Psychological Reactions in Women With Pregnancy Termination\rdue To Fetal Anomaly

Abstract

OBJECTIVE: We aimed to determine and compare grief, depression, and post-traumatic stress scores\rin women who underwent termination of pregnancy due to fetal anomaly in the first vs. second-trimester\rof pregnancy.\rSTUDY DESIGN: Forty-three women who underwent termination of pregnancy for fetal anomaly were\rsubdivided into two categories in this prospective-cohort study: First-trimester group, which was defined\ras termination of pregnancy performed <14 weeks of gestation, and Second-trimester termination of\rpregnancy who underwent termination of pregnancy between 20 and 28 weeks of pregnancy. Eight\rweeks after the termination of pregnancy, the Beck Depression Inventory, Perinatal Grief Scale-short\rversion, and Impact of Event Scale-Revised were performed with face-to-face interviews.\rRESULTS: Twenty-four women in the first-trimester group and 19 women in the second-trimester group\rwere enrolled. The mean Beck Depression Inventory score was 7.3±4.2 in the first-trimester group and\r11.1±4.6 in the second-trimester group (p=0.033). The mean Perinatal Grief Scale-short scores were\r86.3±17.2 and 101.4±29.2 in the first and second-trimester groups, respectively (p=0.014). Impact of\rEvent Scale-Revised scores of the first trimester and second-trimester groups were 22.5±8.6 and\r35.3±17.1, respectively (p=0.022). Depression was detected in 29.1% of women in the first-trimester\rgroup and 57.8% in the second-trimester group (p=0.023). Perinatal grief was significantly higher in the\rsecond-trimester group (45.8% vs. 84.2% p<0.01). Post-traumatic stress was significantly higher in the\rsecond-trimester group (41.6% vs. 73.6%, p=0.031).\rCONCLUSION: Our study indicates that termination of pregnancy for fetal anomaly causes severe psychiatric problems in most women. Depression, grief, and post-traumatic stress are more prominent in\rwomen who underwent termination of pregnancy in the second trimester of pregnancy than in the first\rtrimester.