Mothers' adaptation to antenatal diagnosis of surgically correctable anomalies

Early Human Development
Lucia AitePietro Bagolan

Abstract

To assess the applicability of Drotar model when the diagnosis of congenital malformation is made antenatally. 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. 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. Despite significant differences, the adaptation process proposed by Drotar to describe parents reactions is applicable in prenatal age.

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Citations

Apr 30, 2011·Journal of Perinatology : Official Journal of the California Perinatal Association·L AiteP Bagolan
Feb 5, 2013·Journal of Obstetric, Gynecologic, and Neonatal Nursing : JOGNN·Ana FonsecaMaria Cristina Canavarro
Sep 27, 2014·The Journal of Obstetrics and Gynaecology Research·Vitaya Titapant, Prakong Chuenwattana
Apr 14, 2016·Social Work in Health Care·Alison Kaye, Sandra Lybrand
Aug 12, 2016·Journal of Perinatology : Official Journal of the California Perinatal Association·A L Kratovil, W A Julion
Jun 4, 2013·Journal of Child Health Care : for Professionals Working with Children in the Hospital and Community·Ana FonsecaMaria Cristina Canavarro
Mar 9, 2018·Journal of Reproductive and Infant Psychology·Rita LuzRachel Vieux

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