胎儿先天畸形和结构异常后抱婴的影响。
Holding a baby after stillbirth: the impact of fetal congenital and structural abnormalities.
机构信息
Warren Alpert Medical School of Brown University, Providence, RI, USA.
Department of Pathology, Women and Infants Hospital of Rhode Island, Warren Alpert Medical School of Brown University, Providence, RI, USA.
出版信息
J Perinatol. 2023 Jun;43(6):735-740. doi: 10.1038/s41372-022-01480-9. Epub 2022 Aug 5.
OBJECTIVE
Stillbirth can result in numerous adverse psychosocial sequelae. Recommendations vary with regard to holding the baby after a stillbirth. Few studies have addressed the impact of fetal abnormalities on these outcomes.
STUDY DESIGN
Analyses of singleton stillbirths within the Stillbirth Collaborative Research Network were conducted. Patient and stillbirth characteristics were compared between those who did and did not hold their baby. Results from psychometric surveys were compared between cases with and without visible fetal anomalies.
RESULT
There were no significant differences between those who held and those who did not hold in any patient or stillborn characteristics. Visible fetal abnormalities were not associated with adverse psychological outcomes.
CONCLUSION
Fetal abnormalities, including congenital and post-demise changes, do not differ between those who held and did not hold their baby after stillbirth. This suggests that patients should not be discouraged from holding their stillborn infant in the presence of visible abnormalities.
目的
死胎可导致诸多不良心理后遗症。关于死胎后是否保留婴儿，建议不一。鲜有研究探讨胎儿畸形对这些结果的影响。
研究设计
Stillbirth Collaborative Research Network 对单胎死胎进行了分析。比较了保留与未保留婴儿的患者和死胎特征。对有和无可见胎儿畸形的病例进行了心理测量问卷调查结果比较。
结果
保留与未保留婴儿的患者或死胎特征均无显著差异。可见胎儿畸形与不良心理结局无关。
结论
保留与未保留婴儿的死胎患者，胎儿畸形（包括先天性和死后变化）无差异。这表明，不应因胎儿有可见畸形而劝阻患者保留死产儿。
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