von Gontard A
Monatsschr Kinderheilkd. 1986 Mar;134(3):150-7.
Prenatal diagnosis is based on the concept of selective abortion. The termination of a pregnancy for genetic reasons means a great emotional loss followed by grief and mourning. The case reports of two women are presented, who chose to abort after the prenatal diagnosis of trisomy X. One of them showed psychological and psychosomatic symptoms as a sign of a pathological grief reaction. The depth of her grief is also shown by the published empirical investigations. Four analogous situations are discussed: abortion for psychosocial reasons, miscarriage, stillbirth and the death of premature or newborn babies. In comparison, the specific aspects of abortion for genetic reasons are: the intensive relationship to the child at the time of termination; the strains and anxiety engendered during pregnancy by medical investigations; the conflict situation without a simple solution; the personal decision and responsibility for the abortion; the compounded task of grieving and dealing with feelings of guilt. A routine follow-up for the affected women would be desirable.
产前诊断基于选择性流产的概念。因遗传原因终止妊娠意味着巨大的情感损失，随之而来的是悲伤和哀悼。本文介绍了两名女性的病例报告，她们在产前诊断出X三体综合征后选择了堕胎。其中一名女性出现了心理和身心症状，这是病理性悲伤反应的迹象。已发表的实证研究也表明了她悲伤的深度。文中讨论了四种类似情况：因社会心理原因堕胎、自然流产、死产以及早产或新生儿死亡。相比之下，因遗传原因堕胎的具体特点包括：终止妊娠时与胎儿的紧密联系；孕期医学检查带来的压力和焦虑；没有简单解决方案的冲突局面；个人对堕胎的决定和责任；悲伤以及处理内疚感的复杂任务。对受影响的女性进行常规随访是可取的。
