ABSTRACT
OBJECTIVE: To test the hypothesis that there are differences in the level of maternal-fetal attachment before and after fetal echocardiography in the presence or absence of cardiac abnormalities. STUDY DESIGN: Cohort study in which the mothers responded to a validated Maternal-Fetal Attachment Scale. The study compared a group of pregnant women with diagnosis of fetal heart disease (FHD) with a group without this diagnosis ("no fetal heart disease" - NFHD). RESULTS: 197 pregnant women were included, 96 FHD and 101 NFHD. Maternal-fetal attachment at the initial and final periods showed no significant baseline differences between groups (p=0.081). At the final period, migration from medium to high level of attachment was significantly higher in FHD (p=0.017). Transition from medium to high levels comparing the initial and final periods was more pronounced in FHD (p=0.009). CONCLUSION: Diagnosis of fetal heart disease increases the level of maternal-fetal attachment.
Subject(s)
Fetal Diseases/diagnostic imaging , Heart Diseases/embryology , Maternal-Fetal Relations/psychology , Ultrasonography, Prenatal/psychology , Adult , Brazil , Cohort Studies , Female , Fetal Diseases/psychology , Fetal Heart/diagnostic imaging , Heart Defects, Congenital/diagnostic imaging , Heart Defects, Congenital/embryology , Heart Defects, Congenital/psychology , Heart Diseases/diagnostic imaging , Heart Diseases/psychology , Humans , PregnancyABSTRACT
O presente trabalho tem o objetivo de refletir a respeito da falta de colorido afetivo que os pacientes com traços de caráter obsessivo demonstram na clínica psicoterápica, bem como sobre os desafios técnicos que impõem ao tratamento. A idéia surgiu a partit de uma imagem mental em preto-e-branco criada pela autora durante o atendimento de um caso clínico, do qual serão utilizadas vinhetas a fim de ilustrar as concepções teóricas freudianas estudadas
