Screening for neural‐tube defects and maternal anxiety

BJOG: An International Journal of Obstetrics and Gynaecology - Tập 89 Số 3 - Trang 218-221 - 1982
Jo Fearn1, B. M. Hibbard2, K. M. Laurence2, A. Roberts2, J. O. ROBINSON3
1Department of Obstetrics and Gynaecology, Welsh National School of Medicine, Cardiff, Wales
2Welsh National School of Medicine, Cardiff, Wales
3University College, Cardiff, Wales

Tóm tắt

Summary. Anxiety levels were studied in 176 women with raised serum α‐fetoprotein levels at 16–18 weeks gestation, at the time they attended a central assessment clinic, and again 2–3 weeks later in those not found to have a fetus with a neural‐tube defect. Methods of imparting information about the serum screening tests and the manner in which a normal amniotic fluid result was conveyed to the patient were also studied. Overall, women attending the clinic for further assessment were extremely anxious, irrespective of the source of their information. Anxiety scores 2–3 weeks after testing were greatly influenced by whether the patient had been given a definite normal result or whether she was told to assume that the result was normal if she did not hear from the clinic. Patients who, after reassessment, did not require amniocentesis had some residual anxiety in spite of verbal reassurance.

Từ khóa


Tài liệu tham khảo

10.1177/001789697903800202

10.1002/pd.1970010110

Report of the UK Collaborative Study on Alpha‐Fetoprotein in Relation to Neural Tube Defects, 1977, Maternal serum‐alpha‐fetoprotein measurements in antenatal screening for anencephaly and spina bifida in early pregnancy, Lancet, 1323

Speilberger C. D., 1975, Emotions; Their Parameters and Measurement

Standing Medical Advisory Committee(1979)Report by the Working Group on Screening for Neural Tube DefectsDouglas Black (Chairman) DHSS 1979.