The pregnancy experience of Korean mothers with a prenatal fetal diagnosis of congenital heart disease

Sue Kim, Yu Mi Im, Tae Jin Yun, Il Young Yoo, Sanghee Kim, Juhye Jin

Research output: Contribution to journalArticle

Abstract

Background: Prenatal diagnosis of fetal congenital heart disease (CHD) is becoming widely available but there is a lack of understanding on such expectant mothers' experiences during pregnancy. This was the first study to investigate the pregnancy experience of Korean mothers with a prenatal fetal diagnosis of CHD. Methods: In-depth interviews were conducted with 12 mothers regarding their child's prenatal diagnosis of CHD and the adaptive processes during pregnancy. The data were transcribed and analyzed according to the grounded theory framework. Results: When the diagnosis of fetal CHD was suspected, mothers desperately sought accurate information regarding CHD while hoping in vain for a misdiagnosis. When the definitive diagnosis was made, most pregnant women experienced psychological trauma and pain, framed in the stigma and burden of having an imperfect child. Provision of accurate health advice and emotional support by a multidisciplinary counseling team was crucial at this phase, forming recognition that CHD could be treated. When fetal movements were felt, mothers came to acknowledge the fetus as an independent being, and made their best efforts to protect the fetus from harmful external influences using traditional TaeKyo mindset and practices, which in turn, were helpful in restructuring the meaning of the pregnancy. Conclusions: Mothers went through a dynamic process of adapting to the unexpected diagnosis of CHD, which was closely linked to being able to believe that their child could be treated. Early counseling with precise information on CHD, continuous provision of clear explanations on prognosis, sufficient emotional support, and well-designed prenatal education programs are the keys to an optimal outcome.

Original languageEnglish
Article number467
JournalBMC Pregnancy and Childbirth
Volume18
Issue number1
DOIs
Publication statusPublished - 2018 Dec 3

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Prenatal Diagnosis
Heart Diseases
Mothers
Pregnancy
Fetal Heart
Counseling
Fetus
Prenatal Education
Fetal Movement
Diagnostic Errors
Pregnant Women
Interviews
Pain
Health

All Science Journal Classification (ASJC) codes

  • Obstetrics and Gynaecology

Cite this

Kim, Sue ; Im, Yu Mi ; Yun, Tae Jin ; Yoo, Il Young ; Kim, Sanghee ; Jin, Juhye. / The pregnancy experience of Korean mothers with a prenatal fetal diagnosis of congenital heart disease. In: BMC Pregnancy and Childbirth. 2018 ; Vol. 18, No. 1.
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abstract = "Background: Prenatal diagnosis of fetal congenital heart disease (CHD) is becoming widely available but there is a lack of understanding on such expectant mothers' experiences during pregnancy. This was the first study to investigate the pregnancy experience of Korean mothers with a prenatal fetal diagnosis of CHD. Methods: In-depth interviews were conducted with 12 mothers regarding their child's prenatal diagnosis of CHD and the adaptive processes during pregnancy. The data were transcribed and analyzed according to the grounded theory framework. Results: When the diagnosis of fetal CHD was suspected, mothers desperately sought accurate information regarding CHD while hoping in vain for a misdiagnosis. When the definitive diagnosis was made, most pregnant women experienced psychological trauma and pain, framed in the stigma and burden of having an imperfect child. Provision of accurate health advice and emotional support by a multidisciplinary counseling team was crucial at this phase, forming recognition that CHD could be treated. When fetal movements were felt, mothers came to acknowledge the fetus as an independent being, and made their best efforts to protect the fetus from harmful external influences using traditional TaeKyo mindset and practices, which in turn, were helpful in restructuring the meaning of the pregnancy. Conclusions: Mothers went through a dynamic process of adapting to the unexpected diagnosis of CHD, which was closely linked to being able to believe that their child could be treated. Early counseling with precise information on CHD, continuous provision of clear explanations on prognosis, sufficient emotional support, and well-designed prenatal education programs are the keys to an optimal outcome.",
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The pregnancy experience of Korean mothers with a prenatal fetal diagnosis of congenital heart disease. / Kim, Sue; Im, Yu Mi; Yun, Tae Jin; Yoo, Il Young; Kim, Sanghee; Jin, Juhye.

In: BMC Pregnancy and Childbirth, Vol. 18, No. 1, 467, 03.12.2018.

Research output: Contribution to journalArticle

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