Eileen P Sloan1, Sharon Kirsh, Mary Mowbray. 1. Maternal/Infant Mental Health Clinic, Department of Psychiatry, Mount Sinai Hospital, Toronto, ON, Canada. esloan@mtsinai.on.ca
Abstract
OBJECTIVES: To determine what evidence exists to support the practice of viewing the deceased fetus by women terminating pregnancy for fetal anomalies. DATA SOURCES: Electronic databases searched (1966-2007) were Medline, PubMed, Cumulative Index to Nursing and Allied Health Literature, and Dissertation Abstracts Index. STUDY SELECTION: Literature was reviewed that either directly or parenthetically dealt with the emotional effects on women of viewing the fetus post termination of pregnancy for fetal anomalies. DATA EXTRACTION: No randomized or controlled trials were found. The main conclusion of each article was noted. DATA SYNTHESIS: Topical focus is on viewing of the fetus by women following termination of pregnancy for fetal anomalies. Thematic emphasis is on the beneficial and detrimental aspects of fetal viewing assumed by obstetric nurses and physicians and by mental health practitioners. CONCLUSIONS: Despite an absence of empirical evidence, most articles concluded that viewing of the fetus by women post termination of pregnancy for fetal anomalies is beneficial and should be promoted. Concerns are expressed that health professionals may be inadvertently encouraging women and their partners to see the fetus because of their own or their institution's particular beliefs and practices. Health professionals must remain mindful of their underlying motives and stay open to respecting the decision of women who conclude that viewing is not appropriate for them.
OBJECTIVES: To determine what evidence exists to support the practice of viewing the deceased fetus by women terminating pregnancy for fetal anomalies. DATA SOURCES: Electronic databases searched (1966-2007) were Medline, PubMed, Cumulative Index to Nursing and Allied Health Literature, and Dissertation Abstracts Index. STUDY SELECTION: Literature was reviewed that either directly or parenthetically dealt with the emotional effects on women of viewing the fetus post termination of pregnancy for fetal anomalies. DATA EXTRACTION: No randomized or controlled trials were found. The main conclusion of each article was noted. DATA SYNTHESIS: Topical focus is on viewing of the fetus by women following termination of pregnancy for fetal anomalies. Thematic emphasis is on the beneficial and detrimental aspects of fetal viewing assumed by obstetric nurses and physicians and by mental health practitioners. CONCLUSIONS: Despite an absence of empirical evidence, most articles concluded that viewing of the fetus by women post termination of pregnancy for fetal anomalies is beneficial and should be promoted. Concerns are expressed that health professionals may be inadvertently encouraging women and their partners to see the fetus because of their own or their institution's particular beliefs and practices. Health professionals must remain mindful of their underlying motives and stay open to respecting the decision of women who conclude that viewing is not appropriate for them.