Women's Perceptions Regarding the Safety of Births at Various Gestational Ages
Women's Perceptions Regarding the Safety of Births at Various Gestational Ages
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DOI：
10.1097/aog.0b013e3181c2d6a0
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发表时间：
2009-12-01
影响因子：
7.2
通讯作者：
Stahl, Pamela J.
中科院分区：
文献类型：
--
作者：
Goldenberg, Robert L.;McClure, Elizabeth M.;Stahl, Pamela J.
目的：了解妇女对足月的定义和安全分娩的孕龄的理解。方法：在全国范围内对650名新近分娩的参保妇女进行调查，了解她们对足月的含义和不同胎龄分娩的安全性的看法。结果：24%的受访妇女认为孕34-36周的婴儿为足月，50.80%的被调查者认为足月发生在孕37-38周，只有25.2%的人认为足月发生在孕39-40周。在回答“怀孕最早什么时候分娩是安全的，是否应该没有其他需要提前分娩的医学并发症？”时，51.7%的人选择了34-36周，40.7%的人选择了37-38周，而只有7.6%的人选择了39-40周。结论：美国妇产科医师学会建议选择性分娩不要发生在39周之前。然而，许多女性认为足月是在怀孕37周之前达到的，大多数人认为完全足月发生在怀孕39周之前。近一半的人认为在怀孕37周前分娩是安全的，几乎所有人都认为在怀孕39周之前分娩是安全的。这里报告的数据表明，许多女性认为早产是早产，安全分娩不需要等到怀孕39周。(Obstet Gyneol 2009；114：1254-8)
OBJECTIVES: To estimate women's understanding of the definition of full term and the gestational age at which it is safe to deliver an otherwise healthy pregnancy.METHODS: A national sample of 650 insured women who recently gave birth were surveyed about their beliefs related to the meaning of full term and the safety of delivery at various gestational ages. Descriptive statistics including means and 95% confidence intervals were calculated for the demographic variables and survey measures; multivariate logistic regression analyses were also performed.RESULTS: Twenty-four percent of women surveyed considered a baby of 34-36 weeks of gestation to be full term, and 50.80% believed full term to occur at 37-38 weeks of gestation, while only 25.2% considered full term to occur at 39-40 weeks of gestation. In response to, "What is the earliest point in pregnancy that it is safe to deliver the baby, should there be no other medical complications requiring early delivery?" 51.7% choose 34-36 weeks of gestation, and 40.7% choose 37-38 weeks of gestation, while only 7.6% choose 39-40 weeks of gestation.CONCLUSION: The American College of Obstetricians and Gynecologists recommends that elective deliveries not occur before 39 weeks of gestation. However, many women believe that full term is reached before 37 weeks of gestation, and most believe full term occurs before 39 weeks of gestation. Nearly half believe it is safe to deliver before 37 weeks of gestation, and almost all believe it is safe to deliver before 39 weeks of gestation. The data reported here suggest that many women believe that term is reached early and that a safe delivery does not require waiting to 39 weeks of gestation. (Obstet Gynecol 2009;114:1254-8)