The spiritual needs of couples (9 mothers and 5 fathers) who were planning to terminate wanted second trimester pregnancies because of serious fetal anomalies were surveyed. Their greatest needs were for a “guidance from a higher power” and for “someone to pray for them.” Unlike other reported groups of patients, they did not want or expect their healthcare team to discuss their faith, or to pray with them. Most would prefer support from their own pastors, but their religious community was involved to only a small extent. They would welcome support from hospital chaplains, who could play a substantive and unique pastoral role in this clinical context.
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References
1.
AstrowABWexlerATexeiraKHeKai M, & SulmasyDP (2007). Is failure to meet spiritual needs associated with cancer patients' perceptions of quality of care and their satisfaction with care?J Clin Oncol, 25, 5753–5757.
2.
BadenhorstW & HughesP (2007). Psychological aspects of perinatal loss. Best Practice & Research Clin Obstet Gynaecol, 21, 249–259.
3.
BadenhorstWRichesSTurtonP, & HughesP (2006). The psychological effects of stillbirth and neonatal death on fathers: Systematic review. J Psychosom Obstet Gynaecol, 27, 245–256.
4.
BrandSREngelSMCanfieldRL, & YehudaR (2006). The effect of maternal PTSD following in utero trauma exposure on behavior and temperament in the 9-month-old infant. Ann NY Acad Sci, 1071, 454–458.
5.
BreenGVPriceS, & LakeM (2007). Spirituality and high-risk pregnancy: Another aspect of patient care. AWHONN Lifelines, 10, 466–473.
6.
BrierN (2008). Grief following miscarriage: A comprehensive review of the literature. J Women's Health, 17, 451–464.
7.
BuitelaarJKHuizinkACMulderEJde MedinaPG, & VisserGHA (2003). Prenatal stress and cognitive develoment and termperament in infants. Neurobiol Aging, 24, S53–S60.
8.
ClarkPADrainM, & MaloneMP (2003). Addressing patients' emotional and spiritual needs. Jt Comm J Qual Saf, 29, 659–670.
9.
CowchockFSLaskerJNToedterLJSkumanichSA, & KoenigHG (2009). Religious beliefs affect grieving after pregnancy loss. J Religion and Health, DOI 10.1007/s10943-009-9277-3.
10.
DunnLHandleyMC, & SheltonMM (2007). Spiritual well-being, anxiety, and depression in antepartal women on bedrest. Issues in Mental Health Nursing, 28, 1235–1246.
11.
FlannellyKJGalekK, & FlannellyLT (2006). A test of the factor structure of the patient spiritual needs assessment scale. Holist Nurs Pract, 20, 187–190.
12.
GalekK.FlannellyK.VaneA., & GalekRM (2005). Assessing a patient's spiritual needs: A comprehensive instrument. Holist Nurs Pract, 19, 62–69.
13.
GlynnLMSchetterCSHobelCJ, & SandmanCA (2008). Pattern of perceived stress and anxiety in pregnancy predicts preterm birth. Health Psychol, 27, 51.
14.
HamptonDMHollisDELloydDATaylorJ, & McMillanSC (2007). Spiritual needs of persons with advanced cancer. Am J Hosp Palliat Care, 24, 42–48.
15.
HermannC (2006). Development and testing of the spiritual needs inventory for patients near the end of life. Oncol Nurs Forum, 33, 737–744.
16.
HermannCP (2007). The degree to which spiritual needs of patients near the end of life are met. Cancer, 109, 446–454.
17.
HughesPTurtonPMcGauleyGA, & FonagyP (2006). Factors that predict infant disorganization in mothers classified as U in pregnancy. Attach Hum Dev, 8, 113–122.
18.
HuizinkACde MedinaPGRMulderEJHVisserGHA, & BuitelaarJK (2003). Stress during pregnancy is associated with developmental outcome in infancy. J Child Psychol Psychiatry, 44, 810–818.
19.
HunfeldJAMWladimiroffJW, & PasschierJ (1997). Prediction and course of grief four years after perinatal loss due to congenital anomalies: A follow-up study. Brit J Med Psychol, 70, 85–91.
20.
JesseDESchoneboomC, & BlanchardA (2007). The effect of faith or spirituality in pregnancy: A content analysis. J Holist Nurs, 25, 151–158.
21.
JindL (2003). Parents' adjustment to late abortion, stillbirth or infant death: The role of causal attributions. Scand J Psychol, 44, 383–394.
22.
KerstingA (2009). Neural activation underlying acute grief in women after the loss of an unborn child. Am J Psychiatry, 166, 1402–1410.
23.
KerstingADorschMKreulichCReutemannMOhrmannPBaezE (2005). Trauma and grief 2–7 years after termination of pregnancy because of fetal anomalies-a pilot study. J Psychosom Obstet Gynecol, 26, 9–14.
KoenigHG. (2007). Spirituality in Patient Care. pp. 51–55. Templeton Foundation Press, Philadelphia and London.
26.
KorenrompMJChristiaensGCMLvan den BoutJMulderEJHHunfeldJAMBilardoCM (2005a). Long-term psychological consequences of pregnancy termination for fetal abnormality: A cross-sectional study. Prenatal Diagnosis, 25, 253–260.
