Psychological effects of prenatal diagnosis: The example of fetal echocardiography

Tk, Barton; Harris, R.; Weinman, John; Allan, Lindsey D.; Crawford, Douglas L.

doi:10.1007/bf02686635

Cited by 10 publications

(3 citation statements)

References 20 publications

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“…Women need to know what to expect during the scan itself, although few women now would expect the scan to be painful (37,41). In Barton et al's study of women referred for fetal echocardiography because of concerns or risk factors, some women found the long silent period at the start of the scan very unsettling, and the authors recommended that women be told that this does not mean that an anomaly has been found (53). In other studies women have commented about the discomfort of a full bladder or uncomfortable couches (30,54).…”

Section: What Are Women's Views About How the Scan Is Performed?mentioning

confidence: 99%

Women's Views of Pregnancy Ultrasound: A Systematic Review

Garcia

Bricker

Henderson

et al. 2002

Birth

215

213

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Section: What Are Women's Views About How the Scan Is Performed?mentioning

confidence: 99%

Women's Views of Pregnancy Ultrasound: A Systematic Review

Garcia

Bricker

Henderson

et al. 2002

Birth

215

213

View full text Add to dashboard Cite

show abstract

“…Women need to know what to expect during the scan itself, although few women now would expect the scan to be painful. 106 Barton and colleagues 116 did a study of women referred for fetal echocardiography because of concerns or risk factors. Some women found the long silent period at the start of the scan very unsettling and the authors recommended that women be told that this does not mean that an anomaly has been found.…”

Section: What Are Women's Views About the Way In Which The Scan Is Pementioning

confidence: 99%

Ultrasound screening in pregnancy: a systematic review of the clinical effectiveness, cost-effectiveness and women's views.

Bricker¹,

Garcia²,

Henderson³

et al. 2000

Health Technology Assessment

174

170

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et al. Ultrasound screening in pregnancy: a systematic review of the clinical effectiveness, cost-effectiveness and women's views. Health Technol Assess 2000;4(16). Health Technology Assessment is indexed in Index Medicus/MEDLINE and Excerpta Medica/EMBASE. Copies of the Executive Summaries are available from the NCCHTA website (see overleaf). NHS R&D HTA Programme T he overall aim of the NHS R&D Health Technology Assessment (HTA) programme is to ensure that high-quality research information on the costs, effectiveness and broader impact of health technologies is produced in the most efficient way for those who use, manage and work in the NHS. Research is undertaken in those areas where the evidence will lead to the greatest benefits to patients, either through improved patient outcomes or the most efficient use of NHS resources. The Standing Group on Health Technology advises on national priorities for health technology assessment. Six advisory panels assist the Standing Group in identifying and prioritising projects. These priorities are then considered by the HTA Commissioning Board supported by the National Coordinating Centre for HTA (NCCHTA). This report is one of a series covering acute care, diagnostics and imaging, methodology, pharmaceuticals, population screening, and primary and community care. It was identified as a priority by the Population Screening Panel and funded as project number 93/30/03. The views expressed in this publication are those of the authors and not necessarily those of the Standing Group, the Commissioning Board, the Panel members or the Department of Health. The editors wish to emphasise that funding and publication of this research by the NHS should not be taken as implicit support for the recommendations for policy contained herein. In particular, policy options in the area of screening will be considered by the National Screening Committee. This Committee, chaired by the Chief Medical Officer, will take into account the views expressed here, further available evidence and other relevant considerations. Reviews in Health Technology Assessment are termed 'systematic' when the account of the search, appraisal and synthesis methods (to minimise biases and random errors) would, in theory, permit the replication of the review by others. Criteria for inclusion in the HTA monograph series Reports are published in the HTA monograph series if (1) they have resulted from work either prioritised by the Standing Group on Health Technology, or otherwise commissioned for the HTA Programme, and (2) they are of a sufficiently high scientific quality as assessed by the referees and editors.

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“…[10][11][12] Women who were prenatally diagnosed with other malformations were found to have mood and anxiety levels comparable to patients with a major depressive episode; 13 such levels of anxiety throughout the pregnancy may have a negative impact on the fetus. 14,15 Prenatal knowledge about a congenital anomaly was associated with increased family burden and increased parental grief 1 year after the child was born. 16 In contrast, other studies have found that mothers were emotionally better able to cope with an infant with severe heart disease or other congenital abnormalities when they had time to prepare themselves prenatally.…”

Section: Introductionmentioning

confidence: 99%

Psychological distress in parents of children with severe congenital heart disease: the impact of prenatal versus postnatal diagnosis

et al. 2007

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Objective: The purpose of the study was to evaluate coping and psychological functioning of parents of children prenatally or postnatally diagnosed with congenital heart disease.Study Design: Parents of 10 infants prenatally diagnosed by fetal echocardiogram and 7 infants postnatally diagnosed with severe congenital heart disease completed the Brief Symptom Inventory (BSI) at the time of diagnosis, at the time of birth and 6 months after birth. Prenatal and postnatal groups were compared to each other and to BSI norms.Result: Although both groups scored higher than test norms at the time of diagnosis, they did not differ significantly from each other. Six months after birth, the postnatal group scores did not differ from test norms, but the prenatal group scores were still significantly higher than test norms. The severity of the child's heart lesion at diagnosis was related to parental distress levels; parents with children with more severe lesions had higher BSI scores. Conclusion:Results suggest the need to provide parents with psychological support, regardless of the timing of diagnosis. Parents of children with more severe lesions may be at risk for higher levels of psychological distress, particularly over time.

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Psychological effects of prenatal diagnosis: The example of fetal echocardiography

Cited by 10 publications

References 20 publications

Women's Views of Pregnancy Ultrasound: A Systematic Review

Women's Views of Pregnancy Ultrasound: A Systematic Review

Ultrasound screening in pregnancy: a systematic review of the clinical effectiveness, cost-effectiveness and women's views.

Psychological distress in parents of children with severe congenital heart disease: the impact of prenatal versus postnatal diagnosis

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