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    Perinatal grief following a termination of pregnancy for foetal abnormality: the impact of coping strategies.

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    Authors
    Lafarge, Caroline
    Mitchell, Kathryn
    Fox, Pauline
    Affiliation
    The University of Derby
    Issue Date
    2013-12-05
    
    Metadata
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    Abstract
    Pregnancy termination for foetal abnormality (TFA) can have significant psychological repercussions, but little is known about the coping strategies involved in dealing with TFA. This study examined the relationships between women's coping strategies and perinatal grief. A total of 166 women completed a survey online. Coping and perinatal grief were measured using the Brief COPE and Short Perinatal Grief Scales. Data were analysed through multiple regression analyses. Despite using mostly adaptive coping strategies, women's levels of grief were high and varied according to obstetric and termination variables. Grief was predicted by behavioural disengagement, venting, planning, religion, self‐blame, being recently bereaved, being childless at the time of TFA, not having had children/being pregnant since TFA and uncertainty about the decision to terminate the pregnancy. Acceptance and positive reframing negatively predicted grief. Identifying women vulnerable to poor psychological adjustment and promoting coping strategies associated with lower levels of grief may be beneficial. This could be addressed through information provision and interventions such as Cognitive Behavioural Therapy or Acceptance and Commitment Therapy.
    Citation
    Lafarge, C., Mitchell, K. and Fox, P., (2013). 'Perinatal grief following a termination of pregnancy for foetal abnormality: the impact of coping strategies'. Prenatal diagnosis, 33(12), pp.1173-1182. doi: 10.1002/pd.4218
    Publisher
    Wiley.
    Journal
    Prenatal Diagnosis
    URI
    http://hdl.handle.net/10545/623479
    DOI
    10.1002/pd.4218
    Additional Links
    http://doi.wiley.com/10.1002/pd.4218
    https://obgyn.onlinelibrary.wiley.com/doi/full/10.1002/pd.4218
    Type
    Article
    Language
    en
    ISSN
    01973851
    ae974a485f413a2113503eed53cd6c53
    10.1002/pd.4218
    Scopus Count
    Collections
    Executive

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