Prenatal magnetic resonance imaging: towards optimized patient information

Area of Science:

• Medical Imaging
• Prenatal Diagnosis
• Patient Experience

Background:

• Fetal magnetic resonance imaging (MRI) is used for targeted prenatal examinations when abnormalities are suspected.
• Understanding patient perceptions is key to improving the diagnostic process.

Purpose of the Study:

• To investigate women's perceptions of fetal MRI during examinations for suspected fetal abnormalities.
• To develop an improved pre-scan information leaflet based on women's informational needs.

Main Methods:

• Qualitative interviews were conducted with 62 women before and after fetal MRI.
• Interviews were analyzed using qualitative content analysis, focusing on knowledge, understanding, expectations, and experiences.

Main Results:

• While 66% felt informed about the purpose, only 37% received a detailed description, and 32% expected the scan to be safe for the baby.
• Despite good tolerance (63%), 58% experienced anxiety, often linked to perceived fetal movements.
• 68% found the existing leaflet informative, with suggestions for improvement including physical comfort, partner presence, and pre-scan briefings.

Conclusions:

• Women require detailed information on fetal MRI's purpose, procedure, and potential distressing aspects.
• A comprehensive leaflet, provided in advance by the referring physician with discussion opportunities, is recommended.