| Adjustment to termination of pregnancy for fetal anomaly: a longitudinal study in women at 4, 8, and 16 months. | |
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MedLine Citation:
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PMID: 19560116 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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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:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2009-06-26 |
Journal Detail:
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Title: American journal of obstetrics and gynecology Volume: 201 ISSN: 1097-6868 ISO Abbreviation: Am. J. Obstet. Gynecol. Publication Date: 2009 Aug |
Date Detail:
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Created Date: 2009-08-03 Completed Date: 2009-08-27 Revised Date: 2010-03-31 |
Medline Journal Info:
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Nlm Unique ID: 0370476 Medline TA: Am J Obstet Gynecol Country: United States |
Other Details:
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Languages: eng Pagination: 160.e1-7 Citation Subset: AIM; IM |
Affiliation:
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Department of Perinatology and Gynecology, University Medical Center Utrecht, KE 04123.1, Post box 85090, Utrecht 8508 AB, The Netherlands. m.korenromp@planet.nl |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Abnormalities, Multiple
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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:
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Am J Obstet Gynecol. 2010 Apr;202(4):e6; author reply e6-7
[PMID:
20350638
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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