[Opinions of couples on care during medical termination of pregnancy].
OBJECTIVE
To study the medical care, staff attitudes and patients' satisfaction from the decision to the post-intervention medical visit for termination of pregnancy for fetal abnormalies.


METHODS
All patients and their spouses having a termination of pregnancy at the "Unite de Medecine Foetale" in Port-Royal Hospital between November 1996 and July 1997 were contacted for the study. A self-administered questionnaire was mailed six to eight weeks after intervention. Forty seven women and 42 men returned a completed questionnaire, the response rates were respectively 68% and 61%.


RESULTS
The patients and their spouses rated globally very high their satisfaction about the care received. The delay before intervention, the length and pain of labour were rated less positively. The factors associated with satisfaction were the quality of the relationship with the staff, and of information. Positive feelings about delivery were linked with the consideration and relief of pain. Most respondents mentioned that their physical and psychological state has improved at the moment of the survey but the psychological distress subsisted or has increased in one fourth of the cases. On the whole the answers made within the couples were correlated.


CONCLUSIONS
The positive results should be moderated by the number of non-respondents. In a context of very high rates of satisfaction, psychological distress is still present for one respondent out of four, six to eight weeks after termination of pregnancy for fetal abnormalies.
Garel
M
M
Unité de recherches epidémiologiques en santé périnatale et santé des femmes, Inserm U149, 16, avenue Paul-Vaillant-Couturier, 94807 Villejuif, France. garel@vjf.inserm.fr
Cahen
F
F
Gaudebout
P
P
Dommergues
M
M
Goujard
J
J
Dumez
Y
Y
D000032:Abortion, Therapeutic / Q000523:psychology; D000013:Congenital Abnormalities; D005260:Female; D006801:Humans; D007743:Labor, Obstetric; D008297:Male; D010146:Pain; D017060:Patient Satisfaction; D011247:Pregnancy; D011795:Surveys and Questionnaires; D013997:Time Factors