Psychological effects of prenatal diagnosis: The example of fetal echocardiography

This article presents two studies investigating the psychological effects of fetal echocar-diography (FE). The first compared the effects of FE in high risk and obstetrically normal women. High-risk women were more anxious beforehand and had more negative attitudes. Following a normal scan their attitudes and anxiety were equivalent to the controls but a large variation in postscan psychological changes was found. This variation was examined in the second study with a larger sample. Selected background variables predicted prescan anxiety and anxiety reduction following a normal scan. Quality of communication and feedback also determined postscan anxiety level and rated satisfaction in the two-week follow-up questionnaire. Some suggestions for routine medical practice are included.