Linde Anders, Rådestad Ingela, Pettersson Karin, Hagelberg Linn, Georgsson Susanne
Department of Clinical Science, Intervention and Technology, CLINTEC, Karolinska Institutet, Stockholm, Sweden; Sophiahemmet University, Stockholm, Sweden.
Sophiahemmet University, Stockholm, Sweden.
Women Birth. 2017 Oct;30(5):376-381. doi: 10.1016/j.wombi.2017.02.007. Epub 2017 Mar 27.
Experience of reduced fetal movements is a common reason for consulting health care in late pregnancy. There is an association between reduced fetal movements and stillbirth.
To explore why women decide to consult health care due to reduced fetal movements at a specific point in time and investigate reasons for delaying a consultation.
A questionnaire was distributed at all birth clinics in Stockholm during 2014, to women seeking care due to reduced fetal movements. In total, 3555 questionnaires were collected, 960 were included in this study. The open-ended question; "Why, specifically, do you come to the clinic today?" was analyzed using content analysis as well as the complementary question "Are there any reasons why you did not come to the clinic earlier?"
Five categories were revealed: Reaching dead line, Receiving advice from health care professionals, Undergoing unmanageable worry, Contributing external factors and Not wanting to jeopardize the health of the baby. Many women stated that they decided to consult care when some time with reduced fetal movements had passed. The most common reason for not consulting care earlier was that it was a new experience. Some women stated that they did not want to feel that they were annoying, or be perceived as excessively worried. Not wanting to burden health care unnecessarily was a reason for prehospital delay.
Worry about the baby is the crucial reason for consulting care as well as the time which has passed since the women first experienced decreased fetal movements.
胎动减少的经历是妊娠晚期咨询医疗保健的常见原因。胎动减少与死产之间存在关联。
探讨女性在特定时间因胎动减少而决定咨询医疗保健的原因，并调查延迟咨询的原因。
2014年在斯德哥尔摩所有的分娩诊所向因胎动减少而寻求护理的女性发放问卷。总共收集了3555份问卷，本研究纳入了960份。对开放式问题“具体来说，你今天为什么来诊所？”以及补充问题“有没有什么原因导致你没有早点来诊所？”进行了内容分析。
揭示了五类原因：达到期限、接受医疗保健专业人员的建议、经历无法控制的担忧、外部因素影响以及不想危及胎儿健康。许多女性表示，在胎动减少一段时间后，她们才决定咨询护理。不早点咨询护理的最常见原因是这是一种新经历。一些女性表示，她们不想觉得自己很烦人，或者被认为过度担忧。不想给医疗保健带来不必要的负担是院前延迟的一个原因。
对胎儿的担忧是咨询护理的关键原因，也是自女性首次经历胎动减少以来所经过的时间。
