[Psychological adjustment to abortion for genetic indications in the 2d trimester]

Based on a questionnaire analysis of 41 women after termination of pregnancy for genetic indications in the second trimester of pregnancy the predominant feelings in the different stages of the coping process were identified. Whereas during the hospitalization period helplessness and anger were the predominant emotions, later sadness prevailed. At the time of the abortion itself loneliness was one of the main complaints. This situation could probably be improved if more often the partners were present during the period of abortion induction. About 54% of the women indicated that a prenatal diagnosis in the first trimester would have improved their coping problems. It remains to be seen whether CVS in the first trimester will be of benefit in this respect. Even though there are methodological limitations in a retrospective questionnaire study our results clearly underline the necessity of special psychologic support which can probably partly be provided by a psychologist who is available in our prenatal program.