MISCELLANEA  The Adaptation Model a/er Detecting Fetal Malformation During the Pregnancy Period (J. Lalor I.C. Bigley). Proposal for Polish Prenatal Medicine

Anna Michalik 1, Agnieszka Czerwińska-Osipiak 1, Jolanta Olszewska 1
1 -
2013; 14 (2):
ICID: 1097384
Article type: Original article
IC™ Value: 3.00
Abstract provided by Publisher
Prenatal diagnosis enables the detection of abnormalities in fetal development during the early stages of pregnancy. A disproportion between diagnostic and therapeutic possibilities seems a key feature of prenatal diagnosis. Unfortunately, prenatal diagnosis represents a type of secondary prevention. The therapeutic possibilities of existing malformation (intrauterine therapy of fetus) are limited. Termination of the pregnancy is one medical procedure implemented in the case of severe, lethal congenital malformations (Peller et al. 2004; Palomaki et al. 1996). On the basis of their study, Lalor and Begley (Lalor et al. 2008) proposed a model of events taking place between the decision upon undergoing prenatal examination and adaptation to the existence of severe, lethal congenital malformation of the fetus. The process includes four phases: Decision upon prenatal examination; Shock (diagnosis); Understanding of the diagnosis; and Adaptation. Irrespective of the decision upon pregnancy outcome,
this situation is referred to as a „life-changing experience”. !e role of the relationship with healthcare providers is worth emphasizing, and particularly the need for their acceptance of maternal decisions, and the continuation of visits to one specialist.

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