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[Pregnancy termination in fetal abnormalities]

P Müller1, L Ryser

  • 1Sozialpsychiatrischer Dienst des Kantons St. Gallen.

Schweizerische Medizinische Wochenschrift
|January 18, 1997
PubMed
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Women diagnosed with fetal malformations face significant stress, especially when the pregnancy was planned. Support and understanding are crucial during this difficult decision-making process.

Area of Science:

  • Medical Ethics
  • Psychiatry
  • Obstetrics

Background:

  • Abortion due to fetal malformation follows standard procedures (Art. 120 StGB).
  • Specialist recommendations are required, often involving psychotherapy and psychiatric consultants, with 90% occurring in the social psychiatric service (SPD).
  • Evaluating fetal malformations necessitates considering and respecting the pregnant woman's views and attitudes.

Purpose of the Study:

  • To assess the psychological impact and decision-making process for women facing fetal malformation diagnoses.
  • To understand the experiences of both affected women and consultants in these sensitive cases.
  • To identify factors influencing women's decisions regarding pregnancy termination due to fetal abnormalities.

Main Methods:

  • A survey was conducted by the social psychiatric service (SPD) to gather experiences from affected women and consultants.

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  • Qualitative data collection focused on the emotional and psychological pressures faced by women.
  • Consultants' perspectives on the ethical and decision-making complexities were also investigated.

    • Main Results:

    • Women diagnosed with fetal malformations experience profound shock and stress, particularly when the pregnancy was planned and wanted.
    • The decision-making process is intensified by social and normative factors, alongside personal views on life and death.
    • Affected women found consultations stressful, especially when referred to multiple organizations, but valued discussions with peers post-procedure.

    Conclusions:

    • The diagnosis of fetal malformation presents a unique and highly stressful situation for expectant mothers.
    • Respecting women's autonomy and providing comprehensive support, including peer discussions, is vital.
    • Consultants face significant ethical considerations in guiding decisions about termination for fetal abnormalities.