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, E.J.H.; Visser, Gerard H.A.

doi:10.1016/j.ajog.2009.04.007

Cited by 108 publications

(92 citation statements)

References 22 publications

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“…Considering that we conducted the study in the early weeks after stillbirth, and symptoms were severe, it seems that grief symptoms severity decreased over time even without intervention, but the reduction in severity was greater or faster because of receiving psychological counseling. This finding is consistent with those of previous studies (4,(18)(19)(20) that concluded symptoms of depression, grief, and stress in mothers may reduce over time, but will not disappear entirely without intervention.…”

Section: Discussionsupporting

confidence: 93%

Impact of Cognitive Behavioral-Based Counseling on Grief Symptoms Severity in Mothers After Stillbirth

Navidian

Saravani

2018

Iran J Psychiatry Behav Sci

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Background: An active intervention is necessary for the care and support of women who have experienced stillbirth. Objectives: The aim of the present study was to determine the impact of psychological counseling on the severity of grief symptoms in mothers after stillbirth. Methods: We conducted a semi-experimental study on 100 women who had experienced stillbirth in their most recent delivery in a Central Maternity Hospital affiliated to the University of Medical Sciences, Zahedan, Iran. Participants were randomly assigned to two groups: intervention (n = 50) and control (n = 50). The intervention group received four sessions of small-group psychological counseling over 2 weeks and the control group received the routine postnatal care. We evaluated the severity of grief symptoms in both the groups before the first counseling session as well as at the end of the fourth week following the final session (and at equivalent times in the control group) using the Perinatal Grief Scale. Data were analyzed using independent and paired t-tests, chi-square test, and analysis of covariance. Results: The mean total grief symptom score and three subscale scores (active grief, difficulty coping, and despair) were significantly lower in the participants who received psychological counseling than in those who received the routine care (P < 0.05). Conclusions: Counseling significantly reduces grief symptoms, allowing for faster transition from grieving and preventing complicated grief. It is, therefore, necessary to integrate psychological interventions into the care system for mothers.

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Section: Discussionsupporting

confidence: 93%

Impact of Cognitive Behavioral-Based Counseling on Grief Symptoms Severity in Mothers After Stillbirth

Navidian

Saravani

2018

Iran J Psychiatry Behav Sci

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“…This bias has been observed in other studies. 4,8 Nevertheless in the USA, this profile may accurately reflect the population who undergo these terminations, given that by law, states are not required to cover "elective" abortion. This results in many women relying on private insurance providers to cover the cost of the termination.…”

Section: Limitationsmentioning

confidence: 99%

“…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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“…Several studies report that overall psychological distress may not decrease in the first few years after the event while others imply that the psychological distress does decrease within this time frame (Salveson et al, 1997;Kersting et al, 2005;. In a longitudinal study by Korenromp et al (2009) that started at four months following the termination procedure, it was determined that poor psychological response at that initial timepoint was the most important predictor of the long-term outcome. Additional risk factors contributing to the likelihood and duration of these consequences include quality of partner support, doubt of the diagnosis/severity of the condition, religious ties, maternal age and level of education (Korenromp et al, 1992;Kersting et al, 2012).…”

Section: Introductionmentioning

confidence: 99%

Support Desired by Women Following Termination of Pregnancy for a Fetal Anomaly

Ramdaney

Hashmi²,

Monga

et al. 2015

Journal of Genetic Counseling

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With the rapidly evolving field of prenatal testing, there is a growing need to provide support for women pursuing termination of pregnancy following the discovery of a fetal anomaly. Previous studies have documented that women in this situation often feel unsupported, but the type of resources desired by this population remains undetermined. We studied the awareness and utilization of support resources in 51 women at the time of the procedure, at 6 weeks, and at 3 months following the event. Though largely knowledgeable of existing resources at the time of the procedure, only 50 % admitted contemplating their individualized need for support. Most expected to rely on the support of family and friends. Additionally, 50 % expressed the desire to commemorate the pregnancy, though none wanted direct contact with their healthcare provider(s). Responses from the 6 weeks and 3 months assessments were consistent with previous literature as many women indicated not coping as expected and were unprepared for the psychological consequences following the procedure. Our findings indicate that women in these situations may not realize what their long‐term support needs will be. They further indicate that guidelines for routine follow‐up care should be established among healthcare providers that respect this population's initial desires to avoid reminders of the pregnancy and promote a flexible timeframe for support uptake. Additional support resources that promote flexible uptake as well as meet the desires of anonymity and ease of access need to be developed for this population.

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Adjustment to termination of pregnancy for fetal anomaly: a longitudinal study in women at 4, 8, and 16 months

Cited by 108 publications

References 22 publications

Impact of Cognitive Behavioral-Based Counseling on Grief Symptoms Severity in Mothers After Stillbirth

Impact of Cognitive Behavioral-Based Counseling on Grief Symptoms Severity in Mothers After Stillbirth

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

Support Desired by Women Following Termination of Pregnancy for a Fetal Anomaly

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