Psychological outcome in women undergoing termination of pregnancy for ultrasound‐detected fetal anomaly in the first and second trimesters: a pilot study
Objective To ascertain and compare psychological morbidity following first‐ and second‐trimester termination for fetal anomaly. Methods This was a cohort study of 30 women aged 20–40 years in a north London teaching hospital, 14 of whom had had a first‐trimester termination and 16 a second‐trimester...
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| Veröffentlicht in: | Ultrasound in obstetrics & gynecology 2005-04, Vol.25 (4), p.389-392 |
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| container_title | Ultrasound in obstetrics & gynecology |
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| creator | Davies, V. Gledhill, J. McFadyen, A. Whitlow, B. Economides, D. |
| description | Objective
To ascertain and compare psychological morbidity following first‐ and second‐trimester termination for fetal anomaly.
Methods
This was a cohort study of 30 women aged 20–40 years in a north London teaching hospital, 14 of whom had had a first‐trimester termination and 16 a second‐trimester termination for fetal anomaly. The main outcome measures were questionnaire data (General Health Questionnaire‐28, Beck Depression Inventory, Perinatal Grief Scale, Impact of Event Scale (IES)) at 6 weeks, 6 months and 12 months after termination.
Results
There were high levels of psychological distress in both groups at each time point, and for the combined group the mean total scores on the IES remained above the cut‐off for the entire study period. Those having second‐trimester terminations had a significantly higher level of post‐traumatic stress symptomatology 6 weeks after termination (14/16 vs. 6/14; odds ratio = 9.3; 95% CI, 1.5–57.7).
Conclusions
Psychological morbidity following termination of pregnancy for fetal anomaly is prevalent and persistent. Our data suggest that in the short term (as assessed at a 6‐week follow‐up), second‐trimester termination may be more stressful compared with first‐trimester termination. Copyright © 2005 ISUOG. Published by John Wiley & Sons, Ltd. |
| doi_str_mv | 10.1002/uog.1854 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_67700547</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>19432442</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4154-22725aa9e04ac0818fd21a8fe98db17e3d5e1f59be2a8104a8246029bf50fc713</originalsourceid><addsrcrecordid>eNqFkUGKFDEYRoMoTjsKnkCyEjc1JumkUnEnwzgKA-PCWRfp5E9NJJW0SYqhdh7BA3g6T2LabnAlrj4Ij8cfHkIvKbmghLC3S5ou6CD4I7ShvFcdkUQ8RhuietLJXrEz9KyUr4SQnm_7p-iMCqlor8QG_fxcVnOfQpq80QGnpZo0A_YRP7SNeIkW8pR8nHCFPPuoq08RJ4f3Gaaoo1mxSxkvoWZdUsN_ff9hoYKpYLGD2qQ6plmH9SCt94Cdz6W2R4sLmNSmZj9DafryDmu89yFVXOpi1-foidOhwIvTnqO7D1dfLj92N7fXny7f33SGU8E7xiQTWisgXBsy0MFZRvXgQA12RyVsrQDqhNoB0wNt0MB4T5jaOUGckXR7jl4fvfucvi3tlHH2xUAIOkJaythLSYjg8r8gVXzLOGcNfHMETU6lZHDjvn1S53WkZDwkG1uy8ZCsoa9OzmU3g_0Lnho1oDsCDz7A-k_ReHd7_Uf4G6RmpNA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>19432442</pqid></control><display><type>article</type><title>Psychological outcome in women undergoing termination of pregnancy for ultrasound‐detected fetal anomaly in the first and second trimesters: a pilot study</title><source>Wiley Free Content</source><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><creator>Davies, V. ; Gledhill, J. ; McFadyen, A. ; Whitlow, B. ; Economides, D.</creator><creatorcontrib>Davies, V. ; Gledhill, J. ; McFadyen, A. ; Whitlow, B. ; Economides, D.</creatorcontrib><description>Objective
To ascertain and compare psychological morbidity following first‐ and second‐trimester termination for fetal anomaly.
Methods
This was a cohort study of 30 women aged 20–40 years in a north London teaching hospital, 14 of whom had had a first‐trimester termination and 16 a second‐trimester termination for fetal anomaly. The main outcome measures were questionnaire data (General Health Questionnaire‐28, Beck Depression Inventory, Perinatal Grief Scale, Impact of Event Scale (IES)) at 6 weeks, 6 months and 12 months after termination.
Results
There were high levels of psychological distress in both groups at each time point, and for the combined group the mean total scores on the IES remained above the cut‐off for the entire study period. Those having second‐trimester terminations had a significantly higher level of post‐traumatic stress symptomatology 6 weeks after termination (14/16 vs. 6/14; odds ratio = 9.3; 95% CI, 1.5–57.7).
