Aite Lucia, Zaccara Antonio, Nahom Antonella, Trucchi Alessandro, Iacobelli Barbara, Bagolan Pietro
Newborn Surgery Unit, Bambino Gesù children's Hospital, Rome, Italy.
Early Hum Dev. 2006 Oct;82(10):649-53. doi: 10.1016/j.earlhumdev.2005.12.010. Epub 2006 Feb 28.
To assess the applicability of Drotar model when the diagnosis of congenital malformation is made antenatally.
In a 3-year period (2000-2003) fifty mothers, counselled for fetal malformations amenable to surgical correction at birth, were interviewed. Statistical associations were sought between each stage of the adaptation process and type of anomaly, gestational age at diagnosis, maternal age, educational background and previous miscarriage. Emotional experience at each stage was studied as dichotomous variables.
Fetuses were affected by the following anomalies: abdominal wall defects (11), intestinal atresia (14) and diaphragmatic hernia (25). All mothers experienced stage one, two and three. No association was found between anger, type of anomaly, maternal age, educational background, and age at diagnosis. On the contrary, such association was statistically significant for previous miscarriage. Thirty-nine mothers reached the adaptation stage while none of them experienced that of reorganization.
Despite significant differences, the adaptation process proposed by Drotar to describe parents reactions is applicable in prenatal age.
评估德罗塔尔模型在产前做出先天性畸形诊断时的适用性。
在3年期间（2000 - 2003年），对50名因胎儿畸形而接受咨询的母亲进行了访谈，这些胎儿的畸形在出生时可通过手术矫正。在适应过程的每个阶段与异常类型、诊断时的孕周、母亲年龄、教育背景和既往流产情况之间寻找统计学关联。将每个阶段的情感体验作为二分变量进行研究。
胎儿受以下异常影响：腹壁缺损（11例）、肠闭锁（14例）和膈疝（25例）。所有母亲都经历了第一、二和三阶段。在愤怒、异常类型、母亲年龄、教育背景和诊断时的年龄之间未发现关联。相反，既往流产情况与上述关联具有统计学意义。39名母亲达到了适应阶段，而她们中没有人经历重组阶段。
尽管存在显著差异，但德罗塔尔提出的描述父母反应的适应过程在产前阶段是适用的。
