title: Maternal coping, appraisals and adjustment following diagnosis of fetal anomaly.
abstract: OBJECTIVE
  So far, associations between appraisals, maternal adjustment and coping following diagnosis of fetal anomaly have not been investigated in women who continue with their pregnancy.
  
  
  METHODS
  This study measured maternal coping and adjustment after and appraisal of a diagnosis of fetal anomaly in 40 mothers who had continued with their pregnancy using a cross-sectional questionnaire design.
  
  
  RESULTS
  Based on retrospective reporting, 35% of participants met full diagnostic criteria for post-traumatic stress disorder after having received the diagnosis. Women were significantly more depressed (p < 0.001) and anxious (p < 0.001) and reported significantly less positive affect (p < 0.05) after having received the diagnosis in comparison to the time after childbirth. There were no significant differences between emotion-focused and problem-focused coping. Stressful life events, women's age, number of people providing support and problem-focused coping explained 57.6% of variance in anxiety and depression after childbirth. Satisfaction with social support, emotion-focused coping and problem-focused coping significantly explained 40.6% of variance in positive affect after childbirth.
  
  
  CONCLUSIONS
  Following a prenatal diagnosis and for the remainder of their pregnancy, particular attention should be paid to older mothers, those experiencing additional stressful life events and those who are socially isolated, as these women may experience greater distress after childbirth.
authors.affiliation: Service Universitaire de Psychiatrie de l'Enfant et de l'Adolescent (SUPEA), Unité de Recherche, Université de Lausanne, Lausanne, Switzerland; Service de Néonatologie, Université de Lausanne, Lausanne, Switzerland.
authors.forename: Antje
authors.initials: A
authors.lastname: Horsch
authors.forename: Chloe
authors.initials: C
authors.lastname: Brooks
authors.forename: Helen
authors.initials: H
authors.lastname: Fletcher
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D001007:Anxiety; D000013:Congenital Abnormalities / Q000175:diagnosis; D003863:Depression; D005260:Female; D005315:Fetal Diseases / Q000175:diagnosis*; D006801:Humans; D008423:Maternal Age; D008425:Maternal Behavior / Q000523:psychology*; D011247:Pregnancy; D011296:Prenatal Diagnosis / Q000523:psychology*; D012189:Retrospective Studies; D012944:Social Support; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis; D013315:Stress, Psychological / Q000175:diagnosis; D011795:Surveys and Questionnaires