Emotional Distress and Prenatal Attachment in Pregnancy After Perinatal Loss

Armstrong, Deborah S.

doi:10.1111/j.1547-5069.2002.00339.x

Cited by 119 publications

(145 citation statements)

References 27 publications

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“…Seeing an image of the fetus made the pregnancy more 'real' , and hence it became difficult to remain emotionally detached. 34 Interestingly, in 'normal' circumstances, maternal attachment has been shown to increase significantly across time 32,35,36 with highest overall levels of attachment in the second trimester. 37 NIPD is therefore likely to be valuable for those receiving news in the first trimester that the fetus is of the unaffected sex as they are able to emotionally invest in their pregnancy before the time when the bonding process naturally peaks.…”

Section: Discussionmentioning

confidence: 99%

Non-invasive prenatal diagnosis for fetal sex determination: benefits and disadvantages from the service users’ perspective

et al. 2012

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Prenatal fetal sex determination is clinically indicated for women who are at risk of having a child with a serious genetic disorder affecting a particular sex. Ultrasound has been the traditional method used, but early fetal sex determination using non-invasive prenatal diagnosis (NIPD) can now be performed using cell-free fetal DNA in maternal plasma. The study aim was to assess the views and experiences of service users who had used NIPD for fetal sex determination. In this paper, we report on the perceived benefits and disadvantages. A qualitative approach using semi-structured interviews was used. A total of 44 participants (38 women and 6 partners of participating women) were recruited. Participants' views and experiences of NIPD were overwhelmingly positive. Concerning benefits over traditional methods, three themes emerged: (1) technical aspects of technology; (2) timing; and (3) enhanced decision-making. Practical advantages of NIPD included avoiding miscarriage, and there were a number of psychological advantages associated with timing such as perceived control, early re-engagement, normalization of pregnancy and peace of mind. Participants also valued NIPD as it enabled a stepwise approach to decisionmaking. A number of disadvantages were discussed including concerns about social sexing and increased bonding at a time in pregnancy when miscarriage risk is high. However, participants felt these were fairly minor in comparison with the advantages of NIPD. Until definitive genetic diagnosis using NIPD is available, NIPD for fetal sex determination is perceived as a good interim measure with a number of notable advantages over traditional methods.

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Section: Discussionmentioning

confidence: 99%

Non-invasive prenatal diagnosis for fetal sex determination: benefits and disadvantages from the service users’ perspective

et al. 2012

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“…Grieving of parents, who had experienced loss of a baby but did not have the opportunity to know their baby, was different from other types of grieving (de Montigny et al, 1999). Armstrong (2001;2002;2007) showed that parents with previous losses had significantly higher antenatal anxiety on the outcome of the current pregnancy than the expectant parents with no history of perinatal loss. Couples who experienced the death of a baby were significantly more likely to have one or both partners distressed, compared to non-bereaved couples (Armstrong and Hutti, 1998;de Montigny et al, 1999).…”

Section: Introductionmentioning

confidence: 98%

Psychosocial impact of mothers with perinatal loss and its contributing factors: an insight

Sutan

Amin

Ariffin

et al. 2010

J. Zhejiang Univ. Sci. B

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Abstract:Objective: To evaluate the psychosocial impact among mothers with perinatal loss and its contributing factors. Methods: A cross sectional study was conducted in University Kebangsaan Malaysia Medical Centre (UKMMC) from April 2008 to May 2009 using Edinburgh Postnatal Depression Scale (EPDS) and self administered questionnaire. Results: Sixty-two respondents were included and most of them were working mothers (77.4%). The mean age of the respondents was (31.0±5.6) years and a majority of the subjects aged between 20-34 years (77.4%). According to the EPDS score, 53.2% of the respondents had a psychosocial impact with a total score of >9, out of 30. There was a significant relationship between psychosocial impact after perinatal loss and support from friends (P=0.019). However, there were no significant differences between psychosocial impact and history of previous perinatal loss, ethnicity, occupation, educational level, age or total income. Conclusion: Mothers with perinatal loss should be screened for psychosocial impact and offered support when needed. Family and friends should continue to provide emotional support. People who have experienced similar problem before will be able to provide better support than those who have not.

