Diagnosis of Fetal Anomaly and the Increased Maternal Psychological Toll Associated with Pregnancy Termination.

摘要: Approximately 4% of U.S. abortions occur in desired pregnancies, with many resulting from fetal anomalies. The majority terminations the second trimester; however recent years first-trimester ultrasound measurement for nuchal translucency, calculation risk based on maternal age, and biochemistry at 11-14 weeks gestation, have resulted earlier prenatal diagnoses chromosomal abnormalities. First trimester can also now lead to major structural abnormalities including anecephaly, ventral wall defects, limb American College Medical Genetics released recommendations underscoring crucial importance ethical counseling substantive communication parents facing a diagnosis anomaly. Unfortunately, inability health care providers understand empathize ardent desire some refuse termination is likely be large factor common practice professionals attempting steer expectant toward termination. Perinatal hospice family-centered, comprehensive, integrative nature. provided by perinatal units delivered an interdisciplinary team obstetricians, pediatricians, nurses, social workers chaplains 130 locations throughout Support offered until death beyond time "bonding, loving, losing." "Hospice interactive, times intense, form care. Rather than simply 'letting nature take its course,' this approach empowers family control consequences their unfortunate situation." A primary focus fear reduction. Parents infant often isolation abandonment addition worrying about child experiencing pain. are assured that they will cared supported entire chapter lives, as babies kept comfortable free pain death. realistic without shattering hope was wrong or miracle place there recognition keeps going. There building memories essential grieving process frequent use designed provide visualization experience. teams assist development birth plans, address type location delivery well aftercare mother infant.