Parents' perceptions of counselling following prenatal diagnosis of congenital anomalies of the kidney and urinary tract: a qualitative study.
To explore parents' experiences of counselling after prenatal diagnosis of congenital anomalies of the kidney and urinary tract.



Parents of a child born between September 2012 and March 2015 with posterior urethral valves (PUV) or multicystic dysplastic kidney (MCDK) completed a semi-structured telephone interview, demographic survey, and the 21-item self-report Depression, Anxiety and Stress Scales questionnaire. Qualitative data were analysed thematically using NVivo10 software.



In all, 17 parents (PUV, eight; MCDK, nine) participated (response rate 40%), and most were offered counselling during pregnancy (14/17). Parents described feelings of shock, fear and uncertainty after diagnosis, and desired early information on all aspects of their child's condition. Most participants were satisfied with the information received; however, unmet information needs relating to treatment and prognosis were identified, particularly amongst fathers and parents in the PUV group. Some parents felt relieved after counselling (12/17); however, emotional distress often persisted long after diagnosis. Parents described a need for written and web-based information resources, specialised psychological services, and parent support groups.



While parents valued counselling, many continued to report unmet informational and psychological needs. Early counselling addressing topics important to parents and provision of additional resources and support services may improve parents' adjustment to their baby's diagnosis.
Discipline of Paediatrics, School of Women's and Children's Health, UNSW Medicine, The University of New South Wales, Sydney, NSW, Australia.
Sarah
S
Marokakis
Discipline of Paediatrics, School of Women's and Children's Health, UNSW Medicine, The University of New South Wales, Sydney, NSW, Australia.|Heart Centre for Children, The Sydney Children's Hospitals Network (Westmead and Randwick), Sydney, NSW, Australia.
Nadine A
NA
Kasparian
Discipline of Paediatrics, School of Women's and Children's Health, UNSW Medicine, The University of New South Wales, Sydney, NSW, Australia.|Department of Nephrology, The Sydney Children's Hospitals Network (Westmead and Randwick), Sydney, NSW, Australia.
Sean E
0000-0002-8801-2254
SE
Kennedy
D001294:Attitude to Health; D003376:Counseling; D004644:Emotions; D005260:Female; D006801:Humans; D007668:Kidney / Q000002:abnormalities*; D008297:Male; D021782:Multicystic Dysplastic Kidney / Q000175:diagnosis; D010290:Parents; D011247:Pregnancy; D011296:Prenatal Diagnosis; D036301:Qualitative Research; D014521:Urethra / Q000002:abnormalities*; D014551:Urinary Tract / Q000002:abnormalities
congenital abnormalities; counselling; multicystic dysplastic kidney; parents; posterior urethral valves; prenatal diagnosis