影响产前筛查改善的因素：一项叙述性综述。
Factors Affecting Improved Prenatal Screening: A Narrative Review.
作者信息
Shahhosseini Zohreh, Arabi Hoda, Salehi Azam, Hamzehgardeshi Zeinab
机构信息
Department of reproductive health and Midwifery, Nasibeh Nursing and Midwifery faculty, Mazandaran University of Medical Sciences, Sari, Iran Traditional and Complementary Medicine Research Centre, Mazandaran University of Medical Sciences, Sari, Iran.
出版信息
Glob J Health Sci. 2015 Sep 28;8(5):160-5. doi: 10.5539/gjhs.v8n5p160.
BACKGROUND
Prenatal screening deals with the detection of structural and functional abnormalities in the fetus. Health care providers can minimize unintended pregnancy outcomes by providing proper counseling and performing prenatal screening. The purpose of the present review study is to investigate factors affecting improved prenatal screening.
METHODS
The present study is a narrative review searching public databases such as Google Scholar and specialized databases such as Pubmed, Magiran, Scientific Information Database, Elsevier, Ovid and Science Direct as well. Using the keywords "prenatal screening", "fetus health" and "prenatal counseling", 70 relevant articles published from 1994 to 2014 were selected. After reviewing the abstracts, the full data from 26 articles were ultimately used for writing the present review study.
RESULTS
Three general themes emerged from reviewing the studies: health care providers' skills, clients' characteristics and ethical considerations, which were the main factors affecting improved prenatal screening.
CONCLUSION
Prenatal screening can be successful if performed by a trained and experienced expert through techniques suitable for the mother's age. Also simultaneously providing proper counseling and giving a full description of the risks and benefits of the procedures for clients is recommended.
背景
产前筛查旨在检测胎儿的结构和功能异常。医疗保健提供者可通过提供适当的咨询和进行产前筛查，将意外妊娠结局降至最低。本综述研究的目的是调查影响改善产前筛查的因素。
方法
本研究是一项叙述性综述，检索了谷歌学术等公共数据库以及PubMed、Magiran、科学信息数据库、爱思唯尔、Ovid和科学Direct等专业数据库。使用关键词“产前筛查”“胎儿健康”和“产前咨询”，选取了1994年至2014年发表的70篇相关文章。在审阅摘要后，最终使用了26篇文章的完整数据来撰写本综述研究。
结果
通过对这些研究的回顾，出现了三个总体主题：医疗保健提供者的技能、客户特征和伦理考量，这些是影响改善产前筛查的主要因素。
结论
如果由训练有素且经验丰富的专家通过适合母亲年龄的技术进行产前筛查，筛查可能会成功。同时，建议为客户提供适当的咨询，并充分说明检查程序的风险和益处。
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