Conclusions
Psychological morbidity following termination of pregnancy for fetal anomaly is prevalent and persistent. Our data suggest that in the short term (as assessed at a 6‐week follow‐up), second‐trimester termination may be more stressful compared with first‐trimester termination. Copyright © 2005 ISUOG. Published by John Wiley & Sons, Ltd.</description><identifier>ISSN: 0960-7692</identifier><identifier>EISSN: 1469-0705</identifier><identifier>DOI: 10.1002/uog.1854</identifier><identifier>PMID: 15791695</identifier><language>eng</language><publisher>Chichester, UK: John Wiley & Sons, Ltd</publisher><subject>Abortion, Therapeutic - psychology ; Adult ; Cohort Studies ; Depression - etiology ; diagnosis ; Female ; fetal anomaly ; Fetus - abnormalities ; Grief ; Humans ; Mood Disorders - etiology ; Pilot Projects ; Pregnancy ; Pregnancy Trimester, First ; Pregnancy Trimester, Second ; psychological health ; Stress Disorders, Post-Traumatic - etiology ; Stress, Psychological - etiology ; termination of pregnancy ; Treatment Outcome ; Ultrasonography, Prenatal - methods ; ultrasound</subject><ispartof>Ultrasound in obstetrics & gynecology, 2005-04, Vol.25 (4), p.389-392</ispartof><rights>Copyright © 2005 ISUOG. Published by John Wiley & Sons, Ltd.</rights><rights>Copyright 2005 ISUOG</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4154-22725aa9e04ac0818fd21a8fe98db17e3d5e1f59be2a8104a8246029bf50fc713</citedby><cites>FETCH-LOGICAL-c4154-22725aa9e04ac0818fd21a8fe98db17e3d5e1f59be2a8104a8246029bf50fc713</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fuog.1854$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fuog.1854$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,1427,27901,27902,45550,45551,46384,46808</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15791695$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Davies, V.</creatorcontrib><creatorcontrib>Gledhill, J.</creatorcontrib><creatorcontrib>McFadyen, A.</creatorcontrib><creatorcontrib>Whitlow, B.</creatorcontrib><creatorcontrib>Economides, D.</creatorcontrib><title>Psychological outcome in women undergoing termination of pregnancy for ultrasound‐detected fetal anomaly in the first and second trimesters: a pilot study</title><title>Ultrasound in obstetrics & gynecology</title><addtitle>Ultrasound Obstet Gynecol</addtitle><description>Objective
To ascertain and compare psychological morbidity following first‐ and second‐trimester termination for fetal anomaly.
Methods
This was a cohort study of 30 women aged 20–40 years in a north London teaching hospital, 14 of whom had had a first‐trimester termination and 16 a second‐trimester termination for fetal anomaly. The main outcome measures were questionnaire data (General Health Questionnaire‐28, Beck Depression Inventory, Perinatal Grief Scale, Impact of Event Scale (IES)) at 6 weeks, 6 months and 12 months after termination.
Results
There were high levels of psychological distress in both groups at each time point, and for the combined group the mean total scores on the IES remained above the cut‐off for the entire study period. Those having second‐trimester terminations had a significantly higher level of post‐traumatic stress symptomatology 6 weeks after termination (14/16 vs. 6/14; odds ratio = 9.3; 95% CI, 1.5–57.7).
Conclusions
Psychological morbidity following termination of pregnancy for fetal anomaly is prevalent and persistent. Our data suggest that in the short term (as assessed at a 6‐week follow‐up), second‐trimester termination may be more stressful compared with first‐trimester termination. Copyright © 2005 ISUOG. Published by John Wiley & Sons, Ltd.</description><subject>Abortion, Therapeutic - psychology</subject><subject>Adult</subject><subject>Cohort Studies</subject><subject>Depression - etiology</subject><subject>diagnosis</subject><subject>Female</subject><subject>fetal anomaly</subject><subject>Fetus - abnormalities</subject><subject>Grief</subject><subject>Humans</subject><subject>Mood Disorders - etiology</subject><subject>Pilot Projects</subject><subject>Pregnancy</subject><subject>Pregnancy Trimester, First</subject><subject>Pregnancy Trimester, Second</subject><subject>psychological health</subject><subject>Stress Disorders, Post-Traumatic - etiology</subject><subject>Stress, Psychological - etiology</subject><subject>termination of pregnancy</subject><subject>Treatment Outcome</subject><subject>Ultrasonography, Prenatal - methods</subject><subject>ultrasound</subject><issn>0960-7692</issn><issn>1469-0705</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkUGKFDEYRoMoTjsKnkCyEjc1JumkUnEnwzgKA-PCWRfp5E9NJJW0SYqhdh7BA3g6T2LabnAlrj4Ij8cfHkIvKbmghLC3S5ou6CD4I7ShvFcdkUQ8RhuietLJXrEz9KyUr4SQnm_7p-iMCqlor8QG_fxcVnOfQpq80QGnpZo0A_YRP7SNeIkW8pR8nHCFPPuoq08RJ4f3Gaaoo1mxSxkvoWZdUsN_ff9hoYKpYLGD2qQ6plmH9SCt94Cdz6W2R4sLmNSmZj9DafryDmu89yFVXOpi1-foidOhwIvTnqO7D1dfLj92N7fXny7f33SGU8E7xiQTWisgXBsy0MFZRvXgQA12RyVsrQDqhNoB0wNt0MB4T5jaOUGckXR7jl4fvfucvi3tlHH2xUAIOkJaythLSYjg8r8gVXzLOGcNfHMETU6lZHDjvn1S53WkZDwkG1uy8ZCsoa9OzmU3g_0Lnho1oDsCDz7A-k_ReHd7_Uf4G6RmpNA</recordid><startdate>200504</startdate><enddate>200504</enddate><creator>Davies, V.