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首页> 外文期刊>Journal of perinatology: Official journal of the California Perinatal Association >Women's response to fetal choroid plexus cysts detected by prenatal ultrasound.
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Women's response to fetal choroid plexus cysts detected by prenatal ultrasound.

机译：妇女对产前超声检测到的胎儿脉络丛神经囊肿的反应。

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摘要

OBJECTIVES: To determine maternal responses to detection of a minor structural variant, the choroid plexus cyst (CPC), in their fetus on prenatal ultrasound. STUDY DESIGN: We interviewed 34 pregnant women with an isolated CPC detected on mid-pregnancy ultrasound about their objective experience at diagnosis, emotional response and subsequent reactions. Audiotaped, transcribed responses were evaluated by two independent raters and analyzed qualitatively and quantitatively. RESULTS: All women reported negative emotional responses including shock, distress, fear and decreased attachment, despite counseling by 82% of providers that the CPC was probably benign. Three women underwent amniocentesis purely for reassurance after CPC detection. Most (79%) sought information beyond what their physician provided, frequently on the internet. One half of women reported that intense negative responses were temporary. However, weeks after diagnosis, 62% continued to believe that the CPC presented some danger to their baby. CONCLUSIONS: Detection of CPC prenatally can evoke profound, negative maternal emotional responses despite accurate provider counseling. Practitioners should consider these responses when counseling parents about these and other structural variants of unclear functional significance.
机译：目的：通过产前超声检查，确定母亲对胎儿中较小的结构变异（脉络丛囊肿（CPC））的检测对母亲的反应。研究设计：我们采访了34名在中期妊娠超声检查中发现单次CPC的孕妇，了解他们在诊断，情绪反应和后续反应方面的客观经验。录音，转录的反应由两个独立的评估者进行评估，并进行定性和定量分析。结果：尽管有82％的提供者建议CPC可能是良性的，但所有妇女均报告了负面的情绪反应，包括震惊，痛苦，恐惧和依恋减少。三名妇女在接受CPC检验后纯粹是为了确保安全而接受了羊膜穿刺术。大多数（79％）经常在互联网上寻求超出医生所提供信息的信息。一半的妇女报告说，强烈的负面反应是暂时的。但是，在诊断后几周，仍有62％的人认为CPC对他们的婴儿构成了一定的危险。结论：尽管提供者提供了准确的咨询，但产前检测CPC仍可引起深刻的，负面的母亲情绪反应。从业人员在向父母咨询这些和其他功能意义不明确的结构变异时，应考虑这些反应。

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