影响孕妇羊水产前诊断依从率的心理因素分析

Analysis the Psychological Factors Affecting of the Compliance Rate in Pregnant Women With Amniotic Liquid Prenatal Diagnosis

羊水产前诊断是一种对孕妇和胎儿有微创的检查,通过羊膜腔穿刺获取胎儿脱落细胞,进行染色体分析,排除胎儿染色体数目和结构的异常,从而能够在妊娠中期检测出胎儿染色体异常并根据情况选择性终止妊娠,从而提高人口素质,做到出生缺陷的二级预防。通过与在我院拟准备产前诊断的孕妇夫妇术前谈话,在她们知情选择的基础上进行产前诊断。但是由于一些经济、生理及心理因素,不是所有的有产前诊断指征的孕妇都能接受。本文旨分析影响孕妇接受产前诊断的心理因素,使产前诊断工作能更加广泛的推行。通过调查研究,发现进行产前诊断的孕妇来源、对产前诊断的了解程度、对医生的信任、接诊医师水平、是否进行产前筛查、手术时间安排等是影响孕妇羊水产前诊断依从率的因素。

Amniocentesis is an invasive method of obtaining fetal cells for prenatal diagnosis which selectively abort fetus of numerical and structural chromosomal abnormalities during mid-pregnancy. It aim at improving the health of the people and reducing the birth defects. The prenatal diagnosis was performed after preoperative communication. But not all pregnant women of operation indication could accept amniocentesis due to some economic, physiological and psychological factors. This study aimed to analyze the psychological factors to make the amniocentesis more acceptable.The results indicate that the different area of pregnant women, familiarity of prenatal diagnosis, confidence in doctors, professional title of clinical doctors, Down’s screening and the schedule of operation were the factors affecting the compliance rate in pregnant women .