Second-trimester routine ultrasound screening: expectations and experiences in a nationwide Swedish sample
Second-trimester routine ultrasound screening: expectations and experiences in a nationwide Swedish sample
复制标题
DOI：
10.1002/uog.5273
复制
发表时间：
2008-07-01
影响因子：
7.1
通讯作者：
Waldenstrom, U.
中科院分区：
文献类型：
--
作者：
Ohman, S. Georgsson;Waldenstrom, U.
目的 在瑞典全国范围内的大型样本中调查孕妇对常规孕中期超声检查的期望，参与者用自己的语言表达自己的想法，并确定他们是否获得了关于为什么和如何进行检查以及可能的风险的足够信息。我们特别关注女性没有积极经历的原因。 方法 在 4600 名符合条件的瑞典语女性中，有 3061 名在怀孕早期被招募到研究中，在一年内均匀分布的三个 1 周时期（1999-2000），这些女性平均在怀孕 16 周时完成了一份问卷。 2730 名妇女在产后 2 个月完成了随访调查问卷。通过与 1999 年瑞典出生队列总数进行比较来评估样本的代表性。 结果 对即将进行的扫描最突出的期望是确认婴儿状况良好，其次是确认怀孕是否真实。诸如分娩日期和婴儿性别之类的详细信息很少被提及，也很少有人将这次检查描述为一次令人兴奋和快乐的经历。出生后，绝大多数人对为什么（88%）和弓（87%）进行检查的信息感到满意，但只有 58% 的人表示他们已经收到了有关可能风险的足够信息。 94% 的人对扫描有积极的体验，而那些没有经历过的人则对自己的怀孕有更多矛盾的感觉。对扫描有负面情绪的女性往往是单身且非瑞典背景，情绪问题在该组中更为常见。 结论 女性对常规孕中期扫描的期望与护理人员的期望不同，注重一般性的安慰而不是具体信息。对扫描的满意度很高，但有关风险的信息还有待改进。对怀孕有矛盾或消极情绪的女性可能难以享受检查。版权所有 (c) 2008 ISUOG。由约翰·威利父子有限公司出版
Objectives To investigate, in a large nationwide Swedish sample, pregnant women's expectations of the routine second-trimester ultrasound examination, with participants expressing themselves in their own words, and to determine whether they bad been given sufficient information about why and how the examination was performed, and about possible risks. We focused specifically on reasons for women not having a positive experience.Method Of 4600 eligible Swedish-speaking women, 3061 were recruited to the study in early pregnancy, during three 1-week periods spread evenly over 1 year (1999-2000), and these women completed a questionnaire at a mean of 16 weeks' gestation. A follow-up questionnaire at 2 months after delivery was completed by 2730 women. The representativeness of the sample was assessed by comparison with the total Swedish birth cohort of 1999.Results The most prominent expectation about the up-coming scan was confirmation that the baby was well, followed by confirmation that the pregnancy was real. Detailed information, such as date of delivery and sex of the baby, was mentioned less often, and very few wrote about the examination as an exciting and joyful experience. After the birth, a large majority was satisfied with information about why (88%) and bow (87%) the examination was Performed, but only 58% said they had received sufficient information about possible risks. 94% had a positive experience of the scan, and those who had not had more ambivalent feelings about their pregnancy. Women with negative feelings about the scan were more often single and of non-Swedish background, and emotional problems were more common in this group.Conclusion Women's expectations of the routine second-trimester scan differ from those of caregivers, focusing on general reassurance rather than specific information. Level of satisfaction with the scan was high, but information given about risks could be improved. Women with ambivalent or negative feelings about pregnancy may have difficulties enjoying the examination. Copyright (c) 2008 ISUOG. Published by John Wiley & Sons, Ltd.