Hunfeld J A, Agterberg G, Wladimiroff J W, Passchier J
Institute of Medical Pyschology and Psychotherapy, Erasmus University, Rotterdam, The Netherlands.
Prenat Diagn. 1996 Sep;16(9):783-90. doi: 10.1002/(SICI)1097-0223(199609)16:9<783::AID-PD943>3.0.CO;2-7.
Pregnant women with (n = 24) and without (n = 26) a previous pregnancy loss (> 16 weeks) due to congenital anomalies were compared on quality of life and anxiety. Pregnant women with a previous loss were divided into those with and those without a normal livebirth since the loss [cases+ (n = 6) and cases- (n = 18), respectively]. Psychological measurements were carried out before and after an ultrasound scan in the second trimester of the pregnancy. Women with a previous loss who had not delivered a healthy infant between the loss and the present pregnancy showed a lower quality of life as revealed by feelings of social isolation, negative emotional reactions, and pain than the other groups. In addition, they showed more pregnancy-related anxiety. The negative emotions were particularly present just before the anomaly scan. Feelings of social isolation, negative emotional reactions, pain, and pregnancy-related anxiety were significantly positively related to trait anxiety, irrespective of having experienced late pregnancy loss. The implications of this study are that the referring gynaecologist, physician, or midwife should be aware of the strong emotions and major concerns of women in a pregnancy subsequent to a late pregnancy loss. In addition, they should offer these women the opportunity to express their emotional distress.
对有（n = 24）和无（n = 26）因先天性异常导致既往妊娠丢失（> 16周）的孕妇进行生活质量和焦虑方面的比较。既往有妊娠丢失的孕妇被分为自妊娠丢失后有和无正常活产的两组[分别为病例 +（n = 6）和病例 -（n = 18）]。在妊娠中期超声扫描前后进行心理测量。与其他组相比，既往有妊娠丢失且在丢失与本次妊娠之间未分娩健康婴儿的女性，通过社交孤立感、负面情绪反应和疼痛表现出较低的生活质量。此外，她们表现出更多与妊娠相关的焦虑。在异常扫描前尤其存在负面情绪。社交孤立感、负面情绪反应、疼痛和与妊娠相关的焦虑与特质焦虑显著正相关，无论是否经历过晚期妊娠丢失。本研究的意义在于，转诊的妇科医生、内科医生或助产士应意识到晚期妊娠丢失后再次妊娠女性的强烈情绪和主要担忧。此外，他们应给予这些女性表达情绪困扰的机会。
