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32 Issues L. & Med. 19 (2017)
Psychological Impact of Abortion due to Fetal Anomaly: A Review of Published Research

handle is hein.journals/ilmed32 and id is 23 raw text is: 









         Psychological Impact of

 Abortion due to Fetal Anomaly:

A Review of Published Research
                         Nora Sullivan, M.PA.*
                       Eoghan de Faoite, M.D.**

ABSTRACT: Over the past several decades, prenatal testing for fetal anom-
alies has become standard across the developed world. Most women who
learn of a severe anomaly during pregnancy elect to terminate. The authors
reviewed ten studies which examined the psychological sequelae of pregnant
women following prenatal diagnoses of severe life limiting conditions. Based
on the available data, the authors found evidence that women who abort
due to a poor prenatal diagnosis are at higher risk of post-traumatic stress
and depression than women who continue with pregnancy. They also found
that current practice is to make reactive recommendations for post-abortion
care, suggesting a presumption in favor of abortion, leaving alternatives
like perinatal hospice inadequately explored. This review critiques that
approach, recommending that doctors and patients need to have the best
possible information before a decision is made.

     Across the world, an ever-increasing number of women are gaining access to
multiple forms of advanced antenatal screening technologies, from ultrasound scans
to amniocentesis to non-invasive blood genetic tests. These practices, particularly
ultrasound technology, are now used both for general obstetrical care as well as for
screening the foetus for a wide array of possible anomalies that may present themselves
during pregnancy
     The rise of these technologies and their increased prevalence have meant that
more and more expectant mothers can discover that their unborn child has been diag-
nosed with certain developmental abnormalities or chromosomal anomalies, such as
   *Research Director, The Life Institute, Dublin, Ireland. B.A., Franciscan University of Steubenville,
2010; M.A., University College Dublin, 2015.
   **Medical/Nephrology Registrar at the Blackrock Clinic, and St. Vincents Hospital, Dublin. MB, BCh,
BAO, with honors, Royal College of Surgeons, 2009. Member of the Royal College of Physicians in Ireland
(MRCPI) and of the United Kingdom (MRCPUK).

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