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Emotional reactions in women in late pregnancy (24 weeks or longer) following the ultrasound diagnosis of a severe or lethal fetal malformation
Authors:J A M Hunfeld  J W Wladimiroff  J Passchier  M Uniken Venema-Van Uden  P G Frets  F Verhage
Institution:1. Department of Obstetrics and Gynaecology, University Hospital, Dijkzigt, Rotterdam, The Netherlands

Department of Medical Psychology and Psychotherapy, Erasmus University, Rotterdam, The Netherlands;2. Department of Obstetrics and Gynaecology, University Hospital, Dijkzigt, Rotterdam, The Netherlands;3. Department of Medical Psychology and Psychotherapy, Erasmus University, Rotterdam, The Netherlands;4. Department of Medical Psychology and Psychotherapy, Erasmus University, Rotterdam, The Netherlands

Department of Clinical Genetics, University Hospital Dijkzigt, Rotterdam, The Netherlands

Abstract:We studied the emotional reactions of 41 women in late pregnancy shortly after they had been informed of the diagnosis of ‘severe or lethal fetal malformations’ and 3 months after delivery. In addition, situational variables were explored as determinants of grieving. While grief did not diminish during the study period, psychological instability was less pronounced at 3 months after delivery. More grief reactions were evoked by self-reported easily versus self-reported not easily initiated pregnancy, gestational age between 24 and 34 weeks versus beyond 34 weeks, multiparity versus primiparity, and viewing versus not viewing the baby.
Keywords:Perinatal death  Short and long-term emotional reactions  Determinants of perinatal grief
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