Literature Review on the Thoughts and Concepts of Support in Japan Regarding the Acceptance of Fetal Abnormality Found in Prenatal Diagnosis

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  • Nasu Akemi
    Faculty of Nursing Department of Nursing, Sanyo Gakuen University

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  • 日本の出生前診断における胎児異常の障がい受容過程での思いと支援に関する文献検討

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Abstract

<p>Objective: The objective of this study is to organize information from Japanese literature on the thoughts and concepts of support in the process of accepting impairment in the fetal anomaly found after prenatal diagnosis. Methods: A search was conducted with the Ichushi Web, using the keywords “prenatal/AL,” “(“acceptance (psychology)”/TH or Impairment Acceptance/AL)” to identify twelve original articles in the nursing field as analysis subjects. Our search specifically excluded literature examinations. Results: It was elucidated that the subjects experienced a range of emotions from shock to grief, as well as conflict and distress over the destroyed connection to people. They ultimately accepted the fact through revival by selective abortion or an affirmative experience from giving birth, and eventually succeeded in reconstructing their love by deciding in favor of the child’s best interest and recovering their daily life. Providing sufficient information, securing enough time to address the issue, and continuous support to achieve the best for the child with the consideration for the family ties were essential. Conclusions: In the process of accepting impairment in fetal abnormality found during prenatal diagnosis, the relationship with family and society has major relevance, and the importance of continually providing nursing to support the child for the best was indicated, considering the fact that there will be acceptance when sufficient information and ample time are provided. </p>

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