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Women's Decisional Conflict, Anxiety and Coping Strategies Following Diagnosis of Fetal Abnormality

dc.creatorHoward, Elisabeth Davies
dc.description.abstractFor most women pregnancy is a positive transition in their life. The diagnosis of a fetal abnormality creates an uncertain outcome for the transitional process of becoming a parent. A prenatal diagnosis of fetal abnormality is characterized as an emotionally devastating and profoundly stressful event for women because it involves making difficult reproductive choices such as continuation of pregnancy with no intervention, elective termination, or, in selected cases, experimental fetal therapy. This descriptive correlational study examined the relationships among women’s decisional conflict, anxiety, and coping strategies following a diagnosis of fetal abnormality. Fifty-five women who had a confirmed diagnosis of fetal abnormality prior to 24 weeks gestation were interviewed. Standardized instruments were used to obtain data on women’s decisional conflict, anxiety and coping strategies. Overall, women had low levels of total decisional conflict, but high levels of uncertainty in choice, moderately high levels of anxiety and used proportionately more emotion-focused than problem-focused coping strategies. Women who received a diagnosis of a lethal fetal abnormality had higher anxiety and uncertainty in choice than women who received a non-lethal diagnosis. Women’s level of anxiety and use of escape-avoidance coping also were found to be significant predictors of decisional conflict. The findings of this study provide a deeper understanding of the decision dilemma and the pattern of coping as important factors affecting women’s resolution of the decisional conflict following diagnosis of fetal abnormality.
dc.subjectdecisional conflict
dc.subjectconflict resolution
dc.subjectcoping strategies
dc.subjectdecision dilemma
dc.subjectfetal abnormality
dc.subjectPregnancy -- Decision making
dc.subjectPrenatal diagnosis -- Decision making
dc.subjectPregnancy -- Psychological aspects
dc.titleWomen's Decisional Conflict, Anxiety and Coping Strategies Following Diagnosis of Fetal Abnormality
dc.contributor.committeeMemberMichele Salisbury
dc.contributor.committeeMemberJoseph Hepworth
dc.contributor.committeeMemberStephen Carr
dc.type.materialtext Science University
dc.contributor.committeeChairLynda LaMontagne

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