Key result
Parents receiving a prenatal diagnosis of complex congenital heart disease reported a significantly lower sense of coherence (mean 59.6 vs 72.5, p=0.001) and life satisfaction at 2-6 months postpartum compared to those with a postnatal diagnosis.
Why the study?
Previous studies showed inconsistent results regarding the psychological impact of a prenatal versus a postnatal diagnosis of congenital heart disease in offspring.
Does prenatal diagnosis of complex congenital heart disease compared to postnatal diagnosis affect parental distress, sense of coherence, and life satisfaction?
Population
Parents with prenatal or postnatal complex CHD diagnosis in offspring, and couples with uncomplicated pregnancies
Comparison
Prenatal CHD diagnosis vs postnatal CHD diagnosis vs uncomplicated pregnancy controls
Follow-up
2-6 months after delivery
Authors
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Prenatal CHD diagnosis was associated with lower parental sense of coherence and life satisfaction; leaves open whether targeted support improves outcomes in observational cohorts.
Cohort (n=232)
Yes
Does prenatal diagnosis of complex congenital heart disease compared to postnatal diagnosis affect parental distress, sense of coherence, and life satisfaction?
Absolute Event Rate: 59.6% vs 72.5%
p-value: p=0.001
A prenatal diagnosis of complex congenital heart disease is associated with a lower sense of coherence and life satisfaction in parents compared to a postnatal diagnosis, highlighting the need for targeted psychological support during pregnancy.
Bratt et al. (2019) conducted a cohort in Complex congenital heart disease (n=232). Prenatal diagnosis of complex congenital heart disease vs. Postnatal diagnosis of complex congenital heart disease and uncomplicated pregnancies was evaluated on Sense of coherence (SOC) total sum at 2-6 months postpartum (p=0.001). Parents receiving a prenatal diagnosis of complex congenital heart disease reported a significantly lower sense of coherence (mean 59.6 vs 72.5, p=0.001) and life satisfaction at 2-6 months postpartum compared to those with a postnatal diagnosis.
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