Diagnosis of Fetal Anomaly and the Increased Maternal Psychological Toll Associated with Pregnancy Termination.
Approximately 4% of U.S. abortions occur in desired pregnancies, with many resulting from fetal anomalies. The majority of terminations occur in the second trimester; however in recent years first-trimester ultra sound measurement for nuchal translucency, calculation of risk based on maternal age, a...
| Publicado en: | Issues in Law & Medicine Vol. 30; no. 1; pp. 3 - 24 |
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| Autor principal: | |
| Formato: | review Journal Article |
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Issues in Law & Medicine
Spring2015
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=103161269&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 103161269 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 87568160 ILM jtl: Issues in Law & Medicine issn: 87568160 maglogo: N pubinfo: dt: Spring2015 vid: 30 iid: 1 pid: 1368 pub: Issues in Law & Medicine place: Terre Haute, Indiana artinfo: ui: 103161269 103161269 109800257 103161269 ppf: 3 ppct: 21 formats: fmt: @attributes: type: P tig: atl: Diagnosis of Fetal Anomaly and the Increased Maternal Psychological Toll Associated with Pregnancy Termination. aug: au: Coleman, Priscilla K. affil: Professor of Human Development and Family Studies, Bowling Green State University sug: subj: Congenital, Hereditary, and Neonatal Diseases and Abnormalities Diagnosis Prenatal Diagnosis Abortion, Induced Psychosocial Factors Perinatal Care Methods Hospice Care Methods Abortion, Induced Statistics and Numerical Data Culture Bereavement Decision Making Fear Prevention and Control ab: Approximately 4% of U.S. abortions occur in desired pregnancies, with many resulting from fetal anomalies. The majority of terminations occur in the second trimester; however in recent years first-trimester ultra sound measurement for nuchal translucency, calculation of risk based on maternal age, and biochemistry at 11-14 weeks gestation, have resulted in earlier prenatal diagnoses for chromosomal abnormalities. First trimester ultrasound can also now lead to diagnoses of major structural abnormalities including anecephaly, ventral wall defects, and limb abnormalities. The American College of Medical Genetics released recommendations underscoring the crucial importance of ethical counseling and substantive communication with parents facing a prenatal diagnosis of fetal anomaly. Unfortunately, the inability of health care providers to understand and empathize with the ardent desire of some parents to refuse termination is likely to be a large factor in the common practice of professionals attempting to steer expectant parents toward termination. Perinatal hospice is family-centered, comprehensive, and integrative in nature. The care provided by perinatal hospice units is delivered by an interdisciplinary team of obstetricians, pediatricians, nurses, social work ers and chaplains in 130 locations throughout the U.S. Support is offered from diagnosis until death and beyond with time for “bonding, loving, and losing.” “Hospice care is an interactive, and at times intense, form of care. Rather than simply ‘letting nature take its course,' this approach empowers the family to take control of some of the consequences of their unfortunate situation.” A primary focus of perinatal hospice is on fear reduction. Parents facing the death of an infant often fear isolation and abandonment in addition to worrying about their child experiencing pain. Parents are assured that they will be cared for and supported throughout this entire chapter of their lives, as their babies are kept comfortable and free of pain until death. The approach is realistic without shattering hope that the diagnosis was wrong or that a miracle will take place as there is recognition that hope keeps parents going. There is also recognition that building memories is essential to the grieving process and frequent use of ultrasound is designed to provide visualization experience. Perinatal hospice teams assist in the development of birth plans, address the type and location of the delivery as well as aftercare of the mother and infant. pubtype: Academic Journal doctype: review Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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