A prospective study on parental coping 4 months after termination of pregnancy for fetal anomalies

Korenromp, Marijke J.; Page-Christiaens, G. C. M. L.; Bout, Jan van den; Mulder, E.J.H.; Hunfeld, J. A. M.; Potters, C.M.A.A.; Erwich, Johannes; Binsbergen, C. J. M. Van; Brons, J. T. J.; Beekhuis, J. R.; Omtzigt, Annemieke; Visser, Gerhard H.

doi:10.1002/pd.1763

Cited by 102 publications

(92 citation statements)

References 22 publications

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“…Research indicates that terminating a pregnancy for fetal abnormality is a complex decision, 3 which can have long-term psychological consequences such as depression, post-traumatic stress and complicated grief for women and their partners. [4][5][6][7][8][9] Grief reactions following this event have been likened to those experienced in other types of perinatal loss such as stillbirth or neonatal death. [10][11][12] Nevertheless, termination for fetal abnormality is distinct in that parents choose to end the pregnancy.…”

mentioning

confidence: 99%

Termination of pregnancy for fetal abnormality: a meta-ethnography of women’s experiences

Lafarge¹,

Mitchell

Fox

2014

Reproductive Health Matters

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Due to technological advances in antenatal diagnosis of fetal abnormalities, more women face the prospect of terminating pregnancies on these grounds. Much existing research focuses on women's psychological adaptation to this event. However, there is a lack of holistic understanding of women's experiences. This article reports a systematic review of qualitative studies into women's experiences of pregnancy termination for fetal abnormality. Eight databases were searched up to April 2014 for peer-reviewed studies, written in English, that reported primary or secondary data, used identifiable and interpretative qualitative methods, and offered a valuable contribution to the synthesis. Altogether, 4,281 records were screened; 14 met the inclusion criteria. The data were synthesised using meta-ethnography. Four themes were identified: a shattered world, losing and regaining control, the role of health professionals and the power of cultures. Pregnancy termination for fetal abnormality can be considered as a traumatic event that women experience as individuals, in their contact with the health professional community, and in the context of their politico-socio-legal environment. The range of emotions and experiences that pregnancy termination for fetal abnormality generates goes beyond the abortion paradigm and encompasses a bereavement model. Coordinated care pathways are needed that enable women to make their own decisions and receive supportive care.

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mentioning

confidence: 99%

Termination of pregnancy for fetal abnormality: a meta-ethnography of women’s experiences

Lafarge¹,

Mitchell

Fox

2014

Reproductive Health Matters

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“…U jednoj studiji (Korenromp et al, 2007b) opisani su motivi žena koje su abortirale nakon što su saznale da nose fetus sa Daunovim sindromom. Među najčešće navođenim razlozima nalaze se: strah za blagostanje nerođe-nog deteta i ostale dece u porodici, zabrinutost majki za svoju vezu sa partnerom i njihovo sopstveno psihološko, socijalno i finansijsko blagostanje.…”

Section: A) Unutrašnji (Individualni Faktori) Odlučivanja O Trudnoćiunclassified

“…Isti autori su nešto kasnije sugerisali da je prilagođavanje teže mlađim ženama, ženama koje su religioznije i koje nemaju drugu decu. Visok nivo percipiranog pritiska u vreme donošenja odluke i jaka sumnja u ispravnost donete odluke takođe su imali nepovoljan efekat na mentalno zdravlje žena nakon abortusa (Korenromp et al, 2007b). Sa druge strane, podrška partnera i drugih člano-va porodice, prijatelja i stručnjaka, pozitivno utiče u toku procesa tugovanja (Geerinck-Vercammen & Kanhai, 2003).…”

Section: Starost I Obrazovni Trudniceunclassified

“…Prekid željene trudnoće u slučaju dijagnostikovanih anomalija fetusa je važan životni događaj koji može imati dugoročne psihološke posledice za ženu i njenu porodicu (Korenromp et al, 2007b). Postoje dokazi da je osećanje tuge kod žena koje se odluče na taj čin slično onom koje doživljavaju žene nakon spontanog gubitka nerođene bebe (Salvesen et al, 1997).…”

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Parents' dilemmas and decision making on the outcome of pregnancy after prenatal diagnoses of fetal anomalies

