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Am J Obstet Gynecol. 2009 Aug;201(2):160.e1-7. doi: 10.1016/j.ajog.2009.04.007. Epub 2009 Jun 26.

Adjustment to termination of pregnancy for fetal anomaly: a longitudinal study in women at 4, 8, and 16 months.

Author information

1
Department of Perinatology and Gynecology, University Medical Center Utrecht, KE 04123.1, Post box 85090, Utrecht 8508 AB, The Netherlands. m.korenromp@planet.nl

Abstract

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.

PMID:
19560116
DOI:
10.1016/j.ajog.2009.04.007
[Indexed for MEDLINE]

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