Donnai D
Baillieres Clin Obstet Gynaecol. 1987 Sep;1(3):737-45. doi: 10.1016/s0950-3552(87)80014-7.
The non-technical aspects of delivery of prenatal diagnostic services deserve consideration. Communication with the patient and her partner about their risks of fetal abnormality, the risks of tests and the interpretation of results is essential if the couple are to make the right choices for themselves. Some results of prenatal tests are easy to interpret but others are more difficult either because the clinical consequences cannot be predicted or because the laboratory results are 'borderline' or could be artifactual. Further tests to clarify the situation may be necessary and expert help sought from several disciplines. Staff involved in the care of a woman undergoing termination of pregnancy should be willing to participate in the procedures sympathetically. Post-termination examination of the aborted fetus is necessary both for genetic counselling and quality control for the tests employed. Throughout the various stages of prenatal diagnosis, support should be provided for the couple; this is particularly necessary for those who have had a previous abnormal baby. For those undergoing termination of pregnancy, skilled help should be offered to minimize long-term adverse sequelae.
产前诊断服务的非技术方面值得考虑。如果夫妻要为自己做出正确选择，就必须与患者及其伴侣就胎儿异常风险、检查风险和结果解读进行沟通。产前检查的一些结果易于解读，但其他结果则更难，要么是因为临床后果无法预测，要么是因为实验室结果处于“临界状态”或可能是人为造成的。可能需要进一步检查以澄清情况，并寻求多个学科的专家帮助。参与照顾接受终止妊娠手术的女性的工作人员应愿意同情地参与手术过程。对流产胎儿进行术后检查对于遗传咨询和所用检查的质量控制都很有必要。在产前诊断的各个阶段，都应为夫妻提供支持；对于那些之前生育过异常婴儿的夫妻来说，这尤为必要。对于接受终止妊娠手术的人，应提供专业帮助以尽量减少长期不良后果。
