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Malini S Ramaiyer¹, Bethlehem Lulseged¹, Shannon Glynn¹

¹Obstetrics and Gynecology, Johns Hopkins University School of Medicine, Baltimore, USA.

|February 22, 2024

概括

被诊断为胎儿表现不良的患者希望了解更多关于外部头部版本 (ECV) 和剖腹产 (CS) 的信息. 咨询应该澄清ECV风险,以支持对管理胎儿缺陷表现的知情决策.

科学领域:

产科和妇科产科和妇科
孕产妇和胎儿医学孕产妇和胎儿医学
以患者为中心的护理

背景情况:

胎儿表现不良使怀孕复杂化,需要在剖腹产 (CS) 或外部头部版本 (ECV) 之间做出管理决策.
关于患者对这些管理选择的咨询的观点的研究有限.

研究的目的:

探索患者的经验和决策过程,当被诊断出胎儿表现不良时.
确定影响CS和ECV之间的选择的促进者和障碍.

主要方法:

半结构面试与怀孕患者进行了半结构面试,这些孕妇在怀孕35-37周之间被诊断出有表达不良.
进行了定性数据分析,以得出有关患者决策的关键主题.

主要成果:

参与者认为将统计数据和病史纳入咨询作为促进者.
缺乏关于外脑版 (ECV) 的信息是一个重要的障碍.
患者优先考虑胎儿安全,并表示希望在选择ECV时避免CS.

结论:

被诊断为胎儿表现不良的患者寻求关于ECV和CS的全面信息.
围绕ECV安全性的不确定性阻碍了知情决策.
产科提供者应提供详细的,针对患者的治疗选择咨询,以与患者的目标保持一致.

关键词:

剖腹产是剖腹产的一部分.外部头骨版本的外脑版本胎儿表现不良的情况患者咨询咨询患者咨询产前护理产前护理

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