Maternal coping, appraisals and adjustment following diagnosis of fetal anomaly. (3rd September 2013)

• Record Type: Journal Article
• Authors: Horsch, Antje; Brooks, Chloe; Fletcher, Helen
• Is Part Of: Prenatal diagnosis. Volume 33:Number 12(2013:Dec.)
• Page Start: 1137
• Page End: 1145
• Publication Date: 2013-09-03
• Subjects: Prenatal diagnosis -- Periodicals; Fetus -- Diseases -- Diagnosis -- Periodicals; Electronic journals; 618.32075
• DOI: 10.1002/pd.4207
• Languages: English
• ISSNs: 0197-3851

Abstract

<abstract abstract-type="main"> <title>ABSTRACT</title> <sec id="pd4207-sec-0001" sec-type="section"> <title>Objective</title> <p>So far, associations between appraisals, maternal adjustment and coping following diagnosis of fetal anomaly have not been investigated in women who continue with their pregnancy.</p> </sec> <sec id="pd4207-sec-0002" sec-type="section"> <title>Method</title> <p>This study measured maternal coping and adjustment after and appraisal of a diagnosis of fetal anomaly in 40 mothers who had continued with their pregnancy using a cross‐sectional questionnaire design.</p> </sec> <sec id="pd4207-sec-0003" sec-type="section"> <title>Results</title> <p>Based on retrospective reporting, 35% of participants met full diagnostic criteria for post‐traumatic stress disorder after having received the diagnosis. Women were significantly more depressed (<italic>p</italic> < 0.001) and anxious (<italic>p</italic> < 0.001) and reported significantly less positive affect (<italic>p</italic> < 0.05) after having received the diagnosis in comparison to the time after childbirth. There were no significant differences between emotion‐focused and problem‐focused coping. Stressful life events, women's age, number of people providing support and problem‐focused coping explained 57.6% of variance in anxiety and depression after childbirth. Satisfaction with social support, emotion‐focused coping and problem‐focused coping significantly explained 40.6% of variance in positive affect after childbirth.</p> </sec> <sec id="pd4207-sec-0004" sec-type="section"> <title>Conclusion</title> <p>Following a prenatal diagnosis and for the remainder of their pregnancy, particular attention should be paid to older mothers, those experiencing additional stressful life events and those who are socially isolated, as these women may experience greater distress after childbirth. © 2013 John Wiley & Sons, Ltd.</p> </sec> </abstract>