Psychological Reactions in Women with Pregnancy Termination Due to Fetal Anomaly
OBJECTIVE: We aimed to determine and compare grief, depression, and post-traumatic stress scores in women who underwent termination of pregnancy due to fetal anomaly in the first vs. second-trimester of pregnancy. STUDY DESIGN: Forty-three women who underwent termination of pregnancy for fetal an...
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Medical Network
2021-12-01
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| Series: | Gynecology Obstetrics & Reproductive Medicine |
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| Online Access: | https://gorm.com.tr/index.php/GORM/article/view/1145 |
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| author | Gurcan Turkyilmaz Yavuz Selim Atan Emircan Erturk Sebnem Turkyilmaz |
| author_facet | Gurcan Turkyilmaz Yavuz Selim Atan Emircan Erturk Sebnem Turkyilmaz |
| author_sort | Gurcan Turkyilmaz |
| collection | DOAJ |
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OBJECTIVE: We aimed to determine and compare grief, depression, and post-traumatic stress scores in women who underwent termination of pregnancy due to fetal anomaly in the first vs. second-trimester of pregnancy.
STUDY DESIGN: Forty-three women who underwent termination of pregnancy for fetal anomaly were subdivided into two categories in this prospective-cohort study: First-trimester group, which was defined as termination of pregnancy performed <14 weeks of gestation, and Second-trimester termination of pregnancy who underwent termination of pregnancy between 20 and 28 weeks of pregnancy. Eight weeks after the termination of pregnancy, the Beck Depression Inventory, Perinatal Grief Scale-short version, and Impact of Event Scale-Revised were performed with face-to-face interviews.
RESULTS: Twenty-four women in the first-trimester group and 19 women in the second-trimester group were enrolled. The mean Beck Depression Inventory score was 7.3±4.2 in the first-trimester group and 11.1±4.6 in the second-trimester group (p=0.033). The mean Perinatal Grief Scale-short scores were 86.3±17.2 and 101.4±29.2 in the first and second-trimester groups, respectively (p=0.014). Impact of Event Scale-Revised scores of the first trimester and second-trimester groups were 22.5±8.6 and 35.3±17.1, respectively (p=0.022). Depression was detected in 29.1% of women in the first-trimester group and 57.8% in the second-trimester group (p=0.023). Perinatal grief was significantly higher in the second-trimester group (45.8% vs. 84.2% p<0.01). Post-traumatic stress was significantly higher in the second-trimester group (41.6% vs. 73.6%, p=0.031).
CONCLUSION: Our study indicates that termination of pregnancy for fetal anomaly causes severe psychiatric problems in most women. Depression, grief, and post-traumatic stress are more prominent in women who underwent termination of pregnancy in the second trimester of pregnancy than in the first trimester.
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| format | Article |
| id | doaj-art-52772d7805f4428d94009bf472ea4671 |
| institution | Kabale University |
| issn | 1300-4751 2602-4918 |
| language | English |
| publishDate | 2021-12-01 |
| publisher | Medical Network |
| record_format | Article |
| series | Gynecology Obstetrics & Reproductive Medicine |
| spelling | doaj-art-52772d7805f4428d94009bf472ea46712025-02-11T21:13:45ZengMedical NetworkGynecology Obstetrics & Reproductive Medicine1300-47512602-49182021-12-0127310.21613/GORM.2021.1145Psychological Reactions in Women with Pregnancy Termination Due to Fetal AnomalyGurcan Turkyilmaz0Yavuz Selim Atan1Emircan Erturk2Sebnem Turkyilmaz3Van Education and Research Hospital, Department of Obstetrics and GynecologyVan Yüzüncü Yıl University, Department of PsychiatryVan Education and Rsearch Hospital, Department of Obstetrics and GynecologyVan Education and Research Hospital, Department of Obstetrics and Gynecology OBJECTIVE: We aimed to determine and compare grief, depression, and post-traumatic stress scores in women who underwent termination of pregnancy due to fetal anomaly in the first vs. second-trimester of pregnancy. STUDY DESIGN: Forty-three women who underwent termination of pregnancy for fetal anomaly were subdivided into two categories in this prospective-cohort study: First-trimester group, which was defined as termination of pregnancy performed <14 weeks of gestation, and Second-trimester termination of pregnancy who underwent termination of pregnancy between 20 and 28 weeks of pregnancy. Eight weeks after the termination of pregnancy, the Beck Depression Inventory, Perinatal Grief Scale-short version, and Impact of Event Scale-Revised were performed with face-to-face interviews. RESULTS: Twenty-four women in the first-trimester group and 19 women in the second-trimester group were enrolled. The mean Beck Depression Inventory score was 7.3±4.2 in the first-trimester group and 11.1±4.6 in the second-trimester group (p=0.033). The mean Perinatal Grief Scale-short scores were 86.3±17.2 and 101.4±29.2 in the first and second-trimester groups, respectively (p=0.014). Impact of Event Scale-Revised scores of the first trimester and second-trimester groups were 22.5±8.6 and 35.3±17.1, respectively (p=0.022). Depression was detected in 29.1% of women in the first-trimester group and 57.8% in the second-trimester group (p=0.023). Perinatal grief was significantly higher in the second-trimester group (45.8% vs. 84.2% p<0.01). Post-traumatic stress was significantly higher in the second-trimester group (41.6% vs. 73.6%, p=0.031). CONCLUSION: Our study indicates that termination of pregnancy for fetal anomaly causes severe psychiatric problems in most women. Depression, grief, and post-traumatic stress are more prominent in women who underwent termination of pregnancy in the second trimester of pregnancy than in the first trimester. https://gorm.com.tr/index.php/GORM/article/view/1145anomalydepressiongriefstresstermination |
| spellingShingle | Gurcan Turkyilmaz Yavuz Selim Atan Emircan Erturk Sebnem Turkyilmaz Psychological Reactions in Women with Pregnancy Termination Due to Fetal Anomaly Gynecology Obstetrics & Reproductive Medicine anomaly depression grief stress termination |
| title | Psychological Reactions in Women with Pregnancy Termination Due to Fetal Anomaly |
| title_full | Psychological Reactions in Women with Pregnancy Termination Due to Fetal Anomaly |
| title_fullStr | Psychological Reactions in Women with Pregnancy Termination Due to Fetal Anomaly |
| title_full_unstemmed | Psychological Reactions in Women with Pregnancy Termination Due to Fetal Anomaly |
| title_short | Psychological Reactions in Women with Pregnancy Termination Due to Fetal Anomaly |
| title_sort | psychological reactions in women with pregnancy termination due to fetal anomaly |
| topic | anomaly depression grief stress termination |
| url | https://gorm.com.tr/index.php/GORM/article/view/1145 |
| work_keys_str_mv | AT gurcanturkyilmaz psychologicalreactionsinwomenwithpregnancyterminationduetofetalanomaly AT yavuzselimatan psychologicalreactionsinwomenwithpregnancyterminationduetofetalanomaly AT emircanerturk psychologicalreactionsinwomenwithpregnancyterminationduetofetalanomaly AT sebnemturkyilmaz psychologicalreactionsinwomenwithpregnancyterminationduetofetalanomaly |