Cvijetić¹

2016

Psihol istra

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Dileme roditelja i donošenje odluke o ishodu trudnoće nakon prenatalno dijagnostikovanih anomalija fetusa Marija Cvijetić 1Osnovna škola "6. oktobar" Kikinda Tokom poslednjih decenija značajno su unapređene prenatalne skrining i dijagnostičke metode, te se povećao broj anomalija fetusa koje se mogu detektovati u svim stadijumima trudnoće. Utvrđivanje prisustva određenih oboljenja, hromozomskih poremećaja ili strukturalnih anomalija fetusa dovodi buduće roditelje u situaciju odlučivanja o nastavku ili prekidu trudnoće. Cilj rada je da se pregledom dostupne literature prikaže složenost procesa odlučivanja budućih roditelja o ishodu trudnoće u situaciji prenatalnog dijagnostikovanja anomalija fetusa, kao i faktori koji utiču na prirodu konačne odluke. Rezultati studija pokazuju da mnoštvo spoljašnjih i unutrašnjih činilaca ima uticaj na prirodu ove odluke. Neki od najistaknutijih unutrašnjih faktora odnose se na karakteristike same trudnice (starost, gestaciono doba) i prirodu anomalije (tip i ozbiljnost dijagnoze i prognoze). Uticaj spoljašnjih činilaca utvrđen je kako na užem socijalnom (interpersonalnom) planu (partner, porodica, savetovanje od strane struč-njaka), tako i na nivou šireg društvenog sistema (zakonodavstvo, dominantna religija, kulturološke vrednosti). Konačna odluka o abortusu uglavnom predstavlja rezultat analize i interakcije više činilaca. Imajući u vidu da čitav proces, od saopštavanja dijagnoze do donošenja odluke, može biti veoma kompleksan, snažno emocionalno obojen, pod uticajem mnoštva faktora i imati kasniji uticaj na mentalno zdravlje žena i njihovih partnera, potrebno je obezbediti mehanizme što adekvatnijeg informisanja i obezbeđivanja podrške za buduće roditelje u ovom periodu.Ključne reči: abortus, donošenje odluke, faktori, anomalije fetusa, savetovanje UvodPrvi namerni prekidi trudnoće zbog hromozomskih poremećaja ploda datiraju iz kasnih 60-ih godina 20. veka. U početku je prenatalna dijagnostika bila dostupna malom broju žena kod kojih je postojao visok rizik da nose 1 cvijetic_marija@yahoo.com

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“…Bradshaw und Kollegen gehen nach Evaluation aktueller Literatur davon aus, dass 40-45 % vor dem Abbruch relevante Angstsymptome erleben, etwa 20 % eine depressive Symptomatik. Auch noch einen Monat nach Abbruch haben 30 % der Frauen relevante emotionale Schwierigkeiten, wobei Angst (Bradshaw u. Slade, 2003) und insbesondere posttraumatische Symptome wie kognitiv-emotionale Vermeidung des Verlustes auch noch nach Monaten im Vordergrund stehen (Broen et al, 2005;Korenromp et al, 2007) -sowohl bei Frauen als auch in bedeutsamem Ausmaß bei den Partnern. Als Risikofaktoren für anhaltende psychische Belastung nach Schwangerschaftsabbruch werden psychiatrische Vorerkrankungen, geringe partnerschaftliche Unterstützung, geringer Bildungsstand (Korenromp et al, 2005), Mangel an Selbstwert und Schwierigkeiten, Gefühle auszudrücken (Schütt et al, 2001) sowie hohe Unsicherheit bei der Entscheidungsfindung (Korenromp et al, 2007) …”

Section: Emotionale Präsenz Der Vorherigen Schwangerschaftunclassified

Erleben einer erneuten Schwangerschaft nach vorhergehendem Schwangerschaftsabbruch bei pathologischem PND-Befund - Alles vergessen und ein neuer Anfang?

Wollenschein

Gustke

Woopen

et al. 2007

Praxis der Kinderpsychologie und Kinderpsychiatrie

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Erleben einer erneuten Schwangerschaft nach vorhergehendem Schwangerschaftsabbruch bei pathologischem PND-Befund -Alles vergessen und ein neuer Anfang?Praxis der Kinderpsychologie und Kinderpsychiatrie 56 (2007) Summary A subsequent pregnancy after a termination of pregnancy because of fetal anomaly -all forgotten and a new beginning?There is a lack of profound research on the experiences of a new pregnancy following a subsequent late termination of pregnancy (TOP). Results from late pregnancy losses indicate that women do grieve even during a new pregnancy and therefore the process of bonding can be affected. 56 women were investigated within the project "psychosocial counselling in the context of prenatal diagnosis", which recruited 512 patients. Results on the experience of a new pregnancy after late TOP will be presented. In general women experienced a normal level of bereavement 2 years after TOP (PGS), but 11-21 % showed significant symptoms of distress (BSI). 50 % were aware of the terminated pregnancy furthermore and they felt an emotional distance to their unborn child. This is remarkable because most subsequent pregnancies were planned and desired. Many patients showed feelings of fear, worries and uncertainties. Time since TOP and new conception was not predictive of feelings during pregnancy. If a pregnant woman had a TOP because of fetal anomaly in the preceding pregnancy this should be taken into account during medical care. If symptoms of distress are persisting there is an indication for additional care. The intention is to release the patient and to support a sound relationship between mother and child.Prax. Kinderpsychol. Kinderpsychiat. 56/2007, 741-757

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A prospective study on parental coping 4 months after termination of pregnancy for fetal anomalies

Abstract: Termination of pregnancy (TOP) for fetal anomaly affects parents deeply. Four months after termination a considerable part still suffers from posttraumatic stress symptoms and depressive feelings. Patients who are at high risk could benefit from intensified support.

Cited by 102 publications

References 22 publications

Termination of pregnancy for fetal abnormality: a meta-ethnography of women’s experiences

Termination of pregnancy for fetal abnormality: a meta-ethnography of women’s experiences

Parents' dilemmas and decision making on the outcome of pregnancy after prenatal diagnoses of fetal anomalies

Erleben einer erneuten Schwangerschaft nach vorhergehendem Schwangerschaftsabbruch bei pathologischem PND-Befund - Alles vergessen und ein neuer Anfang?

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