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产前超声筛查与女性期望:一项原创研究。

Prenatal Ultrasound Screening and Women's Expectations: an Original Study.

作者信息

Glynou Anna, Galatis Dionysios, Christakakou-Fotiadi Kalliopi, Yalelis Vassilis, Varvarigos Ioannis E, Antonios Kondylios, Angeliki Sarella, Makarios Eleftheriades, Eirini Chasalevri, Maria Koukaki, Nicolaos Salakos

机构信息

Fourth Department of Nursing/Midwifery, Maternity Hospital Elena Venizelou, Athens, Greece.

Department of Ob/Gyn, Helena Venizelou, General and Maternity Hospital of Athens ,(Greece.

出版信息

Mater Sociomed. 2022 Jun;34(2):136-141. doi: 10.5455/msm.2022.34.136-141.

DOI:10.5455/msm.2022.34.136-141
PMID:36199849
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9478537/
Abstract

BACKGROUND

Prenatal screening offers crucial information about the pregnancy, although sometimes brings forth ethical issues and potentially difficult decisions for pregnant women. Ultrasound screening during pregnancy is both of particular importance and a great challenge.

OBJECTIVE

The objective of this study is to assess women's knowledge and expectations regarding prenatal ultrasound screening in Greece.

METHODS

The study was conducted between May 2019 and January 2020. Three hundred pregnant women >18 years of age with complete antenatal routine screening, were invited to participate. The questionnaire contained sociodemographic and obstetric history information and highlighted the background knowledge of pregnant women in prenatal screening.

RESULTS

In this study, women with university or technological education mentioned in a greater proportion the importance of prenatal screening regarding prevention and treatment of intrauterine diseases. The belief that the pain or sorrow to give birth to a disabled child or one with a genetic disorder might lead parents to the decision to terminate the pregnancy, was supported more by women with a higher educational level.

CONCLUSION

Pregnant women place a great deal of trust in their physician, as a source of information for the fetal well-being. The majority consider prenatal testing mandatory for that matter. Finally, an association between women who abide with prenatal screening and their educational level was noted. Thus, it's more common women who have a higher educational level to seek prenatal screening, than those with lower education level.

摘要

背景

产前筛查可提供有关妊娠的关键信息,尽管有时会引发伦理问题,并给孕妇带来潜在的艰难抉择。孕期超声筛查既尤为重要,又是一项巨大挑战。

目的

本研究的目的是评估希腊女性对产前超声筛查的知识和期望。

方法

该研究于2019年5月至2020年1月进行。邀请了300名年龄大于18岁且完成产前常规筛查的孕妇参与。问卷包含社会人口统计学和产科病史信息,并突出了孕妇在产前筛查方面的背景知识。

结果

在本研究中,接受过大学或技术教育的女性提及产前筛查对预防和治疗宫内疾病重要性的比例更高。认为生下残疾儿童或患有遗传疾病的儿童所带来的痛苦或悲伤可能会导致父母决定终止妊娠这一观点,得到了受教育程度较高女性更多的支持。

结论

孕妇非常信任她们的医生,将其作为胎儿健康信息的来源。大多数人认为就此而言产前检查是必要的。最后,注意到遵守产前筛查的女性与其教育水平之间存在关联。因此,与受教育程度较低的女性相比,受教育程度较高的女性更常寻求产前筛查。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d9b2/9478537/31dfa6007e8d/MSM-34-136-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d9b2/9478537/31dfa6007e8d/MSM-34-136-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d9b2/9478537/31dfa6007e8d/MSM-34-136-g001.jpg

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Effect of short-term psychological intervention on anxiety of pregnant women with positive screening results for chromosomal disorders: a randomized controlled trial.短期心理干预对染色体疾病筛查阳性孕妇焦虑的影响:随机对照试验。
BMC Pregnancy Childbirth. 2021 Nov 9;21(1):757. doi: 10.1186/s12884-021-04206-5.
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Ethical issues after pre-natal diagnosis.
产前诊断后的伦理问题。
Transl Pediatr. 2021 Aug;10(8):2235-2240. doi: 10.21037/tp-20-141.
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Evaluation of the effect of education on perceived stress of mother candidates for amniocentesis.评估教育对羊水穿刺术母亲候选人感知压力的影响。
J Educ Health Promot. 2021 Jul 30;10:267. doi: 10.4103/jehp.jehp_785_20. eCollection 2021.
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How often do we identify fetal abnormalities during routine third-trimester ultrasound? A systematic review and meta-analysis.我们在常规的孕晚期超声检查中,能有多频繁地发现胎儿异常?一项系统评价和荟萃分析。
BJOG. 2021 Jan;128(2):259-269. doi: 10.1111/1471-0528.16468. Epub 2020 Sep 20.
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Midwifery. 2017 Apr;47:15-21. doi: 10.1016/j.midw.2017.02.004. Epub 2017 Feb 15.
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