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May 5, 2020JAMA Network OpenOpen Access

Uncertainty of Prenatally Diagnosed Congenital Heart Disease: A Qualitative Study

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Key result

In 42 interviews with 27 individuals facing a fetal diagnosis of severe congenital heart disease, uncertainty was identified as a pervasive central theme regarding logistics and long-term prognosis.

Why the study?

Parents receiving a prenatal congenital heart disease diagnosis may experience high stress, and understanding their longitudinal emotional experience is needed to identify interventions to improve support.

Population

27 individuals from 17 families referred for likely fetal complex congenital heart disease

Design

Qualitative interview study

Authors

KHKelly W. HarrisKBKathleen M. BrelsfordAKAnn Kavanaugh‐McHugh

Discussion

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Member takes

Overview

Clinicians should integrate uncertainty discussions into fetal CHD counseling; leaves open targeted interventions and prospective validation.

Structured PICO

P
Population
27 pregnant mothers and their support persons facing a prenatal diagnosis of complex congenital heart disease who participated in qualitative interviews during pregnancy.
O
Outcome
Parents' accounts of their prenatal experience, stressful or challenging aspects, and strategies to improve support (qualitative themes)patient reported

Following a fetal diagnosis of severe congenital heart disease, families experience pervasive uncertainty, highlighting the need for improved expectation setting, communication, and support.

Cite This Study

Harris et al. (2020) studied Congenital heart disease (n=27). Prenatal diagnosis of severe congenital heart disease was evaluated on Parents' accounts of their prenatal experience, stressful aspects, and strategies to improve support. In 42 interviews with 27 individuals facing a fetal diagnosis of severe congenital heart disease, uncertainty was identified as a pervasive central theme regarding logistics and long-term prognosis.

synapsesocial.com/papers/6a6f2c07ac440176ef27e265https://doi.org/10.1001/jamanetworkopen.2020.4082
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Detection of Transposition of the Great Arteries in Fetuses Reduces Neonatal Morbidity and Mortality1999 · 772 citations
  2. 2Long‐term parental psychological distress among parents of children with a malformation—A prospective longitudinal study2010 · 89 citations
  3. 3Decision-Making after Ultrasound Diagnosis of Fetal Abnormality2008 · 69 citations
  4. 4Parental stress and resilience in CHD: a new frontier for health disparities research2018 · 75 citations
  5. 5Parenting Stress in Parents of Infants With Congenital Heart Disease and Parents of Healthy Infants: The First Year of Life2017 · 66 citations