Prenatal diagnosis and management of intrauterine growth restriction: A long-term prospective study on outcome and maternal stress

Ronny Geva, R. Eshel, Y. Leitner, A. Fattal-Valevski, S. Harel

Research output: Contribution to journalArticlepeer-review

8 Scopus citations

Abstract

This study examines long-term effects of antenatal management of intrauterine growth restriction (IUGR) on developmental outcome and on maternal coping using a prospective cross-sectional design. Sixty-nine families were evaluated using psychological testing and risk questionnaires. The effects of timing of diagnosis (prenatal/perinatal) and of pregnancy management [induction of labor (IL)/conservative management (CM)/none, i.e., diagnosed-at-birth (DaB)] on maternal stress were tested at 6 years' postbirth. In general, prenatal management protocols of IUGR were efficient in preventing major disabilities; however, 49% of the variance in maternal stress at 6 years' postbirth could be attributed to the child's presenting behavior and to pregnancy management of IUGR condition. Mothers who received CM treatment reported being more stressed by their child's poor emotional adjustment (ps < .01-.002) and distractibility (p < .029), and to have more difficulty in accepting them (p < .01). Prenatal psychological consultation to better handle stress for parents whose fetus is diagnosed with IUGR is recommended, particularly when pregnancy is managed conservatively and familial-educational resources are low.

Original languageEnglish
Pages (from-to)481-497
Number of pages17
JournalInfant Mental Health Journal
Volume26
Issue number5
DOIs
StatePublished - 2005

Fingerprint

Dive into the research topics of 'Prenatal diagnosis and management of intrauterine growth restriction: A long-term prospective study on outcome and maternal stress'. Together they form a unique fingerprint.

Cite this