早期的再保证还是虚假的安全? 胎儿家庭多普勒在怀孕第一季度的积极监测中使用 - 从内分泌的角度来看
M Piron-Dumitrascu1,2, V N Varlas1,3, D Cretoiu1,4
1"Carol Davila" University of Medicine and Pharmacy, Department of Obstetrics and Gynecology.
概括
在怀孕早期使用手持多普勒扫描仪是可行的,并为预期的孕妇提供了安慰. 这种监测可能有助于稳定母亲的压力,并支持母亲和胎儿的健康内分泌发育.
科学领域:
- 孕产妇与胎儿的医学
- 心理神经内分泌学心理学
背景情况:
- 怀孕期间的家庭监控设备引发了对可靠性和心理影响的担忧.
- 通过下丘脑-垂体-上腺 (HPA) 轴的早期孕产妇压力调节可以影响胎儿的神经内分泌编程.
- 确定放心的工具对于母胎内分泌适应至关重要.
研究的目的:
- 评估手持多普勒仪在怀孕早期用于胎儿心脏监测的可行性和心理影响.
- 探索母亲与胎儿的心脏合和母亲焦虑之间的相关性.
主要方法:
- 前性,观察性,单中心研究 (2019年1月 - 2023年12月).
- 100名孕期≤14周的妇女填写了关于手持多普勒和脉冲氧计使用的问卷.
- 使用DASS-21焦虑分级评估焦虑;进行了比较和相关性分析.
主要成果:
- 在67%的病例中检测到胎儿心率,在妊娠年龄增加时,检测率更高.
- 检测到心跳的女性的妊娠年龄显著更高 (10.4 ± 1.8 与 8.6 ± 1.9 周相比,p < 0.01).
- 焦虑评分与妊娠年龄呈反向相关性 (p = 0.019);68%的人认为多普勒测试令人放心.
结论:
- 手持多普勒监测在怀孕早期是可行的.
- 它提供了情感上的安慰,可能会稳定母亲的压力.
- 支持更健康的母胎内分泌适应.
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