779: Maternal cortisol is elevated in association with psychological stress in pregnant women with prenatal diagnosis of congenital heart disease

2014 ◽  
Vol 210 (1) ◽  
pp. S382
Author(s):  
Brooke Davey ◽  
Denise Donaghue ◽  
Jill Combs ◽  
Agbenu Ejembi ◽  
Zhi-Yun Tian ◽  
...  
2019 ◽  
Vol 29 (11) ◽  
pp. 1328-1334 ◽  
Author(s):  
Ewa-Lena Bratt ◽  
Stina Järvholm ◽  
Britt-Marie Ekman-Joelsson ◽  
Antje Johannsmeyer ◽  
Sven-Åke Carlsson ◽  
...  

AbstractIntroduction:A diagnosis of congenital heart disease (CHD) in offspring triggers psychological distress in parents. Results of previous studies have been inconsistent regarding the psychological impact of a prenatal versus a postnatal diagnosis. The aim of this study was to evaluate the influence of the time of diagnosis on levels of parental distress.Methods:Pregnant women and their partners with a fetus diagnosed with complex CHD, parents of children with postnatally diagnosed CHD, and pregnant women and their partners with uncomplicated pregnancies were invited to participate. Data were collected during pregnancy and 2–6 months after delivery using the Hospital Anxiety and Depression Scale, sense of coherence, life satisfaction, and Dyadic Adjustment Scale.Results:During pregnancy, the prenatal group scored lower sense of coherence compared to controls (p=0.044). Postnatally the prenatal group scored lower on sense of coherence compared to the postnatal group and controls (p=0.001; p=0.001). Postnatally, the prenatal and postnatal groups had higher levels of anxiety compared to controls (p=0.025; p=0.0003). Life satisfaction was lower in the prenatal group compared to that in the postnatal group and in controls (p=0.000; p=0.0004).Conclusion:Parents with a prenatal diagnosis of CHD in offspring report a low sense of coherence already during pregnancy which decreased further at follow-up. The same group reported a lower satisfaction with life compared to parents of a child with postnatal diagnosis of CHD and parents of a healthy child. This motivates further efforts to improve counselling and support during pregnancy and for parents after a prenatal diagnosis.


2012 ◽  
Vol 59 (13) ◽  
pp. E771
Author(s):  
Jack Rychik ◽  
Denise Donaghue ◽  
Suzanne Levy ◽  
Clara Fajardo ◽  
Jill Combs ◽  
...  

2013 ◽  
Vol 162 (2) ◽  
pp. 302-307.e1 ◽  
Author(s):  
Jack Rychik ◽  
Denise D. Donaghue ◽  
Suzanne Levy ◽  
Clara Fajardo ◽  
Jill Combs ◽  
...  

2019 ◽  
Vol 14 (3) ◽  
pp. 470-478 ◽  
Author(s):  
Yuli Y. Kim ◽  
Leah A. Goldberg ◽  
Katherine Awh ◽  
Tanmay Bhamare ◽  
David Drajpuch ◽  
...  

2017 ◽  
Vol 69 (11) ◽  
pp. 606
Author(s):  
Aarthi Sabanayagam ◽  
Anushree Agarwal ◽  
Christy MacCain ◽  
Elizabeth Lawton ◽  
Elliot Main ◽  
...  

2007 ◽  
Vol 6 (1_suppl) ◽  
pp. 27-28
Author(s):  
Philip Moons ◽  
Els Costermans ◽  
Els Huyghe ◽  
Wim Drenthen ◽  
Petronella Pieper ◽  
...  

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