Nikcevic A V, Tunkel S A, Nicolaides K H
Harris Birthright Research Centre for Fetal Medicine, King's College Hospital Medical School, London, UK.
Ultrasound Obstet Gynecol. 1998 Feb;11(2):123-8. doi: 10.1046/j.1469-0705.1998.11020123.x.
This cross-sectional study of 204 women who had experienced a missed abortion, diagnosed at 10-14 weeks of pregnancy, examined the availability and desirability of routine follow-up care, and whether such care is associated with reduced psychological morbidity in the aftermath of miscarriage. Clinically elevated anxiety and depression were observed in 45% and 15% of women, respectively, and the mean score of grief was 2.52 which is similar to that observed in people who suffer death of a close relative. A follow-up appointment after the miscarriage was thought to have been desirable by 92% of women but was offered to only 30%. No significant association between such care and reduced psychological morbidity was identified. However, there were significantly more women with clinically elevated levels of anxiety among those who felt that they were not provided with an opportunity to discuss their feelings during the follow-up, suggesting that such a follow-up either had a deleterious effect on women's psychological state or the distress itself led to such a perception of care. One-third of women in our sample would have liked psychological counselling to help them deal with the emotional aspects of their loss.
这项横断面研究对204名怀孕10至14周时被诊断为稽留流产的女性进行了调查，研究了常规后续护理的可及性和需求，以及这种护理是否与流产后心理发病率降低相关。分别有45%和15%的女性临床焦虑和抑郁水平升高，悲伤平均得分是2.52，这与近亲死亡者的得分相似。92%的女性认为流产后进行随访预约是有必要的，但只有30%的女性得到了随访。未发现这种护理与心理发病率降低之间存在显著关联。然而，在那些觉得随访期间没有机会讨论自己感受的女性中，临床焦虑水平升高的女性明显更多，这表明这种随访要么对女性心理状态有有害影响，要么痛苦本身导致了这种对护理的认知。我们样本中有三分之一的女性希望得到心理咨询，以帮助她们应对失去胎儿带来的情感问题。
