Effectiveness of medical self‐experience counseling in pregnant women after echocardiographic detection of a suspected fetal heart anomaly: A longitudinal study

Zhu, Mei; Liang, Hao; Feng, Jiaxuan; Wang, Zhengjun; Wang, Wei; Zhou, Yanhui

doi:10.1111/jog.13050

Cited by 6 publications

(3 citation statements)

References 34 publications

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“…As in our previous study [21], women pregnant with fetuses suspected to have CoA presented heightened levels of anxiety and depression compared with women pregnant with fetuses having serious heart disease. Our model can provide more effective counseling for pregnant women who are shocked and scared, thereby helping them be better prepared for their delivery.…”

Section: Individual Indices Modeling and Validationsupporting

confidence: 73%

A clinical prediction model to estimate the risk for coarctation of the aorta: From fetal to newborn life

Wang

Zhu

Liang

et al. 2022

J of Obstet and Gynaecol

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Purpose: This study aimed to develop a coarctation probability model incorporating prenatal cardiac sonographic markers to estimate the probability of an antenatal diagnosis of coarctation of the aorta (CoA).Methods: We reviewed 89 fetuses as a"investigation" cohort with prenatal suspicion for CoA and allotted to three ssubgroups:(1) severe CoA: symptoms onset of CoA and surgery within the rst three months (15);(2) mild CoA: surgery within four months-one year (29); (3) false-positive CoA: this outcome does not require surgery (45). Using logistic regression to creat the multi-parametric model, and validated using a "validation" cohort of 86 fetuses with suspected CoA subsequently.Results: The prediction model had optimal criterion >0.25 with sensitivity 97.7% and speci city 59.1%, the area under the receiver operator curve is 0.8 which makes sense in diagnosis of CoA and risk strati cation. The risk assessment demonstrated that fetuses with model probability>60% should make an inpatient observation for high risk of CoA whereas <15% should not undergo clinical follow-up imaging.Conclusion: Based on these results, we recommend measuring the model in all fetuses with suspected CoA may improve the accuracy of risk assessment. The objectivity of its parameters may allow its implementation working in multicenter studies of fetal cardiology.

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Section: Individual Indices Modeling and Validationsupporting

confidence: 73%

A clinical prediction model to estimate the risk for coarctation of the aorta: From fetal to newborn life

Wang

Zhu

Liang

et al. 2022

J of Obstet and Gynaecol

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“…Studies show that family members who receive information about a fetal anomaly immediately have less understanding of the information and an inability to manage their feelings 11 and show more anxiety and depression compared to family members who receive the postnatal diagnosis 12 . These characteristics emphasize the importance of family counseling from the detection of the first sign of alteration in the fetus, and it is also very important to consider the self-medication experience for the relief of anxiety and stress of these mothers 12 , giving more time for family members to understand about heart disease and the necessary neonatal care. Some reports show an improvement in the bond between the pregnant woman and her partner, and between the parents and the child, with the awareness of their cardiological condition 13 .…”

Section: Importance Of Family Counselingmentioning

confidence: 99%

What is important in family counseling in cases of fetuses with congenital heart disease?

Dias,

Tuda,

Carvalho

et al. 2023

Rev. Assoc. Med. Bras.

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“…The minimum score obtainable is 0, while the maximum is 63. The cutoff for depression is 20 [13]. The scoring of BDI II is as follows: 1 -10 = normal; 11 -20 = mild mood disturbances; 20 -25 = borderline clinical depression; 25 -30 = moderate depression; 31-40 = severe depression, and > 40 = extreme depression [14].…”

Section: Beck's Depression Inventory IImentioning

confidence: 99%

Relationship between adherence to anti-diabetic medication and depression among patients with diabetes mellitus in three selected Chinese hospitals

Luo¹,

Yin²,

Li³

et al. 2021

Trop. J. Pharm Res

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Purpose: To determine the relationship between adherence to anti-diabetic medication and depression among patients with diabetes mellitus in three hospitals in Chinese.Methods: This research utilized a quantitative and descriptive design, and included 200 diabetic patients who fulfilled the inclusion criteria for recruitment through a convenient sampling technique. The study applied Beck’s depression inventory II scale for assessment of depression, and a questionnaire for adherence to anti-diabetic medication.Results: A total of 64 (32 %) participants had diabetes for 6 to 10 years. There was a high level of adherence to anti-diabetic medication in 96 patients (48 %); 74 participants (37 %) had moderate adherence to anti-diabetic medication, while 30 patients (15 %) had low adherence. A majority of the patients (181, 90.5 %) had no depression. Six (6) patients (3 %) had mild mood disturbance, 2 patients (1 %) had borderline clinical depression, while 11patients (5.5 %) experienced moderate depression.Adherence to anti-diabetic medication was not associated with depression (p = 0.068). However, depression was associated with age ˃ 50 years (p = 0.041), female sex (p = 0.043), long duration of illness (> 5-years) (p = 0.048), and presence of one or more comorbidities (p = 0.049).Conclusion: There was no association between adherence to anti-diabetic medication and depression among diabetic patients. Keywords: Adherence to anti-diabetic medication, Beck’s depression inventory II, Depression, Diabetes mellitus

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Effectiveness of medical self‐experience counseling in pregnant women after echocardiographic detection of a suspected fetal heart anomaly: A longitudinal study

Cited by 6 publications

References 34 publications

A clinical prediction model to estimate the risk for coarctation of the aorta: From fetal to newborn life

A clinical prediction model to estimate the risk for coarctation of the aorta: From fetal to newborn life

What is important in family counseling in cases of fetuses with congenital heart disease?

Relationship between adherence to anti-diabetic medication and depression among patients with diabetes mellitus in three selected Chinese hospitals

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