Experiences of mothers of children with Down syndrome with respect to the notification of diagnosis

Authors

  • Elizabeth Azócar Matrona. Centro de Salud Familiar Pierre Dubois. Comuna Pedro Aguirre Cerda
  • Jasmín Cerda Matrona, Centro de Salud Familiar Raúl Brañes. Comuna San Bernardo
  • Maribel Mella Matrona. Departamento de Promoción de Salud de la Mujer y el Recién Nacido. Facultad de Medicina. Universidad de Chile

Abstract

In Chile, the incidence of Down syndrome is 2.47 per one thousand births, a rate which is gradually increasing. The moment of diagnosis is considered to be a crucial moment in the mother’s process of assimilation. The objective of the present study is to describe the experiences of mothers of children with Down Syndrome at the time of diagnosis. Methodology: A descriptive qualitative study. The sample was composed of mothers belonging to the corporation “EduDown Providencia”. Ten individual semi-structured interviews and two focus groups were conducted, with prior informed consent. Interviews were recorded, textually transcribed, and analyzed. Results: There were three major categories related to the study objectives – factors influencing the reception of the diagnosis, the role of the health professionals, and support networks – and two emerging categories. Discussion: In the prenatal diagnosis, it is important to prepare the mothers in order to guide and accompany the process, from the notification until after the birth, a fact which was not manifested in this study. Recommendations regarding the notification of the diagnosis, especially if it is postnatal, include protecting privacy and facilitating a quiet environment, to inform both parents accompanied by the newborn. The mothers of this study did not present feelings of guilt, rejection and denial towards their children, in contrast to the findings of other studies. Mothers discussed the lack of skill that professionals had in communicating the news and the economic difficulties associated with having a child with this condition.

Keywords:

Down Syndrome, diagnosis, experiences, moment of diagnosis