Adjustment to Termination of Pregnancy for Fetal Anomaly: A Longitudinal Study in Women at 4, 8, and 16 Months

Korenromp, Marijke J.; Page-Christiaens, G. C. M. L.; Bout, Jan van den; Mulder, Eduard J. H.; Visser, Gerard H.A.

doi:10.1097/01.aoa.0000370516.46727.f7

Cited by 20 publications

(26 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…If termination of pregnancy is chosen, this can occur without time constraint and with less psychological and medical sequelae than at a later stage [25,26]. This is also the main reason for women to prefer early screening [27].…”

Section: Discussionmentioning

confidence: 99%

Early Detection of Structural Anomalies in a Primary Care Setting in the Netherlands

Bardi

Smith²,

Kuilman³

et al. 2018

Fetal Diagn Ther

View full text Add to dashboard Cite

Objective: This study assessed the percentage and type of congenital anomalies diagnosed at first-trimester ultrasound (US) scan in a primary care setting without following a standardized protocol for fetal anatomical assessment. Materials and Methods: US scans performed between 11⁺⁰ and 13⁺⁶ weeks of gestation in pregnancies with estimated date of delivery between January 1, 2012 and January 1, 2016 were searched. Data were supplemented with results of 20-week scans and pregnancy outcome. Results: Of all scans, 38.6% were dating scans and 61.4% were part of first-trimester screening. Anomalies were diagnosed prenatally in 200 (1.8%) fetuses; 81 (0.7%) were chromosomal and 119 (1.1%) were structural. Of all prenatally detected anomalies, 27% (n = 32) were detected at first-trimester scan, with a false-positive rate of 0.04%. All cases of anencephaly (n = 4), encephalocele (n = 2), exomphalos (n = 9), megacystis (n = 4), and limb reduction (n = 1) were diagnosed. First-trimester detection of gastroschisis and congenital heart defects was 67 and 19%, respectively. Conclusion: In a primary care setting, global fetal anatomical assessment at first-trimester scan without following a standardized protocol detects about 30% of all structural anomalies and most of the severe anomalies, with an extremely low false-positive rate. We hypothesize that additional training and use of a systematic protocol would improve early detection of structural anomalies.

show abstract

Section: Discussionmentioning

confidence: 99%

Early Detection of Structural Anomalies in a Primary Care Setting in the Netherlands

Bardi

Smith²,

Kuilman³

et al. 2018

Fetal Diagn Ther

View full text Add to dashboard Cite

show abstract

“…Perinatal ölüm veya ciddi handikapa neden olabilecek anomaliler nedeniyle uygulanan geç gebelik terminasyonunun, aile ve kısmen sağlık personelinde olumsuz psikolojik etkileri mevcuttur ve bu etkiler ilerleyen gebelik haftası ile artmaktadır (10) . Bu nedenle geç terminasyon endikasyonları hakkında yapılan incelemeler daha erken dönemde tanı konulması ve terminasyon uygulanması konusunda yol gösterici olabilir.…”

Section: Discussionunclassified

Late termination of pregnancy due to fetal abnormalities: An analysis of 229 cases

Tayyar¹,

Açar²,

Turhan³

et al. 2017

IKSST

View full text Add to dashboard Cite

show abstract

“…Assumption of this role subsequently reinforces their sense of exclusion (Locock, Alexander 2006). Yet previous studies have found evidence that the grieving process following termination in particular is dependent on the perceived support of a partner (Black 1989, Statham et al 1999, Korenromp et al 2009), thus highlighting the importance of informing and caring for men in their own right, and in order that they can be supportive to their partner (Statham et al 2001). The differing needs and coping mechanisms employed by men and women have been highlighted as significant factors in the way parents manage their grief (Mourik et al 1992), with a major contributor to relationship problems being lack of synchrony in the grieving process (Robson 2002) and poor communication (Mourik et al 1992).…”

Section: Discussionmentioning

confidence: 99%

Care provision during termination of pregnancy following diagnosis of a severe congenital anomaly – A qualitative study of what is important to parents

2016

View full text Add to dashboard Cite

Women referred to four fetal medicine centres across two hospital trusts. Analysis: Data analysis was based on the constant comparative approach. Findings: The over-arching theme emerging from the data was that of 'falling through the gap', where the care received did not adequately meet the needs of women and their partners. This was particularly salient at three specific points in the care pathway: enacting the decision to have a termination of pregnancy and subsequent initiation of the process; care during labour and birth, where parents describe being caught in 'no-man's land' between the antenatal and postnatal settings; and post-birth, where parents made sense of and came to terms with their decision. Conclusions: The diagnosis of a severe congenital anomaly and the subsequent pathway that parents face is a traumatic event. Responsibility for the decision to terminate the pregnancy intensifies emotions and adds to the complexity of caring for this group. These findings point to the need for a specific care pathway for parents undergoing this difficult experience.Recommendations include the need for a greater understanding of the views of midwives caring for these parents, review of specific training needs, and examination of processes to better support both parents.

show abstract

Adjustment to Termination of Pregnancy for Fetal Anomaly: A Longitudinal Study in Women at 4, 8, and 16 Months

Cited by 20 publications

References 0 publications

Early Detection of Structural Anomalies in a Primary Care Setting in the Netherlands

Early Detection of Structural Anomalies in a Primary Care Setting in the Netherlands

Late termination of pregnancy due to fetal abnormalities: An analysis of 229 cases

Care provision during termination of pregnancy following diagnosis of a severe congenital anomaly – A qualitative study of what is important to parents

Contact Info

Product

Resources

About