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Rates and subsequent clinical course of fetal congenital anomalies detected by prenatal targeted ultrasonography of 137 cases over 5 years in a single institute: a retrospective observational study.一家机构5年期间对137例病例进行产前靶向超声检查所检测出的胎儿先天性异常的发生率及后续临床病程:一项回顾性观察研究
J Yeungnam Med Sci. 2023 Jul;40(3):268-275. doi: 10.12701/jyms.2022.00514. Epub 2022 Nov 2.
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Termination of pregnancy for fetal anomaly: a systematic review of the healthcare experiences and needs of parents.终止妊娠以治疗胎儿畸形:对父母的医疗保健体验和需求的系统评价。
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1
Supportive needs of women who have experienced pregnancy termination due to fetal abnormalities: a qualitative study from the perspective of women, men and healthcare providers in Iran.因胎儿畸形而终止妊娠的女性的支持性需求:来自伊朗女性、男性和医疗保健提供者视角的定性研究。
BMC Public Health. 2019 May 3;19(1):507. doi: 10.1186/s12889-019-6851-9.
2
Informational needs of pregnant women following the prenatal diagnosis of fetal anomalies: A qualitative study in Iran.胎儿异常产前诊断后孕妇的信息需求:伊朗的一项定性研究
J Educ Health Promot. 2019 Feb 15;8:30. doi: 10.4103/jehp.jehp_199_18. eCollection 2019.
3
The Needs of Women Who Have Experienced Pregnancy Termination Due to Fetal Anomalies: A Literature Review.因胎儿畸形而经历终止妊娠的女性的需求:一项文献综述。
Iran J Nurs Midwifery Res. 2019 Jan-Feb;24(1):1-10. doi: 10.4103/ijnmr.IJNMR_80_18.
4
Parental experiences after prenatal diagnosis of fetal abnormality.父母在胎儿异常产前诊断后的体验。
Semin Fetal Neonatal Med. 2018 Apr;23(2):150-154. doi: 10.1016/j.siny.2017.11.009. Epub 2017 Dec 16.
5
Posttraumatic growth following pregnancy termination for fetal abnormality: the predictive role of coping strategies and perinatal grief.因胎儿异常而终止妊娠后的创伤后成长:应对策略和围产期悲伤的预测作用。
Anxiety Stress Coping. 2017 Sep;30(5):536-550. doi: 10.1080/10615806.2016.1278433. Epub 2017 Jan 12.
6
Care provision during termination of pregnancy following diagnosis of a severe congenital anomaly - A qualitative study of what is important to parents.诊断出严重先天性异常后终止妊娠期间的护理提供——关于对父母而言重要之事的定性研究
Midwifery. 2016 Dec;43:14-20. doi: 10.1016/j.midw.2016.10.003. Epub 2016 Oct 10.
7
Termination of pregnancy for fetal abnormality: a meta-ethnography of women's experiences.因胎儿异常而终止妊娠:女性经历的元民族志研究
Reprod Health Matters. 2014 Nov;22(44):191-201. doi: 10.1016/S0968-8080(14)44799-2.
8
Grief after second-trimester termination for fetal anomaly: a qualitative study.孕中期因胎儿异常终止妊娠后的悲伤情绪:一项定性研究。
Contraception. 2015 Mar;91(3):234-9. doi: 10.1016/j.contraception.2014.11.015. Epub 2014 Dec 12.
9
Pregnant women's perspectives on decision-making when a fetal malformation is detected by ultrasound examination.孕妇在超声检查发现胎儿畸形时的决策观点。
Sex Reprod Healthc. 2013 Jun;4(2):79-84. doi: 10.1016/j.srhc.2013.02.001. Epub 2013 Mar 6.
10
Does professional orientation predict ethical sensitivities? Attitudes of paediatric and obstetric specialists toward fetuses, pregnant women and pregnancy termination.职业定位是否能预测伦理敏感性?儿科和产科专家对胎儿、孕妇和终止妊娠的态度。
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因胎儿畸形而终止妊娠:对女性信息和教育需求的定性研究

Termination of Pregnancy for Fetal Anomalies: A Qualitative Study of the Informational and Educational Needs of Women.

作者信息

Kamranpour Bahareh, Noroozi Mahnaz, Bahrami Masoud

机构信息

Department of Midwifery, College of Nursing and Midwifery, Rasht Branch, Islamic Azad University, Rasht, Iran.

Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

Iran J Nurs Midwifery Res. 2021 Mar 5;26(2):97-103. doi: 10.4103/ijnmr.IJNMR_94_20. eCollection 2021 Mar-Apr.

DOI:10.4103/ijnmr.IJNMR_94_20
PMID:34036055
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8132862/
Abstract

BACKGROUND

Diagnosing congenital fetal anomalies before birth is considered an emotionally devastating experience. To facilitate the process of compatibility with this event, healthcare providers should determine various needs of these women. The present study was conducted to explore the informational and educational needs of women who have experienced pregnancy termination because of fetal anomalies.

MATERIALS AND METHODS

The present study was a qualitative content analysis. Forty participants (women, their spouses, and healthcare providers) in Rasht city, Iran, were selected using purposive sampling method with maximum variety and their data were gathered using in-depth interviews and field notes. Data were analyzed using conventional qualitative content analysis with Graneheim and Lundman approach.

RESULTS

After analyzing the text of the interviews, the informational and educational needs of women who have experienced pregnancy termination because of fetal anomalies were categorized in three main categories of "receiving information tailored to the client's circumstances," "learning life skills to cope," and "getting prepared for the next pregnancy."

CONCLUSIONS

The results, by exploring and magnifying the informational and educational needs of these women, could present an appropriate context for providing principal care and cultural-based interventions with an emphasis on comprehensive education and counseling. Also, proper implementation of the process of obtaining informed consent from the women to terminate the pregnancy is essential. These could facilitate the conditions for their return to normal life and ultimately promote their health.

摘要

背景

在出生前诊断出先天性胎儿异常被认为是一种情感上极具毁灭性的经历。为了便于适应这一事件的过程,医疗保健提供者应确定这些女性的各种需求。本研究旨在探讨因胎儿异常而经历过终止妊娠的女性的信息和教育需求。

材料与方法

本研究为定性内容分析。采用目的抽样法,从伊朗拉什特市选取了40名参与者(女性、她们的配偶和医疗保健提供者),样本具有最大多样性,并通过深入访谈和实地记录收集数据。采用Graneheim和Lundman方法的传统定性内容分析法对数据进行分析。

结果

在分析访谈文本后,因胎儿异常而经历过终止妊娠的女性的信息和教育需求被归为三大类:“接收根据客户情况量身定制的信息”、“学习应对生活技能”以及“为下一次怀孕做好准备”。

结论

通过探索和放大这些女性的信息和教育需求,本研究结果可为提供以全面教育和咨询为重点的主要护理及基于文化的干预措施提供适当背景。此外,正确实施从女性那里获得终止妊娠知情同意的过程至关重要。这些措施可为她们回归正常生活创造条件,并最终促进她们的健康。