Psychologische Aspekte der Ultraschalluntersuchung während der Schwangerschaft

Schönholzer, S.M.; Götzmann, Lutz; Zimmermann, R.; Buddeberg, Claus

doi:10.1159/000053012

Cited by 8 publications

(3 citation statements)

References 27 publications

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“…High levels of anxiety and psychological distress have been documented in pregnant women for whom a foetal malformation is suspected [5]–[8], diagnosed [8], [9], or when prenatal diagnosis appears ambiguous [9]. The finding of a SM is also associated with psychological distress and anxiety [10].…”

Section: Introductionmentioning

confidence: 99%

Prenatal Ultrasound Screening: False Positive Soft Markers May Alter Maternal Representations and Mother-Infant Interaction

et al. 2012

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BackgroundIn up to 5% of pregnancies, ultrasound screening detects a “soft marker” (SM) that places the foetus at risk for a severe abnormality. In most cases, prenatal diagnostic work-up rules out a severe defect. We aimed to study the effects of false positive SM on maternal emotional status, maternal representations of the infant, and mother-infant interaction.Methodology and Principal FindingsUtilizing an extreme-case prospective case control design, we selected from a group of 244 women undergoing ultrasound, 19 pregnant women whose foetus had a positive SM screening and a reassuring diagnostic work up, and 19 controls without SM matched for age and education. In the third trimester of pregnancy, within one week after delivery, and 2 months postpartum, we assessed anxiety, depression, and maternal representations. Mother-infant interactions were videotaped during feeding within one week after delivery and again at 2 months postpartum and coded blindly using the Coding Interactive Behavior (CIB) scales. Anxiety and depression scores were significantly higher at all assessment points in the SM group. Maternal representations were also different between SM and control groups at all study time. Perturbations to early mother-infant interactions were observed in the SM group. These dyads showed greater dysregulation, lower maternal sensitivity, higher maternal intrusive behaviour and higher infant avoidance. Multivariate analysis showed that maternal representation and depression at third trimester predicted mother-infant interaction.ConclusionFalse positive ultrasound screenings for SM are not benign and negatively affect the developing maternal-infant attachment. Medical efforts should be directed to minimize as much as possible such false diagnoses, and to limit their psychological adverse consequences.

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Section: Introductionmentioning

confidence: 99%

Prenatal Ultrasound Screening: False Positive Soft Markers May Alter Maternal Representations and Mother-Infant Interaction

et al. 2012

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“…Ziel der Studie war es einerseits, die grundsätzliche Einstellung der Zielgruppe zur pränatalen Diagnostik zu erheben, andererseits zu evaluieren, wie gut der Informations-und Wissensstand im Anschluss an die Beratung ist. Aufgrund von Erkenntnissen aus der Literatur [5,6,16] zum Informations-und Wissenstand Summenscores berechnet und wiederum auf Unterschiede zwischen den oben genannten Gruppen geprüft. Die Signifikanzprüfung erfolgte hier mittels dem Student-t-Test.…”

Section: Fragestellung/zielsetzungunclassified

Wie beurteilen Schwangere die pränatale Beratung und was wissen sie im Anschluss daran?

Tschudin

Holzgreve²,

Conde³

et al. 2008

Ultraschall in Med

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Pregnant women are relatively well informed about prenatal tests. Their actual knowledge of the meaning of the tests, however, seems to be incomplete. Especially in the case of immigrants and women without previous experience with PND, it is therefore doubtful whether the preconditions for an informed consent are met. Further research needs to focus on more helpful information and individually adapted counseling concepts for decision making in PND.

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“…Auch andere Autoren berichten von einer positiveren Einstellung gegenüber der Schwangerschaft und dem Fetus durch Sichtbarmachen des ungeborenen Kindes im Ultraschall [14,17]. Insgesamt scheint die Ultraschalluntersuchung einen bindenden Einfluss auf die Mutter-Fetus-Beziehung zu haben [34]. Darüber hinaus gibt es wissenschaftliche Hinweise darauf, dass sie sich positiv auf die Compliance hinsichtlich medizinischer Empfehlungen und Gesundheitsverhalten (z.…”

Section: Originalarbeit 43unclassified