Document Detail


Women's response to fetal choroid plexus cysts detected by prenatal ultrasound.
MedLine Citation:
PMID:  16554849     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES: To determine maternal responses to detection of a minor structural variant, the choroid plexus cyst (CPC), in their fetus on prenatal ultrasound. STUDY DESIGN: We interviewed 34 pregnant women with an isolated CPC detected on mid-pregnancy ultrasound about their objective experience at diagnosis, emotional response and subsequent reactions. Audiotaped, transcribed responses were evaluated by two independent raters and analyzed qualitatively and quantitatively. RESULTS: All women reported negative emotional responses including shock, distress, fear and decreased attachment, despite counseling by 82% of providers that the CPC was probably benign. Three women underwent amniocentesis purely for reassurance after CPC detection. Most (79%) sought information beyond what their physician provided, frequently on the internet. One half of women reported that intense negative responses were temporary. However, weeks after diagnosis, 62% continued to believe that the CPC presented some danger to their baby. CONCLUSIONS: Detection of CPC prenatally can evoke profound, negative maternal emotional responses despite accurate provider counseling. Practitioners should consider these responses when counseling parents about these and other structural variants of unclear functional significance.
Authors:
E A Cristofalo; J A Dipietro; K A Costigan; P Nelson; J Crino
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of perinatology : official journal of the California Perinatal Association     Volume:  26     ISSN:  0743-8346     ISO Abbreviation:  J Perinatol     Publication Date:  2006 Apr 
Date Detail:
Created Date:  2006-03-29     Completed Date:  2006-10-11     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8501884     Medline TA:  J Perinatol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  215-23     Citation Subset:  IM    
Affiliation:
Department of Pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD 21287, USA. ecristofalo@jhmi.edu
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MeSH Terms
Descriptor/Qualifier:
Adaptation, Psychological
Adult
Attitude to Health*
Central Nervous System Cysts / psychology*,  ultrasonography*
Choroid Plexus / ultrasonography*
Comprehension
Culture
Emotions*
Fathers / psychology
Female
Follow-Up Studies
Humans
Infant, Newborn
Interview, Psychological
Male
Mothers / psychology*
Object Attachment
Patient Education as Topic
Physician-Patient Relations
Pregnancy
Pregnancy Trimester, Second
Ultrasonography, Prenatal* / psychology

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


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