Journal List > Korean J Obstet Gynecol > v.53(8) > 1006454

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Ko, We, Kim, Park, Lee, Lee, and Shin: Significance of multidisciplinary counseling on prospective parents with fetus of congenital disease
Original Article
Korean Journal of Obstetrics and Gynecology

Korean Journal of Obstetrics and Gynecology 2010; 53(8): 700-706.

Published online: 19 August 2010

DOI: https://doi.org/10.5468/kjog.2010.53.8.700

Significance of multidisciplinary counseling on prospective parents with fetus of congenital disease

Hyun Sun Ko, M.D., Ji Sun We, M.D., Yeon Hee Kim, M.D., In Yang Park, M.D., Ph.D., Young Lee, M.D., Ph.D., Gui Se Ra Lee, M.D., Ph.D., Jong Chul Shin, M.D., Ph.D.

Department of Obstetrics and Gynecology, The Catholic University of Korea School of Medicine, Seoul, Korea.

Corresponding author (jcshin@catholic.ac.kr)

Received 18 June 2010       Accepted 16 July 2010

Copyright © 2010 Korean Society of Obstetrics and Gynecology

Abstract

Objective

This exploratory study was undertaken to analyze the anxiety of parents of prenatally diagnosed fetal congenital disease and satisfaction after the multidisciplinary counseling.

Methods

The study included 32 prospective parents of antenatally diagnosed congenital disease fetus who received multidisciplinary counseling at The Catholic Congenital Disease Center (CCDC) for the period from May, 2009 through March, 2010. The Korean version of the Spielberger State-Trait Anxiety Inventory (STAI) was utilized to assess parental anxiety. Categories of satisfaction survey were classified into accessibility, professionalism, empathy, recoverability, satisfaction, and expectation after counseling.

Results

The mean time and number of medical professionals for each counseling were 58.0±36.9 min and 3.5±1.1 persons. Most common congenital diseases were cardiovascular (36.1%) and urogenital diseases (25.0%). STAI scores were significantly decreased after than before counseling (43.5±5.9 vs 36.9±6.0, P=0.0007). STAI scores after counseling showed significant decrease in prospective mothers who were nulliparous (P=0.0005), less than 35 years old (P=0.0014), had religion (P=0.0014) and counseled more than 40 minutes (P=0.0027). The mean rate of positive satisfactory response about multidisciplinary counseling was 85.6% in satisfaction survey.

Conclusion

This study provides evidence of the positive impact on the prospective parental anxiety of a multidisciplinary counseling in prenatal management of fetal congenital diseases.

Keywords: Anxiety, Congenital disease, Multidisciplinary counseling

Figures and Tables

Table 1
Clinical characteristics
kjog-53-700-i001

Values are expressed as mean±SD or number (%).

CNS: central nervous system.

Table 2
STAI score before and after multidisciplinary counseling
kjog-53-700-i002

Values are expressed as mean±SD.

STAI: State-Trait Anxiety Inventory.

Table 3
Categorical satisfaction levels about multidisciplinary counseling
kjog-53-700-i003

Values are expressed as number (%).

Table 4
Details of satisfaction
kjog-53-700-i004

Values are expressed as number (%).

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