Mothers' perception of prenatal counseling following diagnosis of congenital anomalies of the urinary tract

Arch Pediatr. 2021 Oct;28(7):533-536. doi: 10.1016/j.arcped.2021.08.003. Epub 2021 Sep 8.

Abstract

Congenital abnormalities of the genitourinary tract are the most common sonographically identified malformations. Although prenatal diagnosis seldom modifies perinatal management, it can cause significant anxiety in parents. We aimed to assess how parents perceived the prenatal counseling they had received in our institution. Using a questionnaire, we evaluated by phone the mothers of 78 children diagnosed prenatally with urological tract anomalies between January 2018 and May 2019. Overall, mothers were satisfied and reassured by the prenatal counseling they received, although 19% of the mothers found the time from diagnosis to specialist consultation to be too long. Forty percent of the responders stated that the most important information they needed to hear during the specialist consultation was management and not diagnosis. Specialist counseling should focus on explaining postnatal management, should be offered as soon as possible, and should include practical aspects, especially concerning outpatient care.

Keywords: Anxiety; Prenatal counseling; Prenatal diagnosis; Satisfaction; Urological abnormality.

MeSH terms

  • Adult
  • Congenital Abnormalities / diagnosis*
  • Congenital Abnormalities / psychology
  • Counseling / standards
  • Counseling / statistics & numerical data
  • Female
  • Humans
  • Mothers / psychology*
  • Mothers / statistics & numerical data
  • Perception*
  • Pregnancy
  • Prenatal Care / psychology
  • Prenatal Care / standards
  • Prenatal Care / statistics & numerical data
  • Prenatal Diagnosis / methods
  • Prenatal Diagnosis / standards*
  • Prenatal Diagnosis / statistics & numerical data
  • Urinary Tract / abnormalities*
  • Urinary Tract / physiopathology