Mothers' adaptation to antenatal diagnosis of surgically correctable anomalies

Lucia Aite, Antonio Zaccara, Antonella Nahom, Alessandro Trucchi, Barbara Iacobelli, Pietro Bagolan

Research output: Contribution to journalArticlepeer-review


Objective: To assess the applicability of Drotar model when the diagnosis of congenital malformation is made antenatally. Methods: In a 3-year period (2000-2003) fifty mothers, counselled for fetal malformations amenable to surgical correction at birth, were interviewed. Statistical associations were sought between each stage of the adaptation process and type of anomaly, gestational age at diagnosis, maternal age, educational background and previous miscarriage. Emotional experience at each stage was studied as dichotomous variables. Results: Fetuses were affected by the following anomalies: abdominal wall defects (11), intestinal atresia (14) and diaphragmatic hernia (25). All mothers experienced stage one, two and three. No association was found between anger, type of anomaly, maternal age, educational background, and age at diagnosis. On the contrary, such association was statistically significant for previous miscarriage. Thirty-nine mothers reached the adaptation stage while none of them experienced that of reorganization. Conclusion: Despite significant differences, the adaptation process proposed by Drotar to describe parents reactions is applicable in prenatal age.

Original languageEnglish
Pages (from-to)649-653
Number of pages5
JournalEarly Human Development
Issue number10
Publication statusPublished - Oct 2006


  • Congenital malformations
  • Emotional reactions
  • Prenatal diagnosis

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health


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