27.
KorenrompMJPage-ChristiaensGCMLvan den BoutJMulderEJHHunfeldJAMBilardoCM (2005b). Psychological consequences of termination of for fetal anomaly: Similarities and differences between partners. Prenatal Diagnosis, 25, 1226–1233.
28.
KorenrompMJPage-ChristiaensGCMLvan den BoutJMulderEJHHunfeldJAMPottersCMAA (2007). A prospective study on parental coping 4 months after termination of pregnancy for fetal anomalies. Prenatal Diagnosis, 27, 709–716.
29.
KristellerJLRhodesMCripeLD, & SheetsV (2005). Oncologist assisted spiritual intervention study (OASIS): Patient acceptability and initial evidence of effects. Int J Psychiatry, 35, 329–347.
30.
LarimoreWL, P. M. C. M. (2002). Should clinicians incorporate positive spirituality into their practices?What does the evidence say? Ann Behav Med, 24, 69–73.
31.
LorenzenJ & HolzgreveW (1995). Helping parents to grieve after second trimester termination of pregnancy for fetopathic reasons. Fetal Diag Ther, 10, 147–156.
32.
MacLeanCDSusiBPhiferNSchultzLBynumDFrancoM (2003). Patient preferences for physician discussion and practice of spirituality. J Gen Intern Med, 18, 38–43.
33.
MannJRMcKeownREBaconJVesselinovR, & BushF (2007). Religiosity, spirituality, and depressive symptoms in pregnant women. Int J Psychiatry, 37, 301–313.
34.
MannJRMcKeownREBaconJVesselinovR, & BushF (2008). Do antenatal religious and spiritual factors impact the risk of postpartum depressive symptoms?Womens Health (Larchmt), 17, 745–755.
35.
McCoydJLM (2007). Pregnancy interrupted: Loss of a desired pregnancy after diagnosis of fetal anomaly. J Psychosom Obstet Gynecol, 28, 37–48.
36.
MeertKLThurstonCS, & BrillerSH (2005). The spiritual needs of parents at the time of their child's death in the pediatric intensive care unit and during bereavement: A qualitative study. Pediatr Crit Care Med, 6, 420–427.
37.
MoadelABMorganC, & DutcherJ (2007). Psychosocial needs assessment among an underserved, ethnically diverse cancer patient population. Cancer, 109, 446–454.
38.
PriceSLakeMBreenGCarsonGQuinnC, & O'ConnorT (2007). The spiritual experience of high-risk pregnancy. J Obstet Gynecol Neonatal Nurs, 36, 63–70.
39.
RillstoneP & HutchinsonSA (2001). Managing the reemergence of anguish: Pregnancy after a loss due to anomalies. J Obstet Gynecol Neonatal Nurs, 30, 291–298.
40.
RogalSSPoschmanKBelangerKHowellHBSmithMVMedinaJ (2007). Effects of posttraumatic stress disorder on pregnancy outcomes. J Affect Disord, 102, 137–143.
41.
RoudsariRLAllanHT, & SmithPA (2007). Looking at infertility through the lens of religion and spirituality: A review of the literature. Hum Fertil, 10, 141–149.
42.
RumboldBD (2007). A review of spiritual assessment in health care practice. Medical J Australia, 186, S60–S62.
43.
SalvesenKAOyenLSchmidtNMaltUF, & Eik-NesSH (1997). Comparison of longterm psychological responses of women after pregnancy termination due to fetal anomalies and after perinatal loss. Ultrasound Obstet Gynecol, 9, 80–85.
44.
StrathamH.SolomouW, & ChittyL (2000). Prenatal diagnosis of fetal abnormality: Psychological effects on women in low-risk pregnancies. Prenatal diagnosis of fetal abnormality, 14, 731–747.
45.
SulmasyDP (2009). Spirituality, religion, and clinical care. Chest, 135, 1634–1642.
46.
ThearleMFVanceJC, & NajmanJM (1995). Church attendance, religious affiliation and parental responses to sudden infant death, neonatal death, and stillbirth. Omega, 31, 51–58.
47.
WallaceM & O'SheaE (2007). Perceptions of spirituality and spiritual care among older nursing home residents at the end of life. Holist Nurs Pract, 21, 285–289.
48.
White-Van MourikMCAConnorJM, & Fergusen-SmithMA (1992). The psychosocial sequelae of a second-trimester termination of pregnancy for fetal abnormality. Prenatal Diagnosis, 12, 189–204.
49.
WollenscheinMGustkeMWoopenC, & RohdeA (2007). A subsequent pregnancy after a termination of pregnancy because of fetal anomaly — All forgotten and a new beginning?Praxis der Kinderpsychologie und Kinderpsychiatrie, 56, 741–757.
50.
XiongXHarvilleEWMattisonDRElkind-HirschKPridjianG, & BuekensP (2008). Exposure to Hurricane Katrina, post-traumatic stress disorder and birth outcomes. Am J Med Sci, 336, 111–115.
51.
YaliAM & LobelM (1999). Coping and distress in pregnancy: An investigation of medically high risk women. J Psychosom Obstet Gynaecol, 20, 39–52.