</creator><creator>Gledhill, J.</creator><creator>McFadyen, A.</creator><creator>Whitlow, B.</creator><creator>Economides, D.</creator><general>John Wiley & Sons, Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>8FD</scope><scope>FR3</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>200504</creationdate><title>Psychological outcome in women undergoing termination of pregnancy for ultrasound‐detected fetal anomaly in the first and second trimesters: a pilot study</title><author>Davies, V. ; Gledhill, J. ; McFadyen, A. ; Whitlow, B. ; Economides, D.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4154-22725aa9e04ac0818fd21a8fe98db17e3d5e1f59be2a8104a8246029bf50fc713</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Abortion, Therapeutic - psychology</topic><topic>Adult</topic><topic>Cohort Studies</topic><topic>Depression - etiology</topic><topic>diagnosis</topic><topic>Female</topic><topic>fetal anomaly</topic><topic>Fetus - abnormalities</topic><topic>Grief</topic><topic>Humans</topic><topic>Mood Disorders - etiology</topic><topic>Pilot Projects</topic><topic>Pregnancy</topic><topic>Pregnancy Trimester, First</topic><topic>Pregnancy Trimester, Second</topic><topic>psychological health</topic><topic>Stress Disorders, Post-Traumatic - etiology</topic><topic>Stress, Psychological - etiology</topic><topic>termination of pregnancy</topic><topic>Treatment Outcome</topic><topic>Ultrasonography, Prenatal - methods</topic><topic>ultrasound</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Davies, V.</creatorcontrib><creatorcontrib>Gledhill, J.</creatorcontrib><creatorcontrib>McFadyen, A.</creatorcontrib><creatorcontrib>Whitlow, B.</creatorcontrib><creatorcontrib>Economides, D.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Ultrasound in obstetrics & gynecology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Davies, V.</au><au>Gledhill, J.</au><au>McFadyen, A.</au><au>Whitlow, B.</au><au>Economides, D.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Psychological outcome in women undergoing termination of pregnancy for ultrasound‐detected fetal anomaly in the first and second trimesters: a pilot study</atitle><jtitle>Ultrasound in obstetrics & gynecology</jtitle><addtitle>Ultrasound Obstet Gynecol</addtitle><date>2005-04</date><risdate>2005</risdate><volume>25</volume><issue>4</issue><spage>389</spage><epage>392</epage><pages>389-392</pages><issn>0960-7692</issn><eissn>1469-0705</eissn><abstract>Objective
To ascertain and compare psychological morbidity following first‐ and second‐trimester termination for fetal anomaly.
Methods
This was a cohort study of 30 women aged 20–40 years in a north London teaching hospital, 14 of whom had had a first‐trimester termination and 16 a second‐trimester termination for fetal anomaly. The main outcome measures were questionnaire data (General Health Questionnaire‐28, Beck Depression Inventory, Perinatal Grief Scale, Impact of Event Scale (IES)) at 6 weeks, 6 months and 12 months after termination.
Results
There were high levels of psychological distress in both groups at each time point, and for the combined group the mean total scores on the IES remained above the cut‐off for the entire study period. Those having second‐trimester terminations had a significantly higher level of post‐traumatic stress symptomatology 6 weeks after termination (14/16 vs. 6/14; odds ratio = 9.3; 95% CI, 1.5–57.7).
Conclusions
Psychological morbidity following termination of pregnancy for fetal anomaly is prevalent and persistent. Our data suggest that in the short term (as assessed at a 6‐week follow‐up), second‐trimester termination may be more stressful compared with first‐trimester termination. Copyright © 2005 ISUOG. Published by John Wiley & Sons, Ltd.</abstract><cop>Chichester, UK</cop><pub>John Wiley & Sons, Ltd</pub><pmid>15791695</pmid><doi>10.1002/uog.1854</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Ultrasound in obstetrics & gynecology, 2005-04, Vol.25 (4), p.389-392 |
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| source | Wiley Free Content; MEDLINE; Wiley Online Library Journals Frontfile Complete; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Abortion, Therapeutic - psychology Adult Cohort Studies Depression - etiology diagnosis Female fetal anomaly Fetus - abnormalities Grief Humans Mood Disorders - etiology Pilot Projects Pregnancy Pregnancy Trimester, First Pregnancy Trimester, Second psychological health Stress Disorders, Post-Traumatic - etiology Stress, Psychological - etiology termination of pregnancy Treatment Outcome Ultrasonography, Prenatal - methods ultrasound |
| title | Psychological outcome in women undergoing termination of pregnancy for ultrasound‐detected fetal anomaly in the first and second trimesters: a pilot study |
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