【摘要】 目的提高唐氏综合征高风险孕妇的羊膜腔穿刺率,降低出生缺陷儿的发生。方法对来产前咨询门诊就诊具有羊膜腔穿刺指征而拒绝行羊膜腔穿刺者进行原因调查。结果 2年产前咨询预约羊膜腔穿刺3 845人,其中有1 614例如约行羊膜腔穿刺术,羊膜腔穿刺率为41.98%,2 231例拒绝羊膜腔穿刺的孕妇中孕妇自身心理因素占了绝大部分,包括担心流产(57.15%)、怕痛苦(8.74%)、心存侥幸(11.52%)、对医院的错误认识(3.68%)等。<35岁组和≥35岁拒绝穿刺的主要原因不同。结论某妇幼保健院拒绝羊膜腔穿刺比例较高,原因以心理因素为主,不同年龄段所担心的原因不同,应分别对待给予相应的心理干预。更多还原

【Abstract】 Objective To improve the amniocentesis rate of high-risk pregnant women with Down’s syndrome,and reduce the occurrence of birth defects of children.Methods The reasons of the Down’s syndrome high-risk pregnant women who refused to amniocentes in prenatal counseling out-patient clinic were investigated.Result Totally 3 845 pregnants visited prenetal counseling reserved amniocentesis within 2 years;in which 1 614 cases were conducted amniocentesis as reservetion,with the amniocentesis rate was 41.98%.Those 2 231 cases refused amniocentesis were mainly caused by self psychological factors,including afraid of abortion(57.15%),afraid of pain(8.74%),leaving things to chance(11.52%) and wrong cognition of the hospital(3.68%),etc.The main reasons of patients aged < 35 years and ≥35 years were different.Conclusion The refusing rate of amniocentesis in this maternity and child healthcare hospital is high,the main reason is psychological factors,and varies in different age groups.Therefore,appropriate psychological interventions should be given separately.更多还原