title: [Termination of pregnancy for fetal abnormality--a traumatic experience?].
abstract: The diagnosis of a lethal anomaly of the fetus can affect a pregnant woman in a traumatic way. Almost immediately she has to decide whether she wishes the pregnancy to be terminated or not. Literature shows that such a loss is very difficult to cope with, and can lead to social isolation and depression. Contrary to popular belief the loss felt by the woman is at least the same to that following a stillbirth. Problems arise when the woman has difficulties in expressing her feelings, has a lack of self-esteem or receives very little social support. The prenatal diagnosis evokes an acute grief reaction. Only few studies are available regarding length, course and severity of grief in this case. Although an abortion through a fetal anomaly is a traumatic experience, research is vague on the trauma caused. Present day research of the psychological sequelae after the termination will be summarized. In respect to the current trauma-research lies the question of which psychiatric conditions arise from such a traumatic experience.
authors.affiliation: Klinik und Poliklinik für Psychiatrie und Psychotherapie, WWU Münster.
authors.forename: K
authors.initials: K
authors.lastname: Schütt
authors.forename: A
authors.initials: A
authors.lastname: Kersting
authors.forename: P
authors.initials: P
authors.lastname: Ohrmann
authors.forename: M
authors.initials: M
authors.lastname: Reutemann
authors.forename: U
authors.initials: U
authors.lastname: Wesselmann
authors.forename: V
authors.initials: V
authors.lastname: Arolt
mesh_terms: D000028:Abortion, Induced / Q000523:psychology*; D000013:Congenital Abnormalities / Q000175:diagnosis / Q000196:embryology*; D005260:Female; D006117:Grief; D006801:Humans; D011247:Pregnancy; D011296:Prenatal Diagnosis / Q000523:psychology*