{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,7]],"date-time":"2025-12-07T12:46:29Z","timestamp":1765111589709,"version":"3.46.0"},"reference-count":28,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2025,9,12]],"date-time":"2025-09-12T00:00:00Z","timestamp":1757635200000},"content-version":"vor","delay-in-days":11,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pregnancy"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To examine the incidence of positive screens for depression, anxiety, and posttraumatic stress among patients undergoing therapeutic abortion at \u2265 22 weeks\u2019 gestation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>This was a prospective, observational cohort study of patients undergoing fetal potassium chloride (KCL) injection for induced abortion at \u2265 22 weeks\u2019 gestation. All eligible patients were approached within 48\u00a0h of the scheduled termination. After obtaining informed consent, basic demographic information was collected. Patients completed the Edinburgh Postnatal Depression Scale (EPDS), General Anxiety Disorder\u20107 (GAD\u20107), and Primary Care Post\u2010Traumatic Stress Disorder\u20105 (PC\u2010PTSD\u20105) questionnaires three times, first prior to their KCL procedure and then again 2 and 12 weeks postprocedure. Consents and questionnaires were provided in both English and Spanish. Patients who scored positive on any tool were referred to an in\u2010house social worker and connected to ongoing mental health care as appropriate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 53 patients were screened for this study, of whom 30 enrolled. The mean gestational duration at the time of enrollment was 24.7\u00a0weeks. Fetal anomaly was the indication for termination in 66.7% of patients. A total of 15 patients (50.0%) completed the 2\u2010week follow\u2010up surveys, and 9 patients (30.0%) completed the 12\u2010week follow\u2010up surveys. The median (IQR) baseline scores for the EPDS, GAD\u20107, and PC\u2010PTSD\u20105 were 13 (11.3), 6.5 (6.5), and 0.5 (2), respectively. The median 2\u2010week follow\u2010up scores were 10 (5), 5 (4), and 2 (1), respectively, though these were not statistically significantly different from baseline. The median 12\u2010week follow\u2010up scores were 9(3), 4 (3), and 2 (2), respectively, and these were also not statistically significantly different from baseline. There was no difference in the proportion of patients who screened positively on any measures between those patients who completed the follow\u2010up surveys and those who did not. There were also no differences in the proportion of positive screens by evacuation method or termination indication.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Most patients undergoing termination at \u2265 22 weeks\u2019 gestation at our institution during the study period did so for fetal anomalies. Our results are limited by low return rates for the follow\u2010up surveys. More research is needed on the long\u2010term mental health outcomes of patients undergoing termination after 22\u00a0weeks.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pmf2.70109","type":"journal-article","created":{"date-parts":[[2025,9,12]],"date-time":"2025-09-12T20:06:43Z","timestamp":1757707603000},"source":"Crossref","is-referenced-by-count":0,"title":["Examining psychometric screening scores for depression, anxiety, and posttraumatic stress after fetal KCL injection"],"prefix":"10.1002","volume":"1","author":[{"given":"Daniel L.","family":"Kuhr","sequence":"first","affiliation":[{"name":"Division of Maternal\u2010Fetal Medicine Icahn School of Medicine at Mount Sinai  New York New York USA"},{"name":"Division of Maternal\u2010Fetal Medicine Albert Einstein College of Medicine  Bronx New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicola F.","family":"Tavella","sequence":"additional","affiliation":[{"name":"Division of Maternal\u2010Fetal Medicine Icahn School of Medicine at Mount Sinai  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexandra N.","family":"Mills","sequence":"additional","affiliation":[{"name":"Division of Maternal\u2010Fetal Medicine Icahn School of Medicine at Mount Sinai  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Henri M.","family":"Rosenberg","sequence":"additional","affiliation":[{"name":"Division of Maternal\u2010Fetal Medicine Icahn School of Medicine at Mount Sinai  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Camila","family":"Cabrera","sequence":"additional","affiliation":[{"name":"Division of Maternal\u2010Fetal Medicine Icahn School of Medicine at Mount Sinai  New York New York USA"},{"name":"Division of Maternal\u2010Fetal Medicine Orlando Health Winnie Palmer Hospital for Women and Babies  Orlando Florida USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elizabeth","family":"Cochrane","sequence":"additional","affiliation":[{"name":"Division of Maternal\u2010Fetal Medicine Icahn School of Medicine at Mount Sinai  New York New York USA"},{"name":"Division of Maternal\u2010Fetal Medicine Hackensack Meridian School of Medicine  Nutley New Jersey USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sara E.","family":"Edwards","sequence":"additional","affiliation":[{"name":"Division of Maternal\u2010Fetal Medicine Icahn School of Medicine at Mount Sinai  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Allison D.","family":"Perelman","sequence":"additional","affiliation":[{"name":"Division of Maternal\u2010Fetal Medicine Icahn School of Medicine at Mount Sinai  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Victoria","family":"Ly","sequence":"additional","affiliation":[{"name":"Division of Maternal\u2010Fetal Medicine Icahn School of Medicine at Mount Sinai  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sara M.","family":"Hachey","sequence":"additional","affiliation":[{"name":"Division of Maternal\u2010Fetal Medicine Icahn School of Medicine at Mount Sinai  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leslie J.","family":"Warren","sequence":"additional","affiliation":[{"name":"Division of Maternal\u2010Fetal Medicine Icahn School of Medicine at Mount Sinai  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Angela T.","family":"Bianco","sequence":"additional","affiliation":[{"name":"Division of Maternal\u2010Fetal Medicine Icahn School of Medicine at Mount Sinai  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,9,12]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2022.08.007"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ogc.2024.09.001"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/pcn.12067"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291714003213"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2015.302803"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa0905882"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2013.87"},{"issue":"4","key":"e_1_2_10_9_1","article-title":"The Prevalence of Anxiety Disorders During Pregnancy and the Postpartum Period: A Multivariate Bayesian Meta\u2010Analysis","volume":"80","author":"Fawcett E. 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