American Journal of Obstetrics & Gynecology
Volume 201, Issue 2 , Pages 160.e1-160.e7 , August 2009

Adjustment to termination of pregnancy for fetal anomaly: a longitudinal study in women at 4, 8, and 16 months

  • Marijke J. Korenromp, PhD

      Affiliations

    • Department of Perinatology and Gynecology, University Medical Center Utrecht, Utrecht, The Netherlands
    • Corresponding Author InformationReprints: Marijke J. Korenromp, PhD, Department of Perinatology and Gynecology, University Medical Center Utrecht, KE 04123.1, Post box 85090, 8508 AB, Utrecht, The Netherlands
    • ,
  • Godelieve C.M.L. Page-Christiaens, MD, PhD

      Affiliations

    • Department of Perinatology and Gynecology, University Medical Center Utrecht, Utrecht, The Netherlands
    • ,
  • Jan van den Bout, PhD

      Affiliations

    • Department of Clinical and Health Psychology, Utrecht University, Utrecht, The Netherlands
    • ,
  • Eduard J.H. Mulder, PhD

      Affiliations

    • Department of Perinatology and Gynecology, University Medical Center Utrecht, Utrecht, The Netherlands
    • ,
  • Gerard H.A. Visser, MD, PhD

      Affiliations

    • Department of Perinatology and Gynecology, University Medical Center Utrecht, Utrecht, The Netherlands

Received 27 October 2008 ,Revised 12 January 2009 ,Accepted 10 April 2009.

  • Image Result

    Distribution of raw data for each of 4 psychological outcome measures: grief (Inventory of Complicated Grief [ICG]), posttraumatic stress symptoms (Impact of Event Scale [IES]), psychological malfunct

    Distribution of raw data for each of 4 psychological outcome measures: grief (Inventory of Complicated Grief [ICG]), posttraumatic stress symptoms (Impact of Event Scale [IES]), psychological malfunctioning (Symptom Checklist-90 [SCL]), and depression (Edinburgh Postnatal Depression Scale [EPDS]). Dotted lines = cutoff levels to define pathology.

    Korenromp. Adjustment to termination of pregnancy for fetal anomaly. Am J Obstet Gynecol 2009.

  • Image Result
    Patterns of continuity and change in percentages (resolution, pathology onset) for 4 psychological outcome measures in women with normal and pathological scores on first occasion (4 months).EPDS, Edin

    Patterns of continuity and change in percentages (resolution, pathology onset) for 4 psychological outcome measures in women with normal and pathological scores on first occasion (4 months).

    EPDS, Edinburgh Postnatal Depression Scale; ICG, Inventory of Complicated Grief; IES, Impact of Event Scale; SCL, Symptom Checklist.

    Korenromp. Adjustment to termination of pregnancy for fetal anomaly. Am J Obstet Gynecol 2009.

  • Image Result
    Percentage of women showing pathological level of posttraumatic stress symptoms (Impact of Event Scale [IES]) in months and years after termination of pregnancy. Cutoff point for pathology ≥ 26.aRefer

    Percentage of women showing pathological level of posttraumatic stress symptoms (Impact of Event Scale [IES]) in months and years after termination of pregnancy. Cutoff point for pathology ≥ 26.

    aReference group: E. Olde29; bIES-R recalculated into IES.

    Korenromp. Adjustment to termination of pregnancy for fetal anomaly. Am J Obstet Gynecol 2009.

 This study was supported by Grants from the Netherlands Organization for Health, Research, and Development, and from the Netherlands Foundation for Mental Health (Fonds Psychische Gezondheid).

 Cite this article as: Korenromp MJ, Page-Christiaens GCML, van den Bout J, et al. Adjustment to termination of pregnancy for fetal anomaly: a longitudinal study in women at 4, 8, and 16 months. Am J Obstet Gynecol 2009;201:160.e1-7.

PII: S0002-9378(09)00393-7

doi: 10.1016/j.ajog.2009.04.007

American Journal of Obstetrics & Gynecology
Volume 201, Issue 2 , Pages 160.e1-160.e7 , August 2009

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