The Research of Knowledge Level About Double or Triple Tests of Pregnant

Year 2015, Volume: 12 Issue: 5, 174 - 178, 01.09.2015

Ruhat Karakuş

Abstract

Aim: Our aim in this study is measuring the knowledge levels of pregnant about double or triple test.Materials and Methods: The study group consists of 11-20 weeks 222 pregnant who comes to Ahi Evran University Training and Research Hospital Obstetrical Poliyclinic between September 2014 and December 2014 for the routine controlling. The demographic information and the questions in a survey form to measure the knowledge level about double or triple test were asked to all pregnant women who were included in.Results: The answers to the question of where they learned the existence of double or triple tests DTT from were, my doctor recommended 192 %86.5 , learned from internet 18 %8.1 , my friends recommended 6 %2.7 , learned from TV or newspapers 6 %2.7 . The answers to the question of what the purpose of DTT is, to determine the intelligence level of baby 46 %20.8 , to determine the risk of baby’s physical disability 88 %39.6 , to determine the Down syndrome and other chromosomal abnormalities 72 %32.4 , I don’t know 16 %17.2 . The answers to the question of DTT are mandatory to be done were, yes 176 %79.3 , no 46 %20.7 . The answers to the question of the meaning of high-risk DTT results is, your baby is certainly disabled were, yes 98 %44.1 , no 124 %55.9 . The answers were to the question of the meaning of no high-risk results is, your baby is completely healthy, yes 62 %27.9 , no 160 %72.1 . The answers were to the question of do you believe in DTT are reliable tests, yes 156 %70.3 , no 66 %29.7 . The answers to the question of do you need to remake DTT in other medical center when DTT results are high-risky were, yes 172 %32.4 , no 150 %67.6 . The answers to the question of what should be done when DTT results are high risky were, baby should have aborted 32 %14.4 , amniocentesis should be done 152 %68.5 , nothing should be done and wait for the birth 38 %17.1 . The answers to the question of do you want to give birth to your child when it has appeared after the invasive analysis that your baby is disabled were, yes 126 %56.8 , no 96 %43.2 .Results: As a result the prenatal tests which applied for determining the fetal anomalies are important for both pregnant and the doctor. The medical personnel should give stimulating information to pregnant about these tests, it should be targeted to prevent existing worries and confusing but the final decision should be left to pregnant. A national policy should be established in the procedure of prenatal screening and proper conditions should be composed at the healthcare centers for this policy to be useful and effective.

Keywords

Double test, triple test, the knowledge level of pregnant

Gebelerin İkili ya da Üçlü Testler Hakkındaki Bilgi Düzeyinin Araştırılması

Abstract

Amaç: Çalışmadaki amacımız gebelerin ikili yada üçlü test hakkındaki bilgi düzeylerini ölçmektir.Gereç ve Yöntemler: Çalışma grubunu Kırşehir Ahi Evran Üniversitesi Eğitim ve Araştırma Hastanesi doğum polikliniğine 2014 yılında Eylül-Aralık ayları arasında rutin takiplerini yaptırmak amaçlı gelen 11- 20 haftalık 222 gebe oluşmuştur. Çalışmaya dahil edilen tüm gebelere demografik bilgilerini ve ikili yada üçlü taramalar hakkında bilgi düzeylerini ölçmek amaçlı anket şeklinde sorular sorulmuştur.Bulgular: İkili ya da üçlü tarama testinin İÜTT varlığını nereden öğrendikleriniz sorusuna verilen cevaplar, doktorum tavsiye etti 192 %86,5 , internetten öğrendim 18 %8,1 , arkadaşlarım tavsiye etti 6 %2,7 , tv ya da gazeteden öğrendim 6 %2.7 şeklindeydi. İÜTT ne amaçlı yapılır sorusuna verilen cevaplar, bebeğin zeka seviyesini belirleme amaçlı 46 %20,8 , bebeğin fiziksel sakatlık riskini saptamak amaçlı 88 %39,6 , Down sendromu ve diğer kromozomal anomalileri saptamak amaçlı 72 %32,4 , bilmiyorum 16 %7.2 şeklindeydi. İÜTT yaptırılması zorunlu mudur sorusuna verilen cevaplar evet 176 %79,3 , hayır 46 %20,7 şeklindeydi. İÜTT ‘nin yüksek riskli çıkması bebeğinizin kesin özürlü olduğu anlamına gelir mi sorusuna verilen cevaplar evet 98 %44,1 , hayır 124 %55,9 şeklinde idi.İÜTT’nin yüksek riskli çıkmaması bebeğinizin tamamen sağlıklı olduğu anlamına gelir mi soruna verilen cevaplar evet 62 %27,9 hayır 160 %72,1 şeklinde idi. İÜTT’nin güvenli testler olduğuna inanıyor musunuz soruna verilen cevaplar evet 156 %70,3 hayır %66,7 şeklinde idi. İÜTT’nin yüksek riskli çıkması sonucunda testleri başka merkezde tekrarlama ihtiyacı duyar mısınız sorusuna verilen cevaplar evet 72 %32,4 hayır 150 %67,6 şeklinde idi. İÜTT sonuçlarının yüksek risk içermesi sonucunda ne yapılır sorusuna verilen cevaplar bebek kürtaj yoluyla alınır 32 %14,4 , amniosentez yapılır 152 %68,5 , hiçbirşey yapılmaz ve doğum beklenir 38 %17,1 . Yapılan invaziv tahliller sonucunda bebeğinizin özürlü olduğu anlaşırsa bebeğinizi doğurmak ister misiniz sorusuna verilen cevaplar evet 126 %56,8 hayır 96 %43,2 şeklinde idi.Sonuç: Sonuç olarak fetal anomalileri saptayabilmek için uygulanan prenatal testler hem gebe hem de hekim için önemlidir. Bu testler hakkında sağlık personeli gebeye aydınlatıcı bilgiler vermeli, mevcut kaygıların ve kafa karışıklığın önüne geçmesi hedeflenmeli ancak nihai karar gebelere bırakılmalıdır. Prenatal tarama prosedürlerinde ulusal bir politika oluşturulmalı ve sağlık merkezlerinde bu politikaların yararlı ve etkili olabilmesi için uygun koşullar sağlanmalıdır.

Keywords

İkili tarama, üçlü tarama, gebe bilgi düzeyi

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