Maternal Anxiety and Empowerment in Pregnancies Complicated By Fetal Surgical Anomalies: A Mixed Methods Study

Fetal surgical anomalies cause significant anxiety. Following the diagnosis, prenatal counseling with shared decision-making occurs. Empowerment is an essential component of shared decision-making. The purpose of this mixed-methods study was to evaluate the association between patient empowerment wi...

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Published in:The Journal of surgical research 2023-12, Vol.292, p.22-29
Main Authors: Peiffer, Sarah, Mehl, Steven C., Powell, Paulina, Haltom, Trenton M., Lee, Timothy C., Keswani, Sundeep G., King, Alice
Format: Article
Language:English
Subjects:
Empowerment
Fetal diagnosis and therapy
Patient centered outcomes
Prenatal counseling
Self-management support
Surgical fetal anomaly
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container_title The Journal of surgical research
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creator Peiffer, Sarah
Mehl, Steven C.
Powell, Paulina
Haltom, Trenton M.
Lee, Timothy C.
Keswani, Sundeep G.
King, Alice
description Fetal surgical anomalies cause significant anxiety. Following the diagnosis, prenatal counseling with shared decision-making occurs. Empowerment is an essential component of shared decision-making. The purpose of this mixed-methods study was to evaluate the association between patient empowerment with depression and anxiety among patients with fetal surgical anomalies. An explanatory mixed-methods study was conducted at a large tertiary fetal center among patients with recently diagnosed surgical fetal anomalies from May, 2021 to May, 2022. Validated cross-sectional surveys were used to collect quantitative data regarding patient empowerment, depression, and anxiety. Univariate analysis was used to compare the association of maternal empowerment with depression and anxiety. Qualitative data was obtained from semistructured interviews to explore maternal anxiety and depression relative to the fetal diagnosis. Thematic analysis was performed to identify themes. Seventy-four patients were recruited for the quantitative study. Pregnancy-related empowerment score and patient empowerment score were significantly lower for expectant mothers with high anxiety (P 
doi_str_mv 10.1016/j.jss.2023.07.023
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Pregnancy-related empowerment score and patient empowerment score were significantly lower for expectant mothers with high anxiety (P &lt; 0.01). Eighteen patients participated in qualitative interviews. Participants expressed significant anxiety related to their fetal diagnosis. Exacerbating stressors included social determinants, personal history of miscarriage, and changing family dynamics. Our results suggest there is an association between increased depression and anxiety with lower empowerment. 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subjects Empowerment
Fetal diagnosis and therapy
Patient centered outcomes
Prenatal counseling
Self-management support
Surgical fetal anomaly
title Maternal Anxiety and Empowerment in Pregnancies Complicated By Fetal Surgical Anomalies: A Mixed Methods Study
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