广州地区孕妇对于常规产前超声筛查的态度评估

Women's Attitudes Towards Routine Ultrasound Screening during Pregnancy in Guangzhou

目的调查广州地区孕妇对于常规产前超声筛查的态度，以更好地为孕妇提供关于产前超声筛查的相关信息，尊重其自主选择权。方法对在2012年1月-2013年2月间经产前超声筛查后无已知产科风险的298例孕妇（12～38周）展开横断面问卷调查，并分析孕妇进行产前超声筛查的原因，对产前超声筛查的态度及期望。结果孕妇进行产前超声筛查的主要原因分别为胎儿生长发育情况的评估（100％，n=298）产科检查（98％，n=293），胎儿畸形（95％，n=282）。随着孕期的增长，这些参与者对产科问题和胎儿畸形关注度增高，在早孕期对胎儿的发育情况较为关心，而在晚孕期则对产科问题和胎儿畸形更为关注。大部分孕妇期望进行产前超声筛查，大多数孕妇（99％，n=295）希望通过产前超声筛查了解胎儿是否异常，89％（n=266）的孕妇担心检出胎儿畸形，仅48％（n=142）的参与者从她们的医疗卫生服务机构中获得所关注的相关信息。结论为帮助孕妇在孕期更好地作出决策，医疗卫生服务提供者需在医学伦理学基本原则下为孕妇提供高质量的信息并了解影响孕妇所关注问题的因素。

Objective： To investigate the attitudes of pregnant women to routine prenatal ultrasound screening in Guangzhou, in order to better for pregnant women to provide information on prenatal ultrasound screening, respect their autonomous rights. Methods：A cross -sectional questionnaire of 35 items was administered to 312 women at 12 - 38 weeks gestation with no known obstetrical risk, after their ultrasounds. Results：The main reasons for the uhrasounds were evaluation of fetal growth （100%, n = 298） ; obstetrical conditions （98%, n = 293） ; and fetal abnormalities （95%, n = 282）. With increasing maternal age, participants worried more about obstetric problems or fetal abnormalities. Many were interested in fetal viability in early pregnancy, and obstetric problems or fetal abnormality in late pregnancy. While most looked forward to having scans, the majority （ n = 295,99% ] wanted to know if their baby had an anomaly, and 89% （ n = 266 ） worried about the detection of abnormalities. Only 48% （ n = 142 ） had obtained information from their care provider. Conclusions：In order to help pregnant women during pregnancy to get better healthcare service, medical staff should provide high quality information and knowledge which pregnant women concern under the basic principle of medical ethics.