Long‐term psychological consequences of pregnancy termination for fetal abnormality: a cross‐sectional study

Korenromp, Marijke J.; Christiaens, G. C. M. L.; Bout, Jan van den; Mulder, E.J.H.; Hunfeld, J. A. M.; Bilardo, C. M.; Offermans, J.; Visser, Gerard H.A.

doi:10.1002/pd.1127

Cited by 164 publications

(136 citation statements)

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“…This enables early reassurance for most women. Where anomalies are present it allows time for additional investigations, counseling and, if appropriate, for an 'unrushed' decision on termination of pregnancy (TOP) at an earlier stage where emotional impact may be less (Korenromp et al, 2005), although this is debated (Statham et al, 2000). Some authors have proposed that, in fetuses with enlarged NT and obvious structural anomalies, TOP may be offered directly, saving the costs of karyotyping (Bronshtein et al, 2008;Weiner et al, 2008).…”

Section: Management Of Euploid Fetuses With Increased Ntmentioning

confidence: 99%

Increased nuchal translucency in euploid fetuses—what should we be telling the parents?

et al. 2010

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Nuchal translucency (NT) measurement between 11 and 14 weeks' gestation is an undisputed marker for aneuploidies. When conventional karyotyping is normal, enlarged NT is a strong marker for adverse pregnancy outcome, associated with miscarriage, intrauterine death, congenital heart defects, and numerous other structural defects and genetic syndromes. The risk of adverse outcome is proportional to the degree of NT enlargement. Although the majority of structural anomalies are amenable to ultrasound detection, unspecified genetic syndromes involving developmental delay may only emerge after birth. Concern over these prenatally undetectable conditions is a heavy burden for parents. However, following detection of enlarged NT the majority of babies with normal detailed ultrasound examination and echocardiography will have an uneventful outcome with no increased risk for developmental delay when compared to the general population. Counseling should emphasize this to help parents restore hope in normal pregnancy outcome and infant development. Copyright © 2010 John Wiley & Sons, Ltd.

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Section: Management Of Euploid Fetuses With Increased Ntmentioning

confidence: 99%

Increased nuchal translucency in euploid fetuses—what should we be telling the parents?

et al. 2010

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“…Ovakvi rezultati značajni su u svetlu nalaza da je kod žena koji sumnjaju u adekvatnost svog nekadašnjeg izbora utvrđen značajno viši nivo posttraumatskog stresa, u odnosu na žene koje su uverene u ispravnost svoje odluke. Navedeni podaci ukazuju na važnost adekvatne psihološke podrš-ke stručnjaka tokom procesa odlučivanja kako bi se izbegle ishitrene odluke (Korenromp et al, 2005).…”

Section: Dileme U Procesu Odlučivanja O Nastavku/prekidu Trudnoćeunclassified

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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“…kaum/gar nicht. Korenromp et al (2005). Vandenhoeck&Ruprecht (2007) In der hier vorgestellten Untersuchung weisen Frauen nach Schwangerschaftsabbruch und darauf folgender neuer Schwangerschaft durchschnittlich unauffällige Trauerwerte auf.…”

Section: Emotionale Präsenz Der Vorherigen Schwangerschaftunclassified

“…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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Long‐term psychological consequences of pregnancy termination for fetal abnormality: a cross‐sectional study

Abstract: Termination of pregnancy for fetal anomaly is associated with long-lasting consequences for a substantial number of women. Clinically relevant determinants are gestational age, perceived partner support, and educational level.

Cited by 164 publications

References 26 publications

Increased nuchal translucency in euploid fetuses—what should we be telling the parents?

Increased nuchal translucency in euploid fetuses—what should we be telling the parents?

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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