Psychological analysis of women’s experiences of late pregnancy termination for fetal anomaly

2021 ◽  
Vol 70 (5) ◽  
pp. 49-62
Author(s):  
Anton V. Mikhaylov ◽  
Yulia V. Zamanayeva
Keyword(s):  
Pregnancy Termination ◽  
Late Pregnancy ◽  
Maternity Hospital ◽  
Primary Diagnosis ◽  
Psychological Support ◽  
Psychological Status ◽  
Fetal Anomaly ◽  
Subjective Character ◽  
Her Family ◽  
Psychological Analysis

AIM: The aim of this study was to conduct a psychological analysis and summarize information on womens experiences of late pregnancy termination for fetal anomaly. MATERIALS AND METHODS: The study included 105 patients aged 19 to 43 years who experienced late pregnancy termination for fetal anomaly after 22 weeks of gestation and who received psychological support during their stay in the maternity hospital. The method of data collection involved structured clinical interview with subsequent analysis and summarizing the information received. The data obtained were compared with the literature, thus leading to a conclusion about long-term psychological consequences after late pregnancy termination. RESULTS: The general psychological patterns of womens experiencing of several consequential steps of late pregnancy termination were revealed: during the primary diagnosis, in the decision-making process, during the feticide procedure, during delivery, and in the postpartum period. The tasks of psychological support were formulated; the types of reasons for termination decision were described; the key influence of the psychological status of the fetus on the subjective character of experience was determined. The analysis of foreign issues was made and faraway traumatic consequences of late pregnancy termination for the woman and her family were depicted. CONCLUSIONS: Late pregnancy termination is a traumatic choice for a woman and her family and it has medical, psychological, ethical and legal contexts. Psychological maintenance can optimize the patients contact with the medical staff during her stay in the maternity hospital. Psychologically conceived experience ensure a constructive attitude towards the future pregnancy and its positive conditions.

scholarly journals Impact of a Modified Version of Baby-Led Weaning on Dietary Variety and Food Preferences in Infants

Nutrients ◽  
2018 ◽  
Vol 10 (8) ◽  
pp. 1092 ◽  
Author(s):  
Brittany J. Morison ◽  
Anne-Louise M. Heath ◽  
Jillian J. Haszard ◽  
Karen Hein ◽  
Elizabeth A. Fleming ◽  
...  
Keyword(s):  
Vegetable Intake ◽  
Food Preferences ◽  
Late Pregnancy ◽  
Maternity Hospital ◽  
Fruit And Vegetable ◽  
Diet Records ◽  
Growth Faltering ◽  
Food Variety ◽  
Vegetable Foods ◽  
Diet Record

The aim of this study was to determine whether food variety and perceived food preferences differ in infants following baby-led instead of traditional spoon-feeding approaches to introducing solids. A total of 206 women (41.3% primiparous) were recruited in late pregnancy from a single maternity hospital (response rate 23.4%) and randomized to Control (n = 101) or BLISS (n = 105) groups. All participants received government-funded Well Child care. BLISS participants also received support to exclusively breastfeed to 6 months and three educational sessions on BLISS (Baby-Led Weaning, modified to reduce the risk of iron deficiency, growth faltering, and choking) at 5.5, 7, and 9 months. Food variety was calculated from three-day weighed diet records at 7, 12, and 24 months. Questionnaires assessed infant preference for different tastes and textures at 12 months, and for ‘vegetables’, ‘fruit’, ‘meat and fish’, or ‘desserts’ at 24 months. At 24 months, 50.5% of participants provided diet record data, and 78.2% provided food preference data. BLISS participants had greater variety in ‘core’ (difference in counts over three days, 95% CI: 1.3, 0.4 to 2.2), ‘non-core’ (0.6, 0.2 to 0.9), and ‘meat and other protein’ (1.3, 0.8 to 1.9) foods at 7 months, and in ‘fruit and vegetable’ foods at 24 months (2, 0.4 to 3.6). The only differences in perceived food preferences observed were very small (i.e., <5% difference in score, at 12 months only). Infants following the modified Baby-Led Weaning were exposed to more varied and textured foods from an early age, but only an increased variety in ‘fruit and vegetable’ intake was apparent by two years of age.

scholarly journals Psychoeducation as an element of psychosocial interventions in a complex system of medic-psychological support for a family, where a patient with endogenous mental disorder lives

2020 ◽  
Keyword(s):  
Complex System ◽  
Mental Disorders ◽  
Mental Disorder ◽  
Family Caregivers ◽  
Adaptive Capacity ◽  
Paranoid Schizophrenia ◽  
Psychosocial Interventions ◽  
Psychological Support ◽  
Her Family ◽  
The Family

