کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
1084918 951331 2012 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Feelings of women regarding end-of-life decision making after ultrasound diagnosis of a lethal fetal malformation
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی زنان، زایمان و بهداشت زنان
پیش نمایش صفحه اول مقاله
Feelings of women regarding end-of-life decision making after ultrasound diagnosis of a lethal fetal malformation
چکیده انگلیسی

Objectivethis study investigated the feelings of women regarding end-of-life decision making after ultrasound diagnosis of a lethal fetal malformation. The aim of this study was to present the decision making process of women that chose for pregnancy termination and to present selected speeches of women about their feelings.Designopen psychological interviews conducted by a psychologist immediately after the diagnosis of fetal malformation by ultrasound. Analysis of the results was performed through a content analysis technique.Settingthe study was carried out at a public university hospital in Brazil.Participants249 pregnant women who had received the diagnosis of a severe lethal fetal malformation.Findingsfetal anencephaly was the most frequent anomaly detected in 135 cases (54.3%). Termination of pregnancy was decided by 172 (69.1%) patients and legally authorised by the judiciary (66%). The reason for asking for termination was to reduce suffering in all of them. In the 77 women who chose not to terminate pregnancy (30.9%), the reasons were related to feelings of guilt (74%).Key conclusionsthe results support the importance of psychological counselling for couples when lethal fetal malformation is diagnosed. The act of reviewing moral and cultural values and elements of the unconscious provides assurance in the decision-making process and mitigates the risk of emotional trauma and guilt that can continue long after the pregnancy is terminated.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Midwifery - Volume 28, Issue 4, August 2012, Pages 472–475
نویسندگان
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