中国产前诊断杂志（电子版）
中國產前診斷雜誌（電子版）
중국산전진단잡지（전자판）
CHINESE JOURNAL OF PRENATAL DIAGNOSIS(ELECTRONIC VERSION)
2015年
2期
32-34,53
,共4页
赖峥菲%黄丽娟%潘悦健%王佳燕%曾慧%陈敏
賴崢菲%黃麗娟%潘悅健%王佳燕%曾慧%陳敏
뢰쟁비%황려연%반열건%왕가연%증혜%진민
胎儿异常%畸形%产前诊断%终止妊娠
胎兒異常%畸形%產前診斷%終止妊娠
태인이상%기형%산전진단%종지임신
fetal abnormality%malformation%prenatal diagnosis%termination of pregnancy
目的：研究当孕妇面对可能发生的各类胎儿异常时对终止妊娠的态度。方法对前来广州医科大学附属第三医院产检的孕20～24周孕妇进行问卷调查，孕妇需要回答如果检查发现胎儿患致死性疾病，或生长发育受限，或存在明显功能障碍的结构异常，或仅有轻微甚至无功能障碍的结构异常时，是否选择终止妊娠。结果总计493名孕妇完成了问卷调查，其中493（100％）人表示将在发现胎儿存在致死性异常后终止妊娠，而在胎儿生长受限、有明显功能障碍的结构缺异常和无或有轻微功能障碍的结构缺异常等方面，分别有243（49．3％）、371（75．3％）和290（58．8％）人要求终止妊娠。影响孕妇决定是否终止妊娠的具有统计学意义的因素是本孕为珍贵儿（P ＜0．05）。结论多数孕妇在发现胎儿疾病后倾向于终止妊娠，即使胎儿疾病为非致死性的。
目的：研究噹孕婦麵對可能髮生的各類胎兒異常時對終止妊娠的態度。方法對前來廣州醫科大學附屬第三醫院產檢的孕20～24週孕婦進行問捲調查，孕婦需要迴答如果檢查髮現胎兒患緻死性疾病，或生長髮育受限，或存在明顯功能障礙的結構異常，或僅有輕微甚至無功能障礙的結構異常時，是否選擇終止妊娠。結果總計493名孕婦完成瞭問捲調查，其中493（100％）人錶示將在髮現胎兒存在緻死性異常後終止妊娠，而在胎兒生長受限、有明顯功能障礙的結構缺異常和無或有輕微功能障礙的結構缺異常等方麵，分彆有243（49．3％）、371（75．3％）和290（58．8％）人要求終止妊娠。影響孕婦決定是否終止妊娠的具有統計學意義的因素是本孕為珍貴兒（P ＜0．05）。結論多數孕婦在髮現胎兒疾病後傾嚮于終止妊娠，即使胎兒疾病為非緻死性的。
목적：연구당잉부면대가능발생적각류태인이상시대종지임신적태도。방법대전래엄주의과대학부속제삼의원산검적잉20～24주잉부진행문권조사，잉부수요회답여과검사발현태인환치사성질병，혹생장발육수한，혹존재명현공능장애적결구이상，혹부유경미심지무공능장애적결구이상시，시부선택종지임신。결과총계493명잉부완성료문권조사，기중493（100％）인표시장재발현태인존재치사성이상후종지임신，이재태인생장수한、유명현공능장애적결구결이상화무혹유경미공능장애적결구결이상등방면，분별유243（49．3％）、371（75．3％）화290（58．8％）인요구종지임신。영향잉부결정시부종지임신적구유통계학의의적인소시본잉위진귀인（P ＜0．05）。결론다수잉부재발현태인질병후경향우종지임신，즉사태인질병위비치사성적。
Objective To study the attitudes of pregnant women towards the termination of pregnancy for fetal abnormality.Method Questionnaires were completed by all pregnant women attending routine ultrasound screening for malformation between 20~24 week of gestation.They were asked whether they would opt for termination of the pregnancy in case the fetus was diagnosed with one of the following abnormalities:lethal anomaly,anomaly causing developmental delay,structural abnormalities with severe physical dysfunction, structural abnormalities with mild physical dysfunction or without physical dysfunction.Logistic regression analysis was used to examine the effect of a variety of demographic and socio-economic characteristics in their choices.Results A total of 493 women completed the question-naires out of which 493 (100%)would terminate the pregnancy in case of lethal fetal anomaly.The corre-sponding figures for anomaly causing developmental delay,structural abnormalities with severe physical dysfunction,structural abnormalities with mild physical dysfunction or without physical dysfunction were 243(49.3%)、371(75 .3%)and 290(58.8%).A total of 313 (64.7%)would request late termination ow-ing to severe anomaly.The only one statistically significant factor would influence the maternal decision on pregnancy termination were precious baby (p < 0.05 ).Conclusions The majority of pregnant women would terminate pregnancy for fetal anomaly even though the abnormalities were non-lethal.
