Unexpected diagnosis of fetal malformations: therapeutic itineraries

• Autor(a) principal: Bomfim,Olga Luiza
• Data de Publicação: 2014
• Outros Autores: Coser,Orlando, Moreira,Maria Elisabeth Lopes
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Physis (Online)
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0103-73312014000200607
• topic: pregnancy; high risk; ultrasonography; prenatal care

Ultrasonography was a technological breakthrough for obstetrics, allowing visualization of fetal structures. However, the lack of a systematic approach to obstetric ultrasound examinations causes in Brazil, pregnant women do the exam on their own, which can sometimes lead to unexpected diagnosis of fetal malformation. In order to describe the reaction of women when surprised by the diagnosis of fetal malformation and therapeutic itineraries that follow, we conducted a study with nine pregnant women after ultrasound confirmation of fetal malformation. Through semi-structured interviews and content analysis of the narratives, the following categories were identified: motivation to perform ultrasonography; care at the referral; and coping strategies from the confirmation of fetal malformation. The interviews revealed failure to comply with the correct sequence of the prenatal care process. Definition of suitable moment for ultrasound test and guidance at each stage of pregnancy now represent a challenge for the improvement of perinatal care.