| Feelings of women regarding end-of-life decision making after ultrasound diagnosis of a lethal fetal malformation. | |
| | |
MedLine Citation:
|
PMID: 21820776 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
OBJECTIVE: this study investigated the feelings of women regarding end-of-life decision making after ultrasound diagnosis of a lethal fetal malformation. The aim of this study was to present the decision making process of women that chose for pregnancy termination and to present selected speeches of women about their feelings. DESIGN: open psychological interviews conducted by a psychologist immediately after the diagnosis of fetal malformation by ultrasound. Analysis of the results was performed through a content analysis technique. SETTING: the study was carried out at a public university hospital in Brazil. PARTICIPANTS: 249 pregnant women who had received the diagnosis of a severe lethal fetal malformation. FINDINGS: fetal anencephaly was the most frequent anomaly detected in 135 cases (54.3%). Termination of pregnancy was decided by 172 (69.1%) patients and legally authorised by the judiciary (66%). The reason for asking for termination was to reduce suffering in all of them. In the 77 women who chose not to terminate pregnancy (30.9%), the reasons were related to feelings of guilt (74%). KEY CONCLUSIONS: the results support the importance of psychological counselling for couples when lethal fetal malformation is diagnosed. The act of reviewing moral and cultural values and elements of the unconscious provides assurance in the decision-making process and mitigates the risk of emotional trauma and guilt that can continue long after the pregnancy is terminated. |
| | |
Authors:
|
Gláucia R G Benute; Roseli M Y Nomura; Adolfo W Liao; Maria de Lourdes Brizot; Mara C S de Lucia; M Zugaib |
Related Documents
:
|
1436996 - Role of visual acuity, stereoacuity, and ocular dominance in monovision patient success. 20816146 - Failure of 17-hydroxyprogesterone to reduce neonatal morbidity or prolong triplet pregn... 19797886 - Intracranial injection with kcl: an alternative method in selected cases of multifetal ... 16220766 - Effect of spontaneous pregnancy reduction on obstetric outcome. 15301296 - Alteration of the amniotic fluid and neonatal outcome. 21474606 - Antimicrobial peptides and pregnancy. |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2011-8-4 |
Journal Detail:
|
Title: Midwifery Volume: - ISSN: 1532-3099 ISO Abbreviation: - Publication Date: 2011 Aug |
Date Detail:
|
Created Date: 2011-8-8 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8510930 Medline TA: Midwifery Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
|
Copyright © 2011 Elsevier Ltd. All rights reserved. |
Affiliation:
|
Division of Psychology, Clinics Hospital of Faculty of Medicine, University of São Paulo, Av. Dr. Enéas de Carvalho Aguiar 255, 10th Floor, Suite 10037, CEP 05403-000, São Paulo, SP, Brazil. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: 'It's more than just having a baby' women's experiences of a maternity service for Australian Aborig...
Next Document: Appraisal of Life Events scale in a sample of Greek infertile women undergoing fertility treatment: ...