Effect of counseling quality on anxiety, grief, and coping after second-trimester abortion for pregnancy complications

Contraception
Jennifer L KernsMiriam Kuppermann

Abstract

We sought to explore the relationship between counseling quality, measured by shared decision making and decision satisfaction, and psychological outcomes (anxiety, grief, and posttraumatic stress) after second-trimester abortion for pregnancy complications. We conducted a cross-sectional study of women who underwent second-trimester abortion for complications. We recruited participants from Facebook and online support groups and surveyed them about counseling experiences and psychosocial issues. We used multivariate linear regression to evaluate relationships between counseling quality and psychological outcomes. We analyzed data from 145 respondents. Shared decision making and decision satisfaction scores were positively and strongly correlated in bivariate analysis (r=0.7, p<.0001), as were posttraumatic stress and grief scores (r=0.7, p<.0001). In the adjusted analysis, higher decision satisfaction was associated with lower grief and posttraumatic stress scores (p=.02 and p=.01, respectively) and higher shared decision making was associated with lower posttraumatic stress scores (p=.01). Decision satisfaction and shared decision making have a positive effect on psychological outcomes after second-trimester abortion for preg...Continue Reading

Citations

Jun 12, 2018·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Mohammed K AliSayed A Mostafa
Oct 10, 2018·Current Opinion in Obstetrics & Gynecology·Anna L Altshuler, Natalie S Whaley
Apr 21, 2019·Perspectives in Psychiatric Care·Cansu Akdag Topal, Fusun Terzioglu
Jun 22, 2019·Maternal and Child Health Journal·Marleen M H J van GelderNel Roeleveld
Sep 19, 2019·Birth·Ruben Alfaro BlazquezRaul Juarez-Vela
Mar 18, 2021·Patient Education and Counseling·Brownsyne Tucker EdmondsMiriam Kuppermann
Jul 29, 2021·Midwifery·Zuleika González-RamosLina Casadó-Marín
Dec 16, 2021·Journal of Obstetrics and Gynaecology : the Journal of the Institute of Obstetrics and Gynaecology·Luigi Della CorteGiuseppe Bifulco
Jan 12, 2022·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Jyoti PershadClara Calvert

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