ArticleJournal of cardiovascular development and disease2023
"I Just Want You to Hear That Term": Characterizing Language Used in Fetal Cