Psychological reactions related to fetal magnetic resonance imaging: a follow-up study

J Perinat Med. 2013 May;41(3):273-6. doi: 10.1515/jpm-2012-0218.

Abstract

Aims: To assess the women's retrospective perception of fetal magnetic resonance imaging (MRI).

Methods: Thirty-six women were investigated 1 year after fetal MRI. Data was acquired by telephone interviews and standardised rating scales (i.e., Postscan Imaging Distress Questionnaire, mood and anxiety scales).

Results: In retrospect, most women felt that fetal MRI was associated with marked psychological distress, notably with significant greater distress than at the time of the actual investigation. In total, 55.6% of the women rated at least one aspect of fetal MRI as "not tolerable" at follow-up. These findings were irrespective of the affective status and of the outcome of the pregnancy. Yet, MRI was rated as "the most important" investigation during the prenatal period by 69.4% of subjects, and 80.6% felt that they had sufficiently been informed about the MRI findings.

Conclusions: The acceptance of fetal MRI was found to be very high; however, fetal MRI is linked with marked psychological distress, which was still present - and in many cases even stronger - 1 year after the investigation. These data highlight the importance of sufficient information about fetal MRI and the necessity of adequate emotional support in this emotional vulnerable patient sample.

MeSH terms

  • Adult
  • Austria
  • Female
  • Follow-Up Studies
  • Humans
  • Infant
  • Infant, Newborn
  • Magnetic Resonance Imaging / methods
  • Magnetic Resonance Imaging / psychology*
  • Patient Acceptance of Health Care / psychology
  • Patient Satisfaction
  • Pregnancy
  • Pregnancy Outcome / psychology
  • Prenatal Diagnosis / methods
  • Prenatal Diagnosis / psychology*
  • Retrospective Studies
  • Stress, Psychological / etiology