Korean J Obstet Gynecol.  2010 Aug;53(8):700-706. 10.5468/kjog.2010.53.8.700.

Significance of multidisciplinary counseling on prospective parents with fetus of congenital disease

• Ko HS
• We JS
• Kim YH
• Park IY
• Lee Y
• Lee GS
• Shin JC

• KMID: 2273987
• DOI: http://doi.org/10.5468/kjog.2010.53.8.700

Abstract

OBJECTIVE
This exploratory study was undertaken to analyze the anxiety of parents of prenatally diagnosed fetal congenital disease and satisfaction after the multidisciplinary counseling.
METHODS
The study included 32 prospective parents of antenatally diagnosed congenital disease fetus who received multidisciplinary counseling at The Catholic Congenital Disease Center (CCDC) for the period from May, 2009 through March, 2010. The Korean version of the Spielberger State-Trait Anxiety Inventory (STAI) was utilized to assess parental anxiety. Categories of satisfaction survey were classified into accessibility, professionalism, empathy, recoverability, satisfaction, and expectation after counseling.
RESULTS
The mean time and number of medical professionals for each counseling were 58.0+/-36.9 min and 3.5+/-1.1 persons. Most common congenital diseases were cardiovascular (36.1%) and urogenital diseases (25.0%). STAI scores were significantly decreased after than before counseling (43.5+/-5.9 vs 36.9+/-6.0, P=0.0007). STAI scores after counseling showed significant decrease in prospective mothers who were nulliparous (P=0.0005), less than 35 years old (P=0.0014), had religion (P=0.0014) and counseled more than 40 minutes (P=0.0027). The mean rate of positive satisfactory response about multidisciplinary counseling was 85.6% in satisfaction survey.
CONCLUSION
This study provides evidence of the positive impact on the prospective parental anxiety of a multidisciplinary counseling in prenatal management of fetal congenital diseases.

Keyword

Anxiety; Congenital disease; Multidisciplinary counseling

MeSH Terms

Anxiety
Counseling
Empathy
Fetus
Humans
Mothers
Parents
Prospective Studies

Reference

1. Jacobs PA, Browne C, Gregson N, Joyce C, White H. Estimates of the frequency of chromosome abnormalities detectable in unselected newborns using moderate levels of banding. J Med Genet. 1992. 29:103–108.

2. Lawoko S. Factors influencing satisfaction and well-being among parents of congenital heart disease children: development of a conceptual model based on the literature review. Scand J Caring Sci. 2007. 21:106–117.

3. Helfricht S, Latal B, Fischer JE, Tomaske M, Landolt MA. Surgery-related posttraumatic stress disorder in parents of children undergoing cardiopulmonary bypass surgery: a prospective cohort study. Pediatr Crit Care Med. 2008. 9:217–223.

4. Crombleholme TM, D'Alton M, Cendron M, Alman B, Goldberg MD, Klauber GT, et al. Prenatal diagnosis and the pediatric surgeon: the impact of prenatal consultation on perinatal management. J Pediatr Surg. 1996. 31:156–162.

5. Kemp J, Davenport M, Pernet A. Antenatally diagnosed surgical anomalies: the psychological effect of parental antenatal counseling. J Pediatr Surg. 1998. 33:1376–1379.

6. Langer M, Ringler M. Prospective counselling after prenatal diagnosis of fetal malformations: interventions and parental reactions. Acta Obstet Gynecol Scand. 1989. 68:323–329.

7. Spielberger CD, Gorsuch RL, Lushene RE. STAI Manual for the State-Trait Anxiety Inventory. 1970. Palo Alto: Consulting Psychologists Press.

8. Kim JT, Shin DK. A study based on the standardization of the STAI for Korea. New Med J. 1978. 21:69–75.

9. Tak YR, McCubbin M. Family stress, perceived social support and coping following the diagnosis of a child's congenital heart disease. J Adv Nurs. 2002. 39:190–198.

10. Patel P, Farley J, Impey L, Lakhoo K. Evaluation of a fetomaternal-surgical clinic for prenatal counselling of surgical anomalies. Pediatr Surg Int. 2008. 24:391–394.

11. Aite L, Trucchi A, Nahom A, Spina V, Bilancioni E, Bagolan P. Multidisciplinary management of fetal surgical anomalies: the impact on maternal anxiety. Eur J Pediatr Surg. 2002. 12:90–94.

12. Raboei EH. The role of the pediatric surgeon in the perinatal multidisciplinary team. Eur J Pediatr Surg. 2008. 18:313–317.

13. Lakhoo K. Fetal counselling for congenital malformations. Pediatr Surg Int. 2007. 23:509–519.

14. Tait AR, Voepel-Lewis T, Munro HM, Malviya S. Parents' preferences for participation in decisions made regarding their child's anaesthetic care. Paediatr Anaesth. 2001. 11:283–290.

15. Avis M, Bond M, Arthur A. Satisfying solutions? A review of some unresolved issues in the measurement of patient satisfaction. J Adv Nurs. 1995. 22:316–322.

16. Vuori H. Patient satisfaction-does it matter? Qual Assur Health Care. 1991. 3:183–189.

17. Jacobs J. Perplexity, confusion and suspicion: a study of selected forms of doctor-patient interactions. Soc Sci Med. 1971. 5:151–157.