The biopsychosocial model of therapy for endogenous mental disorders involves a flexible combination of psychopharmacotherapy with psychosocial interventions. Psychoeducation is one of the most important components of psychosocial interventions in a multifaceted system of psychosocial rehabilitation. The primary task of psychoeducation is to provide patients and their family caregivers with realistic knowledge about mental disorder, on the basis of which the patient and his or her family members can get more control over the symptoms of the disease. The aim of our work was from the standpoint of a systematic approach, based on the study of clinical and psychological manifestations and risk factors for the development of pathological functioning in a family, where a patient with endogenous mental disorder lives, to develop, substantiate scientifically and introduce a psychoeducational module as an element of psychosocial interventions in complex system of medical -psychological support. To achieve this goal, according to the principles of bioethics and medical deontology, a comprehensive examination of 243 patients with endogenous mental disorders (168 patients with paranoid schizophrenia, 75 patients with affective disorders) and 243 family caregivers was performed. The work was done in three stages: during the the first stage we examined patients and their family caregivers. During the second stage, an in-depth study of psycho-emotional, individual-psychological, interpersonal-communicative and psychosocial predictors of reducing the adaptive capacity of the family was performed. The third stage included scientific substantiation, development and implementation of an appropriate comprehensive system of medical and psychological support for the families, based on the analysis of data obtained during the previous stages. The proposed system of medical and psychological support has shown its effectiveness in improving the adaptive capacity of the family, where patients with endogenous mental disorders live, and can be recommended for further implementation in appropriate medical institutions.

scholarly journals Emotional Complications in Midwives Participating in Pregnancy Termination Procedures—Polish Experience

2020 ◽  
Vol 17 (8) ◽  
pp. 2776
Author(s):  
Kornelia Zaręba ◽  
Jolanta Banasiewicz ◽  
Hanna Rozenek ◽  
Michał Ciebiera ◽  
Grzegorz Jakiel
Keyword(s):  
Protective Factor ◽  
Pregnancy Termination ◽  
Medical Personnel ◽  
Moral Dilemmas ◽  
Psychological Support ◽  
Occupational Burnout ◽  
Healthcare Facilities ◽  
Personal Attitude ◽  
In Pregnancy ◽  
Fetal Defects

Background: Ethically controversial medical procedures, such as the termination of pregnancy, are frequently associated with a discrepancy between personal attitude and values versus requirements related to a professional situation. The study aimed to assess emotional complications in midwives participating in pregnancy termination procedures. Methods: The study included 181 midwives working in state-governed healthcare facilities in central and eastern Poland. The Oldenburg Burnout Inventory (OLBI) and the present authors’ own questionnaire were used in the study. The results indicating the level of occupational burnout were presented in two scales: the exhaustion scale and the disengagement scale. Results: The study revealed that 48% of midwives had never participated in pregnancy termination procedures due to fetal defects. The level of occupational burnout described with the exhaustion factor (t = 2.06; p < 0.041) and disengagement factor (t = 2.96; p < 0.003) was significantly higher in the group of midwives participating in pregnancy termination procedures due to fetal defects than in the group of midwives who did not participate in pregnancy terminations. The most common factors contributing to burnout reported by midwives who participated in pregnancy terminations were: moral dilemmas (68%), seeing the aborted fetus (65%), anticipating the child’s death in case it was born with signs of life (59%) and the lack of professional psychological support for medical personnel (56%). Conclusions: Importantly, pregnancy termination should be performed by persons who find such procedures acceptable from the viewpoint of their value system. It is a protective factor in regards to work with women who undergo terminations. Moreover, developing a system of informational and psychological support for midwives participating in pregnancy termination procedures is also a significant aspect.

Late pregnancy termination by a medical technique in combination with cervical osmotic dilators

2019 ◽  
Vol 5_2019 ◽  
pp. 149-154
Author(s):  
Tyutyunnik V.L. Tyutyunnik ◽  
Dikke G.B. Dikke ◽  
Kan N.E. Kan ◽  
Uzdenova Z.Kh. Uzdenova ◽  
Shcherbatykh E.Yu. Shcherbatykh ◽  
...  
Keyword(s):  
Pregnancy Termination ◽  
Late Pregnancy ◽  
Medical Technique

Pregnancy Termination, Perceived Control, and Perinatal Grief

1994 ◽  
Vol 74 (1) ◽  
pp. 217-218 ◽  
Author(s):  
J. A. M. Hunfeld ◽  
J. W. Wladimiroff ◽  
J. Passchier
Keyword(s):  
Decision Process ◽  
Perceived Control ◽  
Pregnancy Termination ◽  
Perinatal Loss ◽  
Fetal Anomaly ◽  
Research Areas ◽  
Perinatal Grief

In a group of 30 women who underwent induced delivery after they had been informed of a lethal fetal anomaly, 18 women reported that this was the outcome of a clear decision process and 12 reported that they had no choice. In contrast to findings in other research areas, the experience of having perceived control was not associated with lower grief scores three months after perinatal loss.

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