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[孕中期因遗传指征而进行人工流产后的心理调适]

[Psychological adjustment to abortion for genetic indications in the 2d trimester].

作者信息

Muth C, Exler U, Miny P, Holzgreve W

机构信息

Zentrum für Frauenheilkunde, Westfälischen Wilhelms-Universität Münster.

出版信息

Z Geburtshilfe Perinatol. 1989 Mar-Apr;193(2):96-9.

PMID:2741528
Abstract

Based on a questionnaire analysis of 41 women after termination of pregnancy for genetic indications in the second trimester of pregnancy the predominant feelings in the different stages of the coping process were identified. Whereas during the hospitalization period helplessness and anger were the predominant emotions, later sadness prevailed. At the time of the abortion itself loneliness was one of the main complaints. This situation could probably be improved if more often the partners were present during the period of abortion induction. About 54% of the women indicated that a prenatal diagnosis in the first trimester would have improved their coping problems. It remains to be seen whether CVS in the first trimester will be of benefit in this respect. Even though there are methodological limitations in a retrospective questionnaire study our results clearly underline the necessity of special psychologic support which can probably partly be provided by a psychologist who is available in our prenatal program.

摘要

基于对41名在妊娠中期因遗传指征而终止妊娠的女性的问卷调查分析,确定了应对过程不同阶段的主要情绪。在住院期间,无助和愤怒是主要情绪,而后来悲伤占了上风。在流产时,孤独是主要抱怨之一。如果在引产期间伴侣能更经常在场,这种情况可能会得到改善。约54%的女性表示,孕早期的产前诊断会改善她们的应对问题。孕早期绒毛取样(CVS)在这方面是否有益还有待观察。尽管回顾性问卷调查研究存在方法上的局限性,但我们的结果清楚地强调了特殊心理支持的必要性,而这可能部分由我们产前项目中的心理学家提供。

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