摘要：目的了解行羊水穿刺孕妇健康知识需求现状，为制定切实可行的健康教育提供实证依据。方法采用自行设计的羊水穿刺孕妇健康知识的需求问卷对94例在协和医院国际医疗部妇产科门诊及普通产科门诊行羊水穿刺术的孕妇进行调查。结果94例羊水穿刺孕妇对健康知识需求的总分为（3．48±0．08）分，子女健康的孕妇知识需求程度高于子女不健康的孕妇，两者比较差异有统计学意义[（3．42±0．12）分比（3．00±0．45）分，（3．51±0．10）分比（3．20±0．35）分；t分别为1．25，1．17；P〈0．05或P〈0．01]。结论羊水穿刺孕妇对健康知识需求较高，医务人员应根据孕妇的具体情况给予有针对性的健康教育。

摘要：若世上有十分痛苦和麻烦,九分在孕育;若世上有十分快乐和惊叹,九分也在孕育……做一个好妈妈,从怀孕开始。王芳是知名主持人,北京电视台由她主持的《快乐生活一点通》《选择》《谁在说》等多档节目,深受百姓喜爱;她还是一家传媒公司的总裁,要负责七八档节目的制作;忙里偷闲的她考取了北京大学的艺术学硕士,去年还写了一本畅销书《我是爱情科代表》……

摘要：目的了解北京市西城区唐氏征筛查高危人群对于唐氏征高危的知晓率、羊水穿刺率、产前咨询满意度等,找出薄弱环节,为健康教育提供依据。方法自行设计问卷,对2008年10月1日～2009年9月30日间北京市西城区产科医院随机抽取466名唐氏征筛查高危患者进行问卷调查。结果①接受调查的466例唐氏征筛查高危的孕产妇中,包括21-三体高危362例(78%),18-三体高危29例(6%),神经管畸形高危75例(16%)。②466例唐氏征筛查高危孕产妇中,444例到产科门诊进行产前咨询,产前咨询率达95%;275例进一步行产前诊断羊水穿刺,羊水穿刺率59%。③未做产前诊断羊水穿刺的191例中,81例担心羊水穿刺有风险,占42%;46例觉得没有必要做,占24%;64例通过超声检查、复做唐氏征筛查等其他途径,自行放弃羊水穿刺,占34%。④444例行产前咨询的高危孕产妇中,405例表示对咨询结果满意,满意度91%;37例感觉一般,占8%;2例觉得不满意,不到1%。结论①北京西城区医院唐氏征筛查高危的孕产妇大部分能进一步行产前咨询,并对咨询满意度较高。②唐氏征筛查高危孕产妇,进一步行羊水穿刺染色体检查的比率不高,宣教工作有待进一步加强。

摘要：Objective: The purpose of this study was to evaluate whether there is a relationship between the sonographic fetal thymus size and the presence of an intrauterine infection in patients with preterm labor. Study design: Thirty-one women who had been admitted with preterm labor and intact membranes between 24 and 32 weeks of gestation were included. Fetal thymus perimeter was measured sonographically, and amniocentesis for the microbiologic assessment of the amniotic cavity was performed. Placentas and umbilical cords were examined for the presence of chorioamnionitis/funisitis. Results: The prevalence of preterm delivery and intra-amniotic infection was 51.6%(16/31 women) and 32.3%(10/31women), respectively. In all cases with intrauterine infection and in 23.8%of cases without intrauterine infection, the fetal thymus perimeter was below the 5th percentile for gestational age (10/10 women vs 5/21 women; P < .01). Isolated histologic chorioamnionitis and funisitis were found in 22.6%and 25.8%of fetuses, respectively. The fetal thymus was below the 5th percentile for gestational age in 100%, 71.4%, and 12.5%of patients with histologic signs of funisitis and isolated chorioamnionitis and without histologic signs of infection, respectively. Conclusion: Fetal thymus involution in preterm labor patients is strongly associated with funisitis, which is the histologic manifestation of the fetal inflammatory response syndrome.