Beauquier 2022 Prenatal attachment, anxiety and grief during subsequent pregnancy after medical termination of pregnancy. Attachment to which child_.pdf
[en] PURPOSE: To evaluate emotional distress and prenatal attachment throughout a subsequent pregnancy after Termination of Pregnancy (TOP) for fetal abnormality. METHODS: Observational study, in a French Tertiary Maternity. POPULATION: 25 women in a subsequent pregnancy after a medical termination of pregnancy for foetal abnormality, 18-year-old and older. Prenatal Interviews at 20 Gestationnal weeks (GW), 27 GW and 35 GW and Postnatal at 3 months and at each time self-administered questionnaires of anxiety, post-traumatic stress syndrome (PCLS) depressive symptoms (EPDS), prenatal attachment (PAI) and Perinatal Grief Scale (PGS). RESULTS: Pregnancy onset, i.e. before 20 GW, showed increased prevalence of anxiety (16/23, 66.7%), depression (7/23, 30.4%) and post-traumatic stress symptoms (4/16, 25%). Total score on PGS is higher in onset of pregnancy than in the third trimester (p = 0.005). Prenatal attachment was lower during early pregnancy (p = 0.003) and correlated inversely with grief intensity (p = 0.022). During late pregnancy, emotional symptoms decrease, and prenatal attachment stopped increase positively, specifically among women whose foetal abnormality in previous pregnancies were diagnosed late, at an average of 25 GW. CONCLUSION: This research shows the specific dynamics of pregnancies following TOP and highlights the necessity for early prenatal psychological support. One should also pay special attention to prenatal attachment during late pregnancy even after knowing that the fetus is healthy.
Disciplines :
Psychiatry
Author, co-author :
Beauquier-Maccotta, Berengere; Child and Adolescent Psychiatry Department, Necker Enfant Malades Hospital, APHP Paris France. Université de Paris, Laboratoire de Psychologie Clinique, Psychopathologie, Psychanalyse (PCPP, EA 4056), Université de Paris. Electronic address: b.beauquier@maccotta.net.
Shulz, Jessica; Laboratoire de Psychologie Clinique, Psychopathologie, Psychanalyse (PCPP, EA 4056), Université de Paris.
De Wailly, Diane; Laboratoire de Psychologie Clinique, Psychopathologie, Psychanalyse (PCPP, EA 4056), Université de Paris, Maternity and foetal medicine department, Necker Enfant Malades Hospital, APHP, Paris France. EA 7328, Université de Paris.
Meriot, Marie-Emmanuelle; Child and Adolescent psychiatry Department, Perinatal unit, University hospital of Strasbourg. France.
Soubieux, Marie-José; Centre perinatal du Boulevard Brune, St Anne Hospital, Paris France.
Ouss, Lisa ; Child and Adolescent Psychiatry Department, Necker Enfant Malades Hospital, APHP Paris France. Université de Paris.
Grosmaitre, Catherine; Child and Adolescent Psychiatry Department, Necker Enfant Malades Hospital, APHP Paris France. Université de Paris.
Salomon, Laurent J; Maternity and foetal medicine department, Necker Enfant Malades Hospital, APHP, Paris France. EA 7328, Université de Paris.
Golse, Bernard; Laboratoire de Psychologie Clinique, Psychopathologie, Psychanalyse (PCPP, EA 4056), Université de Paris.
Ville, Yves; Maternity and foetal medicine department, Necker Enfant Malades Hospital, APHP, Paris France. EA 7328, Université de Paris.
Missonnier, Sylvain; Laboratoire de Psychologie Clinique, Psychopathologie, Psychanalyse (PCPP, EA 4056), Université de Paris.
Language :
English
Title :
Prenatal attachment, anxiety and grief during subsequent pregnancy after medical termination of pregnancy. Attachment to which child?
Publication date :
April 2022
Journal title :
Journal of Gynecology Obstetrics and Human Reproduction
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