Adjustment to termination of pregnancy for fetal anomaly: a longitudinal study in women at 4, 8, and 16 months
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.
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Predictors of negative long-term outcome after pregnancy termination include high level of distress immediately after the procedure, low self-efficacy, lack of support from the partner, and high levels of doubt whilst making the decision.
“Several predictors of negative longterm outcome after pregnancy termination, including high level of distress immediately after the procedure, low self-efficacy, lack of support from the partner, and high levels of doubt whilst making the decision.42,44”
From Complicated grief after perinatal loss (2012) · cites this paper as [44]
20% of women suffer up to 1 year of complicated grief and psychological consequences after termination for fetal anomaly.
“These findings were confirmed by Korenromp and colleagues, who documented that 20% of the women suffer up to 1 year of CG and psychological consequences after such a procedure.44”
From Complicated grief after perinatal loss (2012) · cites this paper as [44]
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Written narratives from immigrants following a prenatal diagnosis: qualitative exploratory study
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Fetopathologic examination for early termination of pregnancy: dogma or necessity?
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Perinatal Hospice: Compassionate and Comprehensive Care for Families with Lethal Prenatal Diagnosis
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Helping Patients Cope with Their Decisions
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Introduction to Perinatal Palliative Care
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When a sex chromosome aneuploidy is diagnosed—views from a parent support organisation
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- Authors
- Korenromp, M. J., Page-Christiaens, G. C. M. L., van den Bout, J., Mulder, E. J. H., & Visser, G. H. A.
- Affiliations
- University Medical Center Utrecht (NL)
- Corresponding author
- Korenromp, Marijke J.
- Venue
- American Journal of Obstetrics and Gynecology
- Publisher
- Elsevier BV
- Published
- 2009-08
- Volume
- 201
- Issue
- 2
- Pages
- 160.e1-160.e7
- ISSN
- 0002-9378 (ISSN-L)
- OpenAlex
- W2115351694
- Cited by
- 136
- References
- 33
- Citations by year
- 2026: 8 · 2025: 4 · 2024: 6 · 2023: 7 · 2022: 17 · 2021: 10 · 2020: 8 · 2019: 11 · 2018: 8 · 2017: 11 · 2016: 8 · 2015: 8 · 2014: 8 · 2013: 10 · 2012: 5
- FWCI
- 4.03
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Obstetrics and Gynecology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Maternal Mental Health During Pregnancy and Postpartum
- Social Sciences › Psychology › Clinical Psychology › Grief, Bereavement, and Mental Health
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Prenatal Screening and Diagnostics
- Keywords
- abortion, fetal malformations, psychological adjustment, posttraumatic stress symptoms, depression, decision regret, self-efficacy, partner support, religious beliefs, gestational age, predictors of poor outcome
- MeSH terms
- Abnormalities, Multiple, Abortion, Induced, Adaptation, Psychological, Adult, Decision Making, Female, Humans, Longitudinal Studies, Pregnancy, Pregnancy Complications, Surveys and Questionnaires, Social Support, Stress Disorders, Post-Traumatic, Young Adult
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