Coping strategies following the diagnosis of a fetal anomaly: A scoping review

Tingting Zhang; Wei-Ti Chen; Qingnan He; Ying Li; Huiting Peng; Jiaying Xie; Hengfen Hu; Chunxiang Qin

doi:10.3389/fpubh.2023.1055562

Coping strategies following the diagnosis of a fetal anomaly: A scoping review

Front Public Health. 2023 Apr 6:11:1055562. doi: 10.3389/fpubh.2023.1055562. eCollection 2023.

Authors

Tingting Zhang^{1

2}, Wei-Ti Chen³, Qingnan He⁴, Ying Li⁴, Huiting Peng², Jiaying Xie², Hengfen Hu⁵, Chunxiang Qin^{1

2}

Affiliations

¹ Department of Health Management, The Third Xiangya Hospital and Xiangya School of Nursing, Central South University, Changsha, China.
² Xiangya School of Nursing, Central South University, Changsha, Hunan, China.
³ School of Nursing, University of California, Los Angeles, Los Angeles, CA, United States.
⁴ Pediatric Department of the Third Xiangya Hospital, Central South University, Changsha, Hunan, China.
⁵ Hunan Polytechnic of Environment and Biology, Hengyang, Hunan, China.

Abstract

Introduction: Many women experience severe emotional distress (such as grief, depression, and anxiety) following a diagnosis of fetal anomaly. The ability to cope with stressful events and regulate emotions across diverse situations may play a primary role in psychological wellbeing. This study aims to present coping strategies after disclosing a fetal anomaly to pregnant women.

Methods: This is a scoping review based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) extension for scoping reviews (PRISMA-ScR). Electronic databases, including Web of Science (WOS, BCI, KJD, MEDLINE, RSCI, SCIELO), CINAHL, and EBSCO PsycARTICLES, were used to search for primary studies from the inception of each database to 2021. The keywords were determined by existing literature and included: "fetal anomaly," "fetal abnormality," "fetal anomaly," "fetal abnormality" AND "cope," "coping," "deal," "manage," "adapt^*," "emotion^* regulate^*," with the use of Boolean operators AND/OR. A total of 16 articles were reviewed, followed by advancing scoping review methodology of Arksey and O'Malley's framework.

Results: In this review, we identified 52 coping strategies using five questionnaires in seven quantitative studies and one mixed-method study. The relationship between coping strategies and mental distress was explored. However, the results were inconsistent and incomparable. We synthesized four coping categories from qualitative studies and presented them in an intersection.

Conclusion: This scoping review identified the coping strategies of women with a diagnosis of a fetal anomaly during pregnancy. The relationship between coping strategies and mental distress was uncertain and needs more exploration. We considered an appropriate measurement should be necessary for the research of coping in women diagnosed with fetal anomaly pregnancy.

Keywords: coping strategies; fetal anomaly; mental distress; scoping review; women's health.

Publication types

Systematic Review
Review
Research Support, Non-U.S. Gov't

MeSH terms

Adaptation, Psychological*
Anxiety
Female
Humans
Pregnancy
Pregnant Women*
Qualitative Research

Grants and funding

This study was funded by the National Natural Science Foundation of China (72074225), the Philosophy and Social Science Foundation of Hunan Province (19YBA351), and the Key R&D plan of Hunan Province (2020SK2089 and 2021SK2024).