Geerinck-Vercammen C R, Kanhai H H H
Department of Social Work, Leiden University Medical Centre (LUMC), 2300 RC Leiden, The Netherlands.
Prenat Diagn. 2003 Jul;23(7):543-8. doi: 10.1002/pd.636.
To study the feelings of parents during and after termination of pregnancy (TOP) for fetal anomalies.
Semi-structured interviews were conducted before TOP, after six weeks and six months after TOP. The study group consisted of 89 couples, treated at our institution between 1994 and 1998, who terminated their pregnancy in the second and third trimester. Eighty-six of them participated in at least one of the three interviews.
Most parents were able to cope with the decisions they had to make, although a struggle between reason and emotion often occurred. Seeing the dead baby and saying farewell gave all parents a good feeling afterward. Feelings such as doubt, guilt, failure, shame, anger, anxiety and relief were experienced during the period of TOP and the following weeks but practically disappeared after six months; these feelings were more prevalent in women. Most of the couples mentioned that their relationship grew closer as a result of the loss and the grief. Relatives offered good support to most parents in the first weeks after delivery, but parents felt that this support lasted too short a time.
Seeing the child and saying farewell and the medical and psychosocial support received from professional caregivers were of great value for the interviewees. Parents found the interviews helpful in the grieving process.
研究胎儿异常终止妊娠（TOP）期间及之后父母的感受。
在终止妊娠前、终止妊娠六周后以及六个月后进行半结构化访谈。研究组由1994年至1998年期间在我们机构接受治疗、在孕中期和孕晚期终止妊娠的89对夫妇组成。其中86人至少参加了三次访谈中的一次。
大多数父母能够应对他们必须做出的决定，尽管理性与情感之间常常存在挣扎。看到死婴并与之告别之后，所有父母都感觉良好。在终止妊娠期间及之后几周，父母会经历怀疑、内疚、失败、羞耻、愤怒、焦虑和宽慰等情绪，但在六个月后这些情绪几乎消失；这些情绪在女性中更为普遍。大多数夫妇表示，由于这次失去和悲痛，他们的关系变得更加亲密。产后头几周，亲属为大多数父母提供了很好的支持，但父母觉得这种支持持续的时间太短。
看到孩子并与之告别以及从专业护理人员那里获得的医疗和心理社会支持对受访者非常有价值。父母发现访谈对悲伤过程有帮助。