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“…4 Various studies have described high rates of symptoms of anxiety and depression following perinatal loss. 1,5,6 Nevertheless, little is known of the consequences of continuous grief on future pregnancies. 1 Few studies have evaluated quality of life during pregnancy.…”

Section: Introductionmentioning

confidence: 99%

Quality of life, depression and anxiety among pregnant women with previous adverse pregnancy outcomes

et al. 2009

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CONTEXT AND OBJECTIVE: Previous adverse pregnancy outcomes (recurrent spontaneous abortion, fetal death, preterm birth or early neonatal death) can affect the quality of life of pregnant women. The objective of this study was to compare the quality of life and the prevalence of symptoms of anxiety and depression among pregnant women with and without these antecedents. DESIGN AND SETTING:An analytical cross-sectional study was performed in four settings (two high-risk and two low-risk prenatal clinics) in the city of Campinas, São Paulo, Brazil. METHODS:A total of 240 women were interviewed by a single investigator between the 18 th and 24 th weeks of gestation: 120 women with prior adverse pregnancy outcomes (group 1) and 120 women with no such history (group 2), matched according to their numbers of living children. Sociodemographic variables were collected and two questionnaires were used: the Short Form-36 quality-of-life questionnaire and the Depression and Anxiety Scale. RESULTS:The women in group 1 had lower scores in all the items on the quality-of-life questionnaire. Depression and anxiety were more frequent in group 1 (P < 0.0001). An inverse correlation was found between the Short Form-36 domains and anxiety and depression.CONCLUSIONS: Women with histories of recurrent spontaneous abortion, fetal death, preterm birth or early neonatal death seem to have poorer quality of life and more symptoms of anxiety and depression during their subsequent pregnancy, compared with those without such antecedents.RESUMO CONTEXTO E OBJETIVO: O antecedente de resultados gestacionais adversos (aborto espontâneo recorrente, óbito fetal, prematuridade ou óbito neonatal precoce) pode afetar a qualidade de vida das gestantes. O objetivo deste estudo foi comparar a qualidade de vida e a prevalência de sintomas de ansiedade e depressão em gestantes com e sem estes antecedentes. TIPO DE ESTUDO E LOCAL:Um estudo transversal analítico foi realizado em quatro locais (duas clínicas de pré-natal de alto risco e duas de pré-natal de baixo risco), na cidade de Campinas, São Paulo, Brasil.MÉTODOS: Duzentas e quarenta mulheres foram entrevistadas por um único investigador entre 18 e 24 semanas de gestação: 120 tinham antecedentes gestacionais adversos (grupo 1) e 120 não tinham tal história (grupo 2), pareadas por número de filhos vivos. Variáveis sócio-demográficas foram coletadas e dois questionários foram usados: o de qualidade de vida (Questionário Short Form-36) e a Escala de Depressão e Ansiedade. RESULTADOS:As mulheres do grupo 1 obtiveram escores mais baixos em todos os itens do questionário de qualidade de vida. Depressão e ansiedade foram mais frequentes no grupo 1 (P < 0,0001). Foi encontrada uma correlação inversa entre os domínios do Short Form-36 e ansiedade e depressão.CONCLUSÕES: Mulheres com antecedente de aborto espontâneo recorrente, óbito fetal, prematuridade ou óbito neonatal precoce parecem ter pior qualidade de vida e mais sintomas de ansiedade e depressão durante a gestação subsequente quando comparadas c...

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Emotional Distress and Prenatal Attachment in Pregnancy After Perinatal Loss

Cited by 119 publications

References 27 publications

Non-invasive prenatal diagnosis for fetal sex determination: benefits and disadvantages from the service users’ perspective

Non-invasive prenatal diagnosis for fetal sex determination: benefits and disadvantages from the service users’ perspective

Psychosocial impact of mothers with perinatal loss and its contributing factors: an insight

Quality of life, depression and anxiety among pregnant women with previous adverse pregnancy outcomes

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