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Psychological indications for prenatal diagnosis
1Department of Obstetrics and Gynaecology, Karolinska Hospital, Stockholm, Sweden.
Prenatal Diagnosis
|May 1, 1996
Summary
Many pregnant women seek prenatal diagnosis (PND) for psychological reasons, often linked to personal history and current mental health. Understanding these psychosocial factors is crucial for providing appropriate support during pregnancy.
Area of Science:
- Reproductive Medicine
- Psychology
- Maternal Health
Background:
- Prenatal diagnosis (PND) is frequently sought by pregnant women for psychological reasons, representing 10-20% of tests.
- These cases often involve couples below the age threshold for genetic risk, highlighting non-genetic motivations.
Purpose of the Study:
- To investigate the psychosocial background of women requesting PND for psychological reasons.
- To assess the validity and strength of their desire for PND based on psychological factors.
Main Methods:
- A consecutive series of 51 pregnant women were interviewed between 12-15 weeks of gestation.
- Data collected included demographic information, personal and family history, and current mental status.
Main Results:
- Nearly half of the women had a history of psychiatric issues or current depressive moods.
- A significant proportion reported childhood adversity, including severe illness or handicap, and complex family relationships.
- Over half experienced difficulties with their mothers or the concept of motherhood.
Conclusions:
- The psychological histories and current mental states of these women understandably contribute to their anxiety and desire for PND.
- A substantial majority (over 70%) exhibited strong psychological reasons for seeking prenatal diagnosis.