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Article: The effects on maternal anxiety of two-dimensional versus two-plus three-/four-dimensional ultrasound in pregnancies at risk of fetal abnormalities: A randomized study

TitleThe effects on maternal anxiety of two-dimensional versus two-plus three-/four-dimensional ultrasound in pregnancies at risk of fetal abnormalities: A randomized study
Authors
Keywords3D ultrasound
Anxiety
Fetus
Pregnancy
Issue Date2006
PublisherJohn Wiley & Sons Ltd. The Journal's web site is located at http://www.interscience.wiley.com/jpages/0960-7692/
Citation
Ultrasound In Obstetrics And Gynecology, 2006, v. 28 n. 3, p. 249-254 How to Cite?
AbstractObjective: To test the hypothesis that the use of two-dimensional (2D) ultrasonography with three-dimensional/four-dimensional (3D/4D) ultrasonography can reduce anxiety to a greater extent in women at risk of having a fetus with congenital abnormalities than the use of 2D ultrasonography alone. Methods: A total of 124 women attending the prenatal diagnostic clinic of a teaching hospital were randomized into the intervention group (2D ultrasonography followed by 3D/4D ultrasonography) or control group (2D ultrasonography alone). The primary outcome was maternal anxiety levels, which were assessed by the Spielberger state-trait anxiety inventory. We measured the anxiety levels in all women at the first visit, at around 18 weeks' gestation (immediately after ultrasound examinations) and at 28 weeks' gestation. Results: A short-term reduction of the state-anxiety score (by around 2 points) from the first visit to after ultrasound examinations was observed in both the intervention group and the control group. Unexpectedly, a small increase in the state-anxiety score from the first visit to 28 weeks' gestation was observed in the intervention group but not in the control group, though there was no significant difference in the changes between the two groups. Repeated measures ANOVA (analysis of variance) also showed that there was no significant interaction effect between groups and time of assessment on the state-anxiety scores (F = 1.072 and P = 0.344). About 80% of women reported a better understanding that their baby was normal after viewing 3D rather than 2D images. Conclusion: This randomized study indicates that the addition of 3D/4D ultrasound does not cause a significant reduction in maternal anxiety in pregnancies at risk of fetal abnormalities compared with conventional 2D ultrasound alone. Copyright © 2006 ISUOG.
Persistent Identifierhttp://hdl.handle.net/10722/171937
ISSN
2015 Impact Factor: 4.197
2015 SCImago Journal Rankings: 1.766
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorLeung, KYen_HK
dc.contributor.authorNgai, CSWen_HK
dc.contributor.authorLee, Aen_HK
dc.contributor.authorChan, HYen_HK
dc.contributor.authorLeung, WCen_HK
dc.contributor.authorLee, CPen_HK
dc.contributor.authorTang, MHYen_HK
dc.date.accessioned2012-10-30T06:18:36Z-
dc.date.available2012-10-30T06:18:36Z-
dc.date.issued2006en_HK
dc.identifier.citationUltrasound In Obstetrics And Gynecology, 2006, v. 28 n. 3, p. 249-254en_HK
dc.identifier.issn0960-7692en_HK
dc.identifier.urihttp://hdl.handle.net/10722/171937-
dc.description.abstractObjective: To test the hypothesis that the use of two-dimensional (2D) ultrasonography with three-dimensional/four-dimensional (3D/4D) ultrasonography can reduce anxiety to a greater extent in women at risk of having a fetus with congenital abnormalities than the use of 2D ultrasonography alone. Methods: A total of 124 women attending the prenatal diagnostic clinic of a teaching hospital were randomized into the intervention group (2D ultrasonography followed by 3D/4D ultrasonography) or control group (2D ultrasonography alone). The primary outcome was maternal anxiety levels, which were assessed by the Spielberger state-trait anxiety inventory. We measured the anxiety levels in all women at the first visit, at around 18 weeks' gestation (immediately after ultrasound examinations) and at 28 weeks' gestation. Results: A short-term reduction of the state-anxiety score (by around 2 points) from the first visit to after ultrasound examinations was observed in both the intervention group and the control group. Unexpectedly, a small increase in the state-anxiety score from the first visit to 28 weeks' gestation was observed in the intervention group but not in the control group, though there was no significant difference in the changes between the two groups. Repeated measures ANOVA (analysis of variance) also showed that there was no significant interaction effect between groups and time of assessment on the state-anxiety scores (F = 1.072 and P = 0.344). About 80% of women reported a better understanding that their baby was normal after viewing 3D rather than 2D images. Conclusion: This randomized study indicates that the addition of 3D/4D ultrasound does not cause a significant reduction in maternal anxiety in pregnancies at risk of fetal abnormalities compared with conventional 2D ultrasound alone. Copyright © 2006 ISUOG.en_HK
dc.languageengen_US
dc.publisherJohn Wiley & Sons Ltd. The Journal's web site is located at http://www.interscience.wiley.com/jpages/0960-7692/en_HK
dc.relation.ispartofUltrasound in Obstetrics and Gynecologyen_HK
dc.rightsUltrasound in Obstetrics & Gynecology. Copyright © John Wiley & Sons Ltd.-
dc.subject3D ultrasounden_HK
dc.subjectAnxietyen_HK
dc.subjectFetusen_HK
dc.subjectPregnancyen_HK
dc.subject.meshAdulten_US
dc.subject.meshAnalysis Of Varianceen_US
dc.subject.meshAnxiety - Etiologyen_US
dc.subject.meshFemaleen_US
dc.subject.meshFetus - Abnormalitiesen_US
dc.subject.meshHumansen_US
dc.subject.meshImaging, Three-Dimensionalen_US
dc.subject.meshMaternal-Fetal Relationsen_US
dc.subject.meshMothers - Psychologyen_US
dc.subject.meshPatient Satisfactionen_US
dc.subject.meshPregnancyen_US
dc.subject.meshPregnancy, High-Risken_US
dc.subject.meshPsychiatric Status Rating Scalesen_US
dc.subject.meshUltrasonography, Prenatal - Methodsen_US
dc.titleThe effects on maternal anxiety of two-dimensional versus two-plus three-/four-dimensional ultrasound in pregnancies at risk of fetal abnormalities: A randomized studyen_HK
dc.typeArticleen_HK
dc.identifier.emailLee, A: amlee@hku.hken_HK
dc.identifier.emailTang, MHY: mhytang@hkucc.hku.hken_HK
dc.identifier.authorityLee, A=rp00483en_HK
dc.identifier.authorityTang, MHY=rp01701en_HK
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1002/uog.2844en_HK
dc.identifier.pmid16909403-
dc.identifier.scopuseid_2-s2.0-33748787396en_HK
dc.identifier.hkuros129968-
dc.identifier.hkuros242729-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-33748787396&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume28en_HK
dc.identifier.issue3en_HK
dc.identifier.spage249en_HK
dc.identifier.epage254en_HK
dc.identifier.isiWOS:000240758100004-
dc.publisher.placeUnited Kingdomen_HK
dc.identifier.scopusauthoridLeung, KY=8247106900en_HK
dc.identifier.scopusauthoridNgai, CSW=6603676357en_HK
dc.identifier.scopusauthoridLee, A=7405629831en_HK
dc.identifier.scopusauthoridChan, HY=7403402562en_HK
dc.identifier.scopusauthoridLeung, WC=7201504435en_HK
dc.identifier.scopusauthoridLee, CP=25621639100en_HK
dc.identifier.scopusauthoridTang, MHY=35362943900en_HK
dc.identifier.citeulike811812-

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