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Psychological distress after recent detection of fetal malformation: short-term effect on second-trimester uteroplacental and fetoplacental circulation.

Authors
Type
Published Article
Journal
BJOG An International Journal of Obstetrics & Gynaecology
1471-0528
Publisher
Wiley Blackwell (Blackwell Publishing)
Publication Date
Volume
118
Issue
13
Pages
1653–1657
Identifiers
DOI: 10.1111/j.1471-0528.2011.03155.x
PMID: 21985624
Source
Medline
License
Unknown

Abstract

We examined the short-term effect of severe maternal psychological distress on the placental circulation in second trimester in a prospective observational study. In 86 pregnant women with a newly detected fetal malformation, and 98 women with normal ultrasound findings, distress was assessed using the Impact of Event Scale and the General Health Questionnaire-28. Uterine and umbilical artery pulsatility indices, notching and heart rates were measured by Doppler ultrasound. Psychological distress was high in the anomaly group, but circulatory outcome measures did not differ between groups. Multiple regression analyses did not show an increase in circulatory resistance measures even at high distress levels.

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