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September 30, 2021Cardiology in the Young

“The Mental Health Piece is Huge”: perspectives on developing a prenatal maternal psychological intervention for congenital heart disease

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Key result

Mothers experience significant anxiety and guilt following a fetal congenital heart disease diagnosis, and both mothers and medical staff view a prenatal psychotherapeutic intervention as essential.

Why the study?

Women carrying a fetus diagnosed with congenital heart disease often experience significant distress, highlighting the need to understand stressors and treatment preferences to develop targeted prenatal psychological interventions.

Design

Qualitative semi-structured interview study

Authors

KEKristina EspinosaMJMelissa JulianYWYao Wu

Discussion

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Overview

May inform tailored mental health support for fetal CHD pregnancies; leaves open efficacy and optimal delivery in prospective trials.

Structured PICO

P
Population
12 participants, including pregnant women, mothers of children with congenital heart disease, and pediatric cardiology providers, participated in qualitative interviews.
E
Exposure
Semi-structured interviews to inform the development of a prenatal maternal psychological intervention
O
Outcome
Themes regarding emotional distress during pregnancy, experience of initial diagnosis, coping and resilience, and perspectives on a mental health intervention in pregnancypatient reported

Qualitative interviews highlight the significant emotional distress of a prenatal congenital heart disease diagnosis and support the development of targeted prenatal psychological interventions.

Cite This Study

Espinosa et al. (2021) studied Congenital heart disease (n=12). Fetal congenital heart disease diagnosis was evaluated on Themes of emotional distress, coping, and perspectives on mental health intervention. Mothers experience significant anxiety and guilt following a fetal congenital heart disease diagnosis, and both mothers and medical staff view a prenatal psychotherapeutic intervention as essential.

synapsesocial.com/papers/6a9a49e18fdb2eaad045bd11https://doi.org/10.1017/s1047951121004030
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Also Consider

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

  1. 1Parental Psychological Response to Prenatal Congenital Heart Defect Diagnosis2025 · 1 citations
  2. 2Mental Health Experiences and Needs of Women With Congenital Heart Disease in Pregnancy and Postpartum: A Qualitative Participatory Study2026
  3. 3Parental Experiences and Psychological Support Needs Following Fetal Diagnosis of Congenital Heart Disease: A Qualitative Study2026
  4. 4Uncertainty of Prenatally Diagnosed Congenital Heart Disease: A Qualitative Study2020 · 56 citations
  5. 5“There's no acknowledgement of what this does to people”: A qualitative exploration of mental health among parents of children with critical congenital heart defects2018 · 54 citations