Document Detail


Adjustment to termination of pregnancy for fetal anomaly: a longitudinal study in women at 4, 8, and 16 months.
MedLine Citation:
PMID:  19560116     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: We studied psychological outcomes and predictors for adverse outcome in 147 women 4, 8, and 16 months after termination of pregnancy for fetal anomaly. STUDY DESIGN: We conducted a longitudinal study with validated self-completed questionnaires. RESULTS: Four months after termination 46% of women showed pathological levels of posttraumatic stress symptoms, decreasing to 20.5% after 16 months. As to depression, these figures were 28% and 13%, respectively. Late onset of problematic adaptation did not occur frequently. Outcome at 4 months was the most important predictor of persistent impaired psychological outcome. Other predictors were low self-efficacy, high level of doubt during decision making, lack of partner support, being religious, and advanced gestational age. Strong feelings of regret for the decision were mentioned by 2.7% of women. CONCLUSION: Termination of pregnancy for fetal anomaly has significant psychological consequences for 20% of women up to > 1 year. Only few women mention feelings of regret.
Authors:
Marijke J Korenromp; Godelieve C M L Page-Christiaens; Jan van den Bout; Eduard J H Mulder; Gerard H A Visser
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2009-06-26
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  201     ISSN:  1097-6868     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  2009 Aug 
Date Detail:
Created Date:  2009-08-03     Completed Date:  2009-08-27     Revised Date:  2010-03-31    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  160.e1-7     Citation Subset:  AIM; IM    
Affiliation:
Department of Perinatology and Gynecology, University Medical Center Utrecht, KE 04123.1, Post box 85090, Utrecht 8508 AB, The Netherlands. m.korenromp@planet.nl
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MeSH Terms
Descriptor/Qualifier:
Abnormalities, Multiple / psychology*
Abortion, Induced / psychology*
Adaptation, Psychological*
Adult
Decision Making
Female
Humans
Longitudinal Studies
Pregnancy
Pregnancy Complications / psychology*
Questionnaires
Social Support
Stress Disorders, Post-Traumatic / psychology*
Young Adult
Comments/Corrections
Comment In:
Am J Obstet Gynecol. 2010 Apr;202(4):e6; author reply e6-7   [PMID:  20350638 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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