Psychological effects of fetal diagnoses of non‐lethal congenital anomalies on the experience of pregnant women during the remainder of their pregnancy

Titapant, Vitaya; Chuenwattana, Prakong

doi:10.1111/jog.12504

Cited by 23 publications

(33 citation statements)

References 17 publications

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“…[18, 19] This hypothesis is supported by a study by Titapant and Chuenwattana [3] who showed a general decrease in anxiety levels over pregnancy, with an increase at 37 weeks gestation. To our knowledge, this is the only longitudinal study of distress in pregnancies with a prenatally diagnosed fetal anomaly.…”

Section: Discussionmentioning

confidence: 71%

“…[3] The Thai study used the Spielberger State Anxiety Inventory, which focuses temporary and situational anxiety, to assess anxiety during pregnancy. The present study used three different questionnaires, one covering two weeks (GHQ), the two others (IES and EPDS) the previous week to the assessment.…”

Section: Discussionmentioning

confidence: 99%

“…In a study from Thailand among women carrying a fetus with an anomaly, only levels of anxiety were assessed. [3] High levels of anxiety, as measured by Spielberger’s State Anxiety Inventory, were present in the second trimester, then transiently decreased and finally increased in the last month before term (37 weeks). Nes et al [4] conducted a population-based epidemiological study but restricted their report to Down syndrome and cleft lip and/or palate.…”

Section: Introductionmentioning

confidence: 99%

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Maternal psychological responses during pregnancy after ultrasonographic detection of structural fetal anomalies: A prospective longitudinal observational study

et al. 2017

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In this longitudinal prospective observational study performed at a tertiary perinatal referral centre, we aimed to assess maternal distress in pregnancy in women with ultrasound findings of fetal anomaly and compare this with distress in pregnant women with normal ultrasound findings. Pregnant women with a structural fetal anomaly (n = 48) and normal ultrasound (n = 105) were included. We administered self-report questionnaires (General Health Questionnaire-28, Impact of Event Scale-22 [IES], and Edinburgh Postnatal Depression Scale) a few days following ultrasound detection of a fetal anomaly or a normal ultrasound (T1), 3 weeks post-ultrasound (T2), and at 30 (T3) and 36 weeks gestation (T4). Social dysfunction, health perception, and psychological distress (intrusion, avoidance, arousal, anxiety, and depression) were the main outcome measures. The median gestational age at T1 was 20 and 19 weeks in the group with and without fetal anomaly, respectively. In the fetal anomaly group, all psychological distress scores were highest at T1. In the group with a normal scan, distress scores were stable throughout pregnancy. At all assessments, the fetal anomaly group scored significantly higher (especially on depression-related questions) compared to the normal scan group, except on the IES Intrusion and Arousal subscales at T4, although with large individual differences. In conclusion, women with a known fetal anomaly initially had high stress scores, which gradually decreased, resembling those in women with a normal pregnancy. Psychological stress levels were stable and low during the latter half of gestation in women with a normal pregnancy.

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Section: Discussionmentioning

confidence: 71%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Maternal psychological responses during pregnancy after ultrasonographic detection of structural fetal anomalies: A prospective longitudinal observational study

et al. 2017

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“…A study presented mean scores of the STAI-State of mothers at 52.40 (SD = 9.08) in the first visit, 45.60 (SD = 8.40) in the second, 44.00 (SD = 7.55) in the third, and 38.00 (SD = 5.90) in the fourth visit, that is, the mothers’ anxiety in the first visit presented the highest mean score, since they did not know whether the child would be diagnosed with anomalies 25 . …”

Section: Discussionmentioning

confidence: 99%

Anxiety of mothers of newborns with congenital malformations in the pre- and postnatal periods

Fontoura¹,

Cardoso

Rodrigues

et al. 2018

Rev. Latino-Am. Enfermagem

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Objective:to analyze the anxiety level of the mothers of newborns with congenital malformations who were diagnosed in prenatal and postnatal care. Methods:a cross-sectional study with 115 mothers of 117 newborns with congenital malformation admitted to three neonatal units. A questionnaire containing maternal and neonatal variables was used, as well as the Trait-State Anxiety Inventory. Data were analyzed by Student’s t-test and Kolmogorov-Sminorv test. The anxiety level was categorized as low (percentile <25), moderate (25-75) and high (> 75), with a significance level of 5%. Results:most mothers had moderate levels of anxiety. Regarding the diagnosis of the malformation, 57% received the news in the prenatal and 43% in the postnatal period. The anxiety level of those who received the prenatal diagnosis was lower than those who received in the postnatal period, evaluated by the Trait Anxiety Inventory (p = 0.026). Conclusion:mothers of newborns with malformations presented moderate anxiety, and this was higher when the diagnosis was given in the postnatal period. The use of the Trait-State Anxiety Inventory can provide guidance to other studies and to clinical practice.

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“…Independente da gravidade da doença, o diagnóstico de malformação fetal impacta a gestante e seus familiares, sendo recorrente alterações emocionais como ansiedade e preocupações 5,6,7,8 . Dentre os possíveis impactos e sentimentos gerados pela presença de malformação fetal, Andrade 9 descreve sentimento de tristeza, sofrimento pela possibilidade da perda do filho, sensação de culpa pela malformação, preocupação com a possibilidade do filho sofrer e com a reação de outros filhos diante da descoberta da malformação fetal de alta mortalidade.…”

Section: Introdução E Históriaunclassified

Cuidados paliativos em medicina fetal

Bolibio

Jesus

Oliveira

et al. 2018

Rev. Med. (São Paulo)

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RESUMO:Malformações fetais acometem cerca de 3% das gestações, e a possibilidade desse diagnóstico é uma das principais preocupações vivenciadas pelos pais e familiares. Quando é diagnosticado uma malformação que implique em possível mortalidade da criança, é necessário o planejamento do seguimento da gestação, o que abrange diversos aspectos que incluem avaliação minuciosa do prognóstico, organização do cuidado após o parto, e seguimento da família de forma abrangente e integrada. Recentemente os conceitos de cuidados paliativos foram introduzidos na perinatologia com essa finalidade, e o presente artigo tem como objetivo discutir o modelo de cuidado paliativo aplicado no atendimento a gestantes e familiares de fetos com malformação.Descritores: Cuidados paliativos; Feto/anormalidades; Perinatologia.ABSTRACT: Fetal malformations affect approximately 3% of pregnancies, and the possibility of this diagnosis is one of the main concerns of parents and family members. When a malformation that implies potential mortality for the child is diagnosed, the pregnancy's follow-up needs to be planned, including diverse aspects such as thorough evaluation of the prognosis, organization of post-partum care, and follow-up with the family in a broad and integrated manner. Recently, palliative care concepts have been introduced into perinatology for this purpose. This article discusses the application of the palliative care model to the care of pregnant women and family members of fetuses with malformations.

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Psychological effects of fetal diagnoses of non‐lethal congenital anomalies on the experience of pregnant women during the remainder of their pregnancy

Cited by 23 publications

References 17 publications

Maternal psychological responses during pregnancy after ultrasonographic detection of structural fetal anomalies: A prospective longitudinal observational study

Maternal psychological responses during pregnancy after ultrasonographic detection of structural fetal anomalies: A prospective longitudinal observational study

Anxiety of mothers of newborns with congenital malformations in the pre- and postnatal periods

Cuidados paliativos em medicina fetal

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