Mothers' adaptation to antenatal diagnosis of surgically correctable anomalies.

Abstract:

OBJECTIVE:To assess the applicability of Drotar model when the diagnosis of congenital malformation is made antenatally. METHODS:In a 3-year period (2000-2003) fifty mothers, counselled for fetal malformations amenable to surgical correction at birth, were interviewed. Statistical associations were sought between each stage of the adaptation process and type of anomaly, gestational age at diagnosis, maternal age, educational background and previous miscarriage. Emotional experience at each stage was studied as dichotomous variables. RESULTS:Fetuses were affected by the following anomalies: abdominal wall defects (11), intestinal atresia (14) and diaphragmatic hernia (25). All mothers experienced stage one, two and three. No association was found between anger, type of anomaly, maternal age, educational background, and age at diagnosis. On the contrary, such association was statistically significant for previous miscarriage. Thirty-nine mothers reached the adaptation stage while none of them experienced that of reorganization. CONCLUSION:Despite significant differences, the adaptation process proposed by Drotar to describe parents reactions is applicable in prenatal age.

journal_name

Early Hum Dev

journal_title

Early human development

authors

Aite L,Zaccara A,Nahom A,Trucchi A,Iacobelli B,Bagolan P

doi

10.1016/j.earlhumdev.2005.12.010

keywords:

subject

Has Abstract

pub_date

2006-10-01 00:00:00

pages

649-53

issue

10

eissn

0378-3782

issn

1872-6232

pii

S0378-3782(06)00036-3

journal_volume

82

pub_type

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