Prenatal diagnosis: Women's interactions with practitioners when severe abnormalities are discovered at birth.

PRENATAL diagnosis; PHYSICIAN-patient relations; INTERVIEWING; EXPERIENCE; PHENOMENOLOGY; PREGNANCY complications; FETAL abnormalities; THEMATIC analysis

In an increasingly litigious medical environment, this study examined women's experiences of their interactions with practitioners when severe abnormalities are discovered at birth. Eight in-depth interviews with women were conducted in France. Data were analysed using Interpretative Phenomenological Analysis. Four superordinate themes were identified: the importance of attunement to women's emotions and needs; the possibility of litigation but no direct accusation; reasons for not resorting to litigation; and reframing and positive transformations. Despite experiencing distress, women were reluctant to make a complaint against practitioners. Several factors may account for this, but practitioners' ability to relate to women with humanity was particularly significant. Women understood the limits of technology and of the care practitioners can provide, but greatly valued practitioners' empathic and honest communications. Thus, adopting a transparent and open approach may foster trusting relationships with women/parents. In turn, this may lower the prospect of litigation being brought against practitioners when severe abnormalities are discovered at birth. [ABSTRACT FROM AUTHOR]

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