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孕妇对孕早期胎儿异常筛查的态度。

Maternal attitude towards first trimester screening for fetal abnormalities.

作者信息

Maiz Nerea, Burgos Jorge, Barbazán Maria José, Recio Virginia, Martínez-Astorquiza Txanton

机构信息

Fetal Medicine Unit, Obstetrics and Gynecology Service, BioCruces Health Research Institute, Hospital Universitario Cruces, University of the Basque Country (UPV/EHU), Baracaldo, Spain.

出版信息

Prenat Diagn. 2016 May;36(5):449-55. doi: 10.1002/pd.4802. Epub 2016 Mar 23.

Abstract

OBJECTIVE

To explore the maternal attitude towards the screening for structural abnormalities at the 11-13-week scan, according to the severity of the abnormality. A secondary aim was to analyse which maternal characteristics influence in the maternal response.

METHODS

This is a descriptive study based on the responses to 300 self-administrated questionnaires completed immediately before routine ultrasounds scan.

RESULTS

A totally of 296 (98.7%) women participated in the study. If the baby had any abnormality 93.9% would prefer to know at 12 weeks, 96.6% if the abnormality was lethal, 95.3% if the abnormality involves severe handicap, 91.2% if the abnormality can only be suspected, but not confirmed until the pregnancy is more advanced (16 or 20 weeks), 77.0% if the abnormality was minor and 79.4% women would like to know at 12 weeks if the baby appeared normal. Maternal age, gestational age at the time of the questionnaire and maternal attitude towards termination of pregnancy were the only factors affecting maternal responses.

CONCLUSION

Pregnant women prefer to be informed in the first trimester about any abnormality in their fetuses, even in cases of minor or only suspected abnormalities. © 2016 John Wiley & Sons, Ltd.

摘要

目的

根据异常的严重程度,探讨孕妇对孕11至13周超声检查中结构异常筛查的态度。次要目的是分析哪些孕妇特征会影响孕妇的反应。

方法

这是一项描述性研究,基于对300份在常规超声检查前立即完成的自填问卷的回复。

结果

共有296名(98.7%)女性参与了研究。如果胎儿有任何异常,93.9%的孕妇希望在孕12周时得知;如果异常是致命的,96.6%的孕妇希望得知;如果异常涉及严重残疾,95.3%的孕妇希望得知;如果异常只能被怀疑,直到孕期更晚(孕16周或20周)才能确诊,91.2%的孕妇希望得知;如果异常轻微,77.0%的孕妇希望得知;如果胎儿看起来正常,79.4%的孕妇希望在孕12周时得知。孕妇年龄、填写问卷时的孕周以及孕妇对终止妊娠的态度是影响孕妇反应的唯一因素。

结论

孕妇希望在孕早期得知胎儿的任何异常情况,即使是轻微或仅被怀疑的异常情况。© 2016约翰·威利父子有限公司。

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