Decision-making after ultrasound diagnosis of fetal abnormality

作者: Hilmar H. Bijma , Agnes van der Heide , Hajo I. J. Wildschut

DOI: 10.1007/S11296-007-0070-0

关键词:

摘要: During the last few decades, use of ultrasonography for detection fetal abnormalities has become widespread in many industrialised countries. This resulted a shift timing diagnosis congenital infants from neonatal period to prenatal period. major implications both clinicians and couples involved. In case ultrasound anomaly, there are several options obstetric management, ranging standard care non-aggressive termination pregnancy. essay explores context clinical parental decision making after abnormality, with emphasis on Dutch situation. While normal findings at examination have strong beneficial psychological effects pregnant woman her partner, couple is often ill prepared bad news about health their unborn child abnormal findings. is, particular, true settings where offered as an integral part antenatal without appropriate counselling. An important question what extent should be supported when abnormality diagnosed. this context, perception having choice varies markedly. When parents consider end-of-life decisions, they experience ambivalent emotional feelings. On one hand, committed pregnancy, while other want protect child, themselves family burden severe disability. These complex reactions counselling strategy.

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