之前应该提供儿科专家咨询（54%比 75%，P<0.001）。MFM 报告说，只有 DS 的患者终止妊娠率更高（DS 为 51%比 21%，P<0.001）。
结论
MFM 和 FCP 专家在胎儿异常方面的咨询态度存在差异。
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