Crombag Neeltje M T H, Lamain-de Ruiter Marije, Kwee Anneke, Schielen Peter C J I, Bensing Jozien M, Visser Gerard H A, Franx Arie, Koster Maria P H
Department of Obstetrics, University Medical Center Utrecht, Room KE04.123.1, P.O. Box 85090, 3508AB, Utrecht, The Netherlands.
Centre for Infectious Diseases Research, Diagnostics and Screening (IDS), National Institute for Public Health and the Environment (RIVM), Bilthoven, The Netherlands.
BMC Pregnancy Childbirth. 2017 Jan 7;17(1):12. doi: 10.1186/s12884-016-1195-2.
To improve early risk-identification in pregnancy, research on prediction models for common pregnancy complications is ongoing. Therefore, it was the aim of this study to explore pregnant women's perceptions, preferences and needs regarding prediction models for first trimester screening for common pregnancy complications, such as preeclampsia, to support future implementation.
Ten focus groups (of which five with primiparous and five with multiparous women) were conducted (n = 45). Six focus groups were conducted in urban regions and four in rural regions. All focus group discussions were audio taped and NVIVO was used in order to facilitate the thematic analysis conducted by the researchers.
Women in this study had a positive attitude towards first trimester screening for preeclampsia using prediction models. Reassurance when determined as low-risk was a major need for using the test. Self-monitoring, early recognition and intensive monitoring were considered benefits of using prediction models in case of a high-risk. Women acknowledged that high-risk determination could cause (unnecessary) anxiety, but it was expected that personal and professional interventions would level out this anxiety.
Women in this study had positive attitudes towards preeclampsia screening. Self-monitoring, together with increased alertness of healthcare professionals, would enable them to take active actions to improve pregnancy outcomes. This attitude enhances the opportunities for prevention, early recognition and treatment of preeclampsia and probably other adverse pregnancy outcomes.
为了改善孕期的早期风险识别，关于常见妊娠并发症预测模型的研究正在进行。因此，本研究的目的是探讨孕妇对孕早期常见妊娠并发症（如子痫前期）筛查预测模型的看法、偏好和需求，以支持未来的实施。
开展了10个焦点小组（其中5个由初产妇组成，5个由经产妇组成）（n = 45）。6个焦点小组在城市地区开展，4个在农村地区开展。所有焦点小组讨论均进行了录音，并使用NVIVO软件以方便研究人员进行主题分析。
本研究中的女性对使用预测模型进行孕早期子痫前期筛查持积极态度。确定为低风险时的安心感是使用该检测的主要需求。自我监测、早期识别和强化监测被认为是高风险情况下使用预测模型的益处。女性承认高风险判定可能会导致（不必要的）焦虑，但预计个人和专业干预将缓解这种焦虑。
本研究中的女性对子痫前期筛查持积极态度。自我监测，再加上医护人员提高警惕，将使她们能够采取积极行动来改善妊娠结局。这种态度增加了预防、早期识别和治疗子痫前期以及可能的其他不良妊娠结局的机会。
