干预措施实施前后产前筛查高风险孕妇拒绝侵入性产前诊断的原因比较  

Comparison of rejection reasons for invasive prenatal diagnosis in pregnant women with high risk in prenatal screening before and after intervention measures

作　　者：付天明[1,2] 舒敏思 高春元 王兴碧[1,2] 吴婷 陈天丽 李媛媛 FU Tian-ming;SHU Min-si;GAO Chun-yuan;WANG Xing-bi;WU Ting;CHEN Tian-li;LI Yuan-yuan(Department of Obstetrics and Gynecology,Chengdu Longquanyi District Maternal and Child Health Hospital,Chengdu 610100,China;Chengdu Longquanyi District Prenatal Screening Center,Chengdu 610100,China)

机构地区：[1]成都市龙泉驿区妇幼保健院妇产科,四川成都610100 [2]成都市龙泉驿区产前筛查中心,四川成都610100

出　　处：《实用医院临床杂志》2019年第4期86-88,共3页Practical Journal of Clinical Medicine

基　　金：成都市卫生局青年基金(编号:2012008);成都市龙泉驿区科技局社会发展基金(编号:2013-15);成都市龙泉驿区医学会科学技术带头人培养对象专项基金(资助年度:2016-2018年);成都市龙泉驿区科学技术协会科普项目基金(编号:LQYQKX-09)

摘　　要：目的探讨干预措施实施前后成都市龙泉驿区产前筛查高风险孕妇拒绝羊水穿刺的原因变化。方法分别对产前筛查干预措施实施前后在成都市龙泉驿区产前筛查中心检测为产前筛查高风险的孕(产)妇进行问卷调查、电话随访、微信或社区随访,比较孕妇拒绝侵入性产前诊断的具体原因。结果干预措施实施前,孕妇拒绝羊水穿刺的最主要原因分别为:怕胎儿流产、费用太贵、家人反对。干预措施实施后,孕妇拒绝羊水穿刺的最主要原因分别为:怕胎儿流产、家人反对、选择产前筛查。干预措施实施前后费用太贵、选择产前筛查等原因差异有统计学意义(P<0. 01),确诊决定流产、不知道产前诊断预约方式、认为医院骗钱等拒绝产前诊断的原因均无孕妇选择。结论干预措施实施后,孕妇拒绝侵入性产前诊断的比例明显降低,但选择产前筛查的比例有所增加,需进一步向孕妇提供更多的产前筛查信息,让其明确其适应人群及检出率,避免盲目选择。Objective To investigate the changes in rejection reasons for invasive prenatal diagnosis in pregnant women with high risk in prenatal screening in Chengdu Longquanyi district before and after intervention.Methods Pregnant women who were high risk in prenatal screening at Chengdu Longquanyi District Prenatal Screening Center were investigated by using questionnaire,telephone follow-up,weixin and community follow-up before and after intervention.The reasons for refusing amniocentesis were compared.Results Before intervention,the main reasons for refusing amniocentesis were afraid of abortion,high expense,and objection of family.After intervention,the main reasons were afraid of abortion,objection of family,and selecting of non-invasive prenatal testing (NIPS). There were significant differences in high expense and NIPS before and after intervention (P<0. 01).The reasons such as diagnosis decided to abortion,do not know how to make an appointment for prenatal diagnosis and thinking the hospital cheating were not selected by the pregnant women.Conclusion The proportion of refusing to have prenatal diagnosis is decreased significantly after intervention.The proportion of choosing NIPS is increased.It needs to provide more information of NIPS,and let the high-risk pregnant women to know the adapt crowd and detection rate of NIPS,and avoid any blind choice.

关 键 词：产前诊断 羊水穿刺 无创产前筛查 

分 类 号：R714.53[医药卫生—妇产科学]