The Psychological Problem and Anxiety Levels of Pregnant Women who Undergo Amniocentesis and Chorion Villus Sampling (CVS)

Thursday, 15 July 2010

Pınar Akcay, RN, BS
Department of Education, Ministry of Health, Izmir, Turkey
Fusun Terzioglu, PhD, RN, BSc
Nursing Department, Hacettepe University Faculty of Health Science, Ankara, Turkey

Learning Objective 1: The learner will be able to realize that experiencing psychological problems of Turkish pregnant women who undergo amniocentesis / CVS process

Learning Objective 2: The learner will be able to understand the factors affecting the level of anxiety of Turkish pregnant women who undergo amniocentesis / CVS


This study has been made for descriptive purposes for the determination of problems suffered by and anxiety levels of pregnant women who have applied for amniocentesis and chorion villus sampling (CVS).

Methods: The study has been conducted at the Prenatal Diagnosis Unit, in Ankara, Turkey. Sample group consisted of 241 pregnant women. The data collection form  and Spielger's State-Trait  Anxiety Inventory (STAI) have been used in the study. Percentage, Difference between Two Averages, Mann-Whitney U Test, One-Way Analysis of Variance, Chi Square, Kruskall Wallis One-Way Analysis of Variance tests have been used for statistical evaluation of the collected data

Results: The most important reasons for subjecting pregnant women included within this study to amniocentesis/CVS have been established as high triple test results (34.3%), advanced maternal age (30.9%), probability of chromosome anomaly of the newborn (19.7%), and having a child with anomalies in the past (15.9%). Throughout the amniocentesis/CVS process, 57.7% of pregnant women reported that they experienced anxieties about the operation, while 85.1% reported anxiety about the baby and 43.2% reported anxiety about their own health. The women's average anxiety score point averages who are applied amniocentesis/CVS process has been determined as 45,94 as anxiety in the middle levels. Average scores of state-trait anxiety of studied pregnant women have been found higher compared to their average scores in continuous anxiety (p<0.05).
Conclusion: We have recommended with regards interventions to reduce the problems and anxieties suffered by spouses applying to prenatal diagnosis units and to decrease their average anxiety scores