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Help-seeking Following Termination of Pregnancy after Diagnosis of Fetal Anomaly: Womenʼs Intentions and Experiences 1 to 7 Years after the Event
INTRODUCTION: Diagnosis of fetal anomaly and the difficult circumstances involved in the decision to terminate an affected pregnancy can go along with severe psychological distress. However, little is known about womenʼs help-seeking for emotional problems following an abortion after diagnosis of fe...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Georg Thieme Verlag KG
2018
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5818274/ https://www.ncbi.nlm.nih.gov/pubmed/29479112 http://dx.doi.org/10.1055/s-0044-100380 |
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author | Hanschmidt, Franz Hoffmann, Rahel Klingner, Johanna Kersting, Anette Stepan, Holger |
author_facet | Hanschmidt, Franz Hoffmann, Rahel Klingner, Johanna Kersting, Anette Stepan, Holger |
author_sort | Hanschmidt, Franz |
collection | PubMed |
description | INTRODUCTION: Diagnosis of fetal anomaly and the difficult circumstances involved in the decision to terminate an affected pregnancy can go along with severe psychological distress. However, little is known about womenʼs help-seeking for emotional problems following an abortion after diagnosis of fetal anomaly. METHODS: 148 women who had been treated for abortion after diagnosis of fetal anomaly at the University Hospital Leipzig responded to self-report questionnaires 1 to 7 years after the event. Main outcomes were help-seeking intentions and actual help-seeking behavior. Logistic regression was used to explore the associations between participantsʼ sociodemographic characteristics and help-seeking intentions. RESULTS: Most women reported that they would seek help from their partner (91.7%), friends/family (82.8%) or the internet (62.2%). With regard to health services, 50.0% of women would seek help from gynecologists and between 43.8 and 47.9% from counseling services and mental health professionals. Intentions to seek help from support groups were lowest (21.7%). Age, income, region, and religion were associated with help-seeking intentions. Among participants with elevated levels of current psychological distress, 23.8% indicated that they had not discussed their emotional problems with a health service ever. CONCLUSION: Gynecologists are among the most preferred health professionals for women to discuss psychological problems in the aftermath of an abortion after diagnosis of fetal anomaly. They should be actively involved in screening, diagnostic assessment, and referral of affected women. |
format | Online Article Text |
id | pubmed-5818274 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | Georg Thieme Verlag KG |
record_format | MEDLINE/PubMed |
spelling | pubmed-58182742018-02-22 Help-seeking Following Termination of Pregnancy after Diagnosis of Fetal Anomaly: Womenʼs Intentions and Experiences 1 to 7 Years after the Event Hanschmidt, Franz Hoffmann, Rahel Klingner, Johanna Kersting, Anette Stepan, Holger Geburtshilfe Frauenheilkd INTRODUCTION: Diagnosis of fetal anomaly and the difficult circumstances involved in the decision to terminate an affected pregnancy can go along with severe psychological distress. However, little is known about womenʼs help-seeking for emotional problems following an abortion after diagnosis of fetal anomaly. METHODS: 148 women who had been treated for abortion after diagnosis of fetal anomaly at the University Hospital Leipzig responded to self-report questionnaires 1 to 7 years after the event. Main outcomes were help-seeking intentions and actual help-seeking behavior. Logistic regression was used to explore the associations between participantsʼ sociodemographic characteristics and help-seeking intentions. RESULTS: Most women reported that they would seek help from their partner (91.7%), friends/family (82.8%) or the internet (62.2%). With regard to health services, 50.0% of women would seek help from gynecologists and between 43.8 and 47.9% from counseling services and mental health professionals. Intentions to seek help from support groups were lowest (21.7%). Age, income, region, and religion were associated with help-seeking intentions. Among participants with elevated levels of current psychological distress, 23.8% indicated that they had not discussed their emotional problems with a health service ever. CONCLUSION: Gynecologists are among the most preferred health professionals for women to discuss psychological problems in the aftermath of an abortion after diagnosis of fetal anomaly. They should be actively involved in screening, diagnostic assessment, and referral of affected women. Georg Thieme Verlag KG 2018-02 2018-02-19 /pmc/articles/PMC5818274/ /pubmed/29479112 http://dx.doi.org/10.1055/s-0044-100380 Text en https://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited. |
spellingShingle | Hanschmidt, Franz Hoffmann, Rahel Klingner, Johanna Kersting, Anette Stepan, Holger Help-seeking Following Termination of Pregnancy after Diagnosis of Fetal Anomaly: Womenʼs Intentions and Experiences 1 to 7 Years after the Event |
title | Help-seeking Following Termination of Pregnancy after Diagnosis of Fetal Anomaly: Womenʼs Intentions and Experiences 1 to 7 Years after the Event |
title_full | Help-seeking Following Termination of Pregnancy after Diagnosis of Fetal Anomaly: Womenʼs Intentions and Experiences 1 to 7 Years after the Event |
title_fullStr | Help-seeking Following Termination of Pregnancy after Diagnosis of Fetal Anomaly: Womenʼs Intentions and Experiences 1 to 7 Years after the Event |
title_full_unstemmed | Help-seeking Following Termination of Pregnancy after Diagnosis of Fetal Anomaly: Womenʼs Intentions and Experiences 1 to 7 Years after the Event |
title_short | Help-seeking Following Termination of Pregnancy after Diagnosis of Fetal Anomaly: Womenʼs Intentions and Experiences 1 to 7 Years after the Event |
title_sort | help-seeking following termination of pregnancy after diagnosis of fetal anomaly: womenʼs intentions and experiences 1 to 7 years after the event |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5818274/ https://www.ncbi.nlm.nih.gov/pubmed/29479112 http://dx.doi.org/10.1055/s-0044-100380 |
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