Stress and anxiety associated with prenatal diagnosis

Kowalcek, I.

doi:10.1016/j.bpobgyn.2006.11.009

Cited by 34 publications

(29 citation statements)

References 12 publications

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“…It has been reported that during childbearing years women experienced an increased incidence of depression [24][25][26]. Additionally, it has been shown that prenatal diagnostic procedure can have a negative emotional impact on pregnant women [27][28][29]. The detection of a fetal anomaly generally determined an increase in psychosocial distress in both parents, and especially in women [30].…”

Section: Discussionmentioning

confidence: 96%

Psychological correlates of decision-making during prenatal diagnosis: a prospective study

Brondino¹,

Colombini²,

Morandotti³

et al. 2013

Journal of Psychosomatic Obstetrics & Gynecology

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Section: Discussionmentioning

confidence: 96%

Psychological correlates of decision-making during prenatal diagnosis: a prospective study

Brondino¹,

Colombini²,

Morandotti³

et al. 2013

Journal of Psychosomatic Obstetrics & Gynecology

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“…Prenatal diagnosis (PND), via amniocentesis or chorionic villous sampling (CVS), can be used to identify an affected fetus with a disease-causing mutation(s) or chromosomal abnormality [8]. However, PND has a risk of miscarriage; and if the fetus inherited the familial mutation, pregnancy termination is the only option to avoid having an affected child which can cause tremendous suffering or anguish for couples [8][9][10][11][12][13].…”

Section: Introductionmentioning

confidence: 99%

Knowledge, attitudes, and clinical experience of physicians regarding preimplantation genetic diagnosis for hereditary cancer predisposition syndromes

Brandt

Tschirgi²,

Ready

et al. 2010

Familial Cancer

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Approximately 5-10% of cancers are caused by an inherited predisposition. Individuals affected by hereditary cancer are often concerned about transmitting a predisposition to cancer to their children. Preimplantation genetic diagnosis (PGD) is a technology that allows embryos without a deleterious mutation associated with a hereditary cancer syndrome to be identified and implanted. The aim of this study is to assess the knowledge, attitudes, and clinical experience of physicians regarding PGD for hereditary cancer predisposition syndromes. Hereditary Breast and Ovarian Cancer (HBOC) and Familial Adenomatous Polyposis (FAP) are two hereditary cancer syndromes highlighted in this present study. A survey assessing physicians' attitudes, knowledge, and clinical practice was completed by a total of 373 gynecologic oncologists (GYN ONCs) and obstetrics and gynecologists (OB/GYNs). Physicians had a limited knowledge of PGD for hereditary cancer; however, physicians reported PGD was an appropriate option for patients with either HBOC or FAP. Although GYN ONCs were more likely to care for patients with hereditary cancer (P < 0.001), they were less likely than OB/GYNs to refer their patients to a PGD specialist (P = 0.004). While 80% of GYN ONCs and 91% of OB/GYNs would refer patients to a PGD specialist, clinical experience indicates that only 29% actually referred their patients. Since 68% of physicians had incorrect or limited knowledge of PGD for hereditary cancer, there is a need for additional education.

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“…They concede, as many others do [1, 5], that the fetus cannot meaningfully possess values and beliefs, and is therefore not a person to whom obligations can be owed. However, they maintain that the obligations of beneficence to the fetus arise from the fact that obligations are owed to the infant which that fetus will become after birth.…”

Section: Basic Ethical Principlesmentioning

confidence: 99%

“…Parents attending a scan expect to be told that their baby is normal. They want to be reassured regarding the size and well-being of the infant, and may wish to know its sex [1]. When a possible anomaly is identified, it comes as a shock to the parents, who were not expecting such an outcome.…”

Section: Introductionmentioning

confidence: 99%

Ethical Issues in Fetal Management: A Cardiac Perspective

Malhotra

Menahem

Gillam

2010

International Journal of Pediatrics

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The ethical issues behind the management of a fetus with a serious abnormality and the decisions made in relation to the outcome of the pregnancy are complex. This reflective paper deals with the ethical principles of managing a pregnancy with a congenital anomaly, with particular emphasis on the fetus with a serious cardiac abnormality. One major ethical concern is whether the fetus is or is not independent being to whom obligations of beneficence are owed. We review the debate on this matter, and suggest that it is ethically more appropriate for physicians who are involved in management of fetal abnormality not to adopt and insist on their own position on this matter. Rather, the appropriate course is to respect the pregnant woman's own view of her fetus and how it should be regarded. This is an application of the principle of respect for autonomy. Within this framework, we discuss the difficulties in counselling a pregnant woman or expectant couple in this situation, and recommend three key steps in ethically sound counselling.

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Stress and anxiety associated with prenatal diagnosis

Cited by 34 publications

References 12 publications

Psychological correlates of decision-making during prenatal diagnosis: a prospective study

Psychological correlates of decision-making during prenatal diagnosis: a prospective study

Knowledge, attitudes, and clinical experience of physicians regarding preimplantation genetic diagnosis for hereditary cancer predisposition syndromes

Ethical Issues in Fetal Management: A Cardiac Perspective

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