Increasing numbers of infants have the diagnosis of a surgical malformation made before birth.
This allows (1) fetal intervention, (2) in utero transfer and planned delivery in a surgical center, and (3) antenatal counseling of likely prognosis and outcome.
The aim of this study was to assess the effectiveness of antenatal counseling in terms of the parental psychological response.
Antenatal counseling by a pediatric surgeon and neonatal nurse was given after ultrasound diagnosis of a fetal surgical malformation (eg, gastroschisis, diaphragmatic hernia).
Anxiety levels were measured using the Spielberger State-Trait Anxiety Inventory, a tool used by psychologists to assess the inherent level of anxiety, or Trait anxiety (STAI-T), and the current level of anxiety, or State anxiety (STAI-S).
Fifty six prospective mothers filled out Spielberger questionnaires (subjects, n=26 ; controls, n=30).
Nineteen subjects'partners also completed questionnaires.
There was no significant difference in Trait anxiety scores between subjects and controls (41 [interquartile range, 30 to 51] v38.5 [range, 32 to 47] ; P=58).
There was no significant correlation between maternal and paternal Trait anxiety (P=11).
There was a significant reduction in State anxiety scores in both subject mothers (49. (...)
Mots-clés Pascal : Maladie congénitale, Traitement, Chirurgie, Diagnostic, Prénatal, Echographie, Effet psychologique, Parent, Angoisse anxiété, Etude statistique, Etude comparative, Conseil psychologique, Intérêt, Angleterre, Grande Bretagne, Royaume Uni, Europe, Gestation pathologie, Foetus pathologie, Exploration ultrason
Mots-clés Pascal anglais : Congenital disease, Treatment, Surgery, Diagnosis, Prenatal, Echography, Psychological effect, Parent, Anxiety, Statistical study, Comparative study, Psychological counseling, Interest, England, Great Britain, United Kingdom, Europe, Pregnancy disorders, Fetal diseases, Sonography
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 98-0535816
Code Inist : 002B18C14. Création : 23/03/1999.