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Titolo:
FIRST-TRIMESTER MULTIFETAL PREGNANCY REDUCTION - ACUTE AND PERSISTENTPSYCHOLOGIC REACTIONS
Autore:
SCHREINERENGEL P; WALTHER VN; MINDES J; LYNCH L; BERKOWITZ RL;
Indirizzi:
CUNY MT SINAI SCH MED,DEPT OBSTET GYNECOL & REPROD SCI,BOX 1170,1176 5TH AVE NEW YORK NY 10029 MT SINAI MED CTR,DEPT OBSTET GYNECOL & REPROD SCI NEW YORK NY 10029
Titolo Testata:
American journal of obstetrics and gynecology
fascicolo: 2, volume: 172, anno: 1995,
parte:, 1
pagine: 541 - 547
SICI:
0002-9378(1995)172:2<541:FMPR-A>2.0.ZU;2-8
Fonte:
ISI
Lingua:
ENG
Keywords:
MULTIFETAL PREGNANCY REDUCTION; DEPRESSION; PREGNANCY LOSS; PSYCHOLOGIC IMPACT; GRIEF COUNSELING;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
23
Recensione:
Indirizzi per estratti:
Citazione:
P. Schreinerengel et al., "FIRST-TRIMESTER MULTIFETAL PREGNANCY REDUCTION - ACUTE AND PERSISTENTPSYCHOLOGIC REACTIONS", American journal of obstetrics and gynecology, 172(2), 1995, pp. 541-547

Abstract

OBJECTIVE: Our purpose was to determine acute and persistent psychologic impacts of multifetal pregnancy reductions and patients' ability to cope with fetal loss white simultaneously bonding to surviving infants. STUDY DESIGN: The first 100 women to undergo a multifetal reduction were invited to participate in a retrospective telephone study assessing their emotional reactions and attitudes toward multifetal reduction. The semistructured interview elicited demographic and obstetric data and contained scales used in previous studies of reproductive loss,which assessed repetitive thoughts about reduced fetuses, catastrophic fears, and lingering depressive feelings. RESULTS: More than 65% of the sample recalled acute feelings of emotional pain, stress, and fearduring the reduction procedure. Mourning for the lost fetuses was reported by 70% of women, but most grieved for only 1 month. Thoughts about reduced fetuses occurred moderately frequently after the reduction but rarely at follow-up. Persistent depressive symptoms were mild, although moderately severe levels of sadness and guilt continued for many. Nonetheless, 93% would make the same decision again. Emotional reactions of patients who miscarried differed little. The small subsample who continued to be most affected were younger (p < 0.02), were more religious (p < 0.003), and had viewed the multifetal pregnancy on ultrasonography more often (p < 0.009). CONCLUSIONS: Multifetal reductions, although highly stressful psychologically, are well tolerated. Sadnessand guilt may persist, especially for an identifiable subgroup. Normal maternal bonding and achievement of parenthood goals facilitate grief resolution. The large majority were reconciled to the termination ofsome fetuses to preserve the lives of a remaining few.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 30/09/20 alle ore 01:03:19