Looking for information and support

Parents who have been told the baby they are expecting has a serious problem usually need time to absorb the news. Parents felt well supported when health professionals gave them time to absorb the baby’s diagnosis and what it might mean for the future, and also when they were encouraged to talk about what their options were and what they might want to do.

Her GP was very helpful and sympathetic and even though she couldn’t offer any solutions she was…

Age at interview 43

Gender Female

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She found hospital staff very compassionate and helpful because they gave her plenty of…

Age at interview 38

Gender Female

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However some parents left hospital feeling that they hadn’t really understood what doctors told them because they were ‘in shock’, and yet they felt they needed to know more about the baby’s problems before they could decide what to do next.

She didn’t know what questions to ask when she was at the hospital appointment and ended up…

Age at interview 39

Gender Female

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Many people found support groups a helpful source of information and support (see ‘Support groups’) and some were given leaflets about support groups by hospital staff, others were not and searched for more information by themselves.

Almost everyone we interviewed who ended a pregnancy during the last 5 years used the internet to find out more about the baby’s condition – ‘you become an anorak’ one woman said because ‘you want to be sure you’ve looked at every single avenue’.

The internet helped him think what questions he wanted to ask his doctors and also gave him…

Age at interview 41

Gender Male

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She used a medical website to find out more about Walker-Warburg syndrome which made her feel…

Age at interview 40

Gender Female

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Most people used the internet to find support groups like ARC (see Resources‘) where they could find out more about ending a pregnancy, as well as groups like Little Heart Matters where they could find out more about the baby’s condition. (See ‘Support groups’.)

The internet also led people to US websites which showed parents who had kept their babies and were still caring for them at home. People responded differently to these sites – several found them useful, others had reservations about them.

She realised that some websites only presented positive stories about babies born with…

Age at interview 38

Gender Female

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A few people got lost on the internet, ending up on specialist scientific sites they couldn’t understand or that weren’t relevant for their baby. One man said he worried that his wife used the internet compulsively to search for positive stories when he felt she should accept nothing could be done for the baby.

She used the internet to look up medical terminology but she found it didn’t help her understand…

Age at interview 38

Gender Female

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He worried that his wife was using the internet to search for positive stories.

Age at interview 41

Gender Male

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A few women were grateful that doctors had searched the internet for them, particularly when the baby’s condition was so rare that little research had been published and there was no relevant support group. For those expecting a baby with an inherited disorder, genetic counsellors and specialist nurses were said to have provided invaluable advice and support.

Her consultant looked up Fowler syndrome on the internet for her but only found a paragraph about…

Age at interview 22

Gender Female

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People often needed different kinds of information and support at different times – for example several people lost confidence in their decision when they read or heard misleading stories in the media.

Some people felt they already knew enough about the baby’s diagnosis because of their nursing or caring experiences to make an informed decision. Others said it was helpful to get more directive advice from friends and family with medical expertise who were not involved in their care.

Though she made contact with the Cystic Fibrosis Research Trust she and her husband found it more…

Age at interview 45

Gender Female

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The Royal College of Obstetricians and Gynaecologists (RCOG) have produced a report on ‘Termination of Pregnancy for Fetal Abnormality in England, Scotland and Wales’ (May 2010). Within it are a number of recommendations for the counselling and support of women after a diagnosis of fetal abnormality. The following is a quote from their report:

‘The decision-making process for women and their partners after the diagnosis of fetal abnormality is a difficult one. They must try to absorb the medical information they have been given, while in a state of emotional shock and distress, and work out a way forward that they can best live with. In such sensitive circumstances, women and their partners must receive appropriate counselling and support from the healthcare practitioners involved. All staff involved in the care of a woman or couple facing a possible termination of pregnancy must adopt a nondirective, non-judgemental and supportive approach. The use of appropriate literature and the availability of help from non-directive external agencies, such as Antenatal Results and Choices, is extremely helpful.

After the diagnosis, the woman will need help to understand and explore the issues and options that are open to her and be given the time she needs to decide how to proceed. She must not feel pressurised to make a quick decision but, once a decision has been, made the procedure should be organised with minimal delay. Although usually there will be no time pressure put on her decision making, there may be occasions when the pregnancy is approaching 24 weeks of gestation when, because of existing legislation, a rapid decision will have to be reached. In this instance, the reasons must be sensitively outlined and the added distress this may cause acknowledged.’

Understanding the baby’s diagnosis

For most parents, reaching an understanding of the baby's problems meant accepting what one woman described as 'the worst news possible'. Many parents found they...