Journal article
Breaking bad news to a pregnant woman with a fetal abnormality on ultrasound
Obstetrical & gynecological survey, Vol.70(1), pp.39-44
01/2015
DOI: 10.1097/ogx.0000000000000149
PMID: 25616346
Abstract
Ultrasound is a common procedure performed in pregnancy. Most obstetric patients have an ultrasound between 18 and 20 weeks' gestation. While there is debate regarding the utility of this ultrasound, it has become a routine part of prenatal care. Discovery of a fetal anomaly on ultrasound is most commonly an unexpected, emotionally devastating event for pregnant women. Counseling these women about the ultrasound findings requires empathy and sensitivity. This task falls on the physicians caring for pregnant women: maternal-fetal medicine specialists, radiologists, generalist obstetricians, and family medicine physicians. Their training regarding breaking bad news is varied. Therefore, the purpose of this article is to provide a framework to break bad news of an anomalous fetus for physicians caring for pregnant women using the SPIKES protocol. The SPIKES acronym stands for setting, perception, invitation, knowledge, empathize, summary, and strategy.
Details
- Title: Subtitle
- Breaking bad news to a pregnant woman with a fetal abnormality on ultrasound
- Creators
- Andrea L Greiner - Clinical Assistant Professor, Department of Obstetrics & Gynecology, University of Iowa Carver College of Medicine, Iowa CityJona Conklin - Staff Physician, Perinatal Center of Iowa, Des Moines, IA
- Resource Type
- Journal article
- Publication Details
- Obstetrical & gynecological survey, Vol.70(1), pp.39-44
- Publisher
- United States
- DOI
- 10.1097/ogx.0000000000000149
- PMID
- 25616346
- ISSN
- 0029-7828
- eISSN
- 1533-9866
- Language
- English
- Date published
- 01/2015
- Academic Unit
- Obstetrics and Gynecology
- Record Identifier
- 9983930276002771
Metrics
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