McCoyd Judith L M
Rutgers University, State University of New Jersey, School of Social Work, NJ 08102-1519, USA.
J Psychosom Obstet Gynaecol. 2007 Mar;28(1):37-48. doi: 10.1080/01674820601096153.
Prenatal diagnostic techniques both enable and force women and couples to make decisions about whether to continue a pregnancy where the fetus has an anomaly. Few studies have explored the decision-making and bereavement processes of women who terminate a desired pregnancy after the discovery of a fetal anomaly. This reports the qualitative results of a study designed to explore these processes while placing them within the context of the societal milieu. Findings are reported as themes that emerged from the 30 intensive interviews conducted with women at varying stages after this experience. These include mythical expectations based on denial that anomaly could occur, misconceptions about the nature of prenatal testing and inaccurate expectations about the experience and duration of grief. Further, the contradictory norms in society are defined as creating additional dilemmas for women as they attempt to gain support and understanding following their loss. Suggestions for how providers may assist women with their grief are incorporated.
产前诊断技术既使女性和夫妻能够，也迫使他们就胎儿出现异常时是否继续妊娠做出决定。很少有研究探讨在发现胎儿异常后终止期望妊娠的女性的决策和哀伤过程。本报告介绍了一项研究的定性结果，该研究旨在探索这些过程，并将其置于社会环境背景中。研究结果以主题形式呈现，这些主题来自于在此经历后不同阶段对女性进行的30次深入访谈。这些主题包括基于否认异常可能发生的神话般期望、对产前检测性质的误解以及对悲伤经历和持续时间的不准确期望。此外，社会中的矛盾规范被定义为在女性失去胎儿后试图获得支持和理解时给她们带来了额外的困境。文中还纳入了关于医疗服务提供者如何帮助女性应对悲伤的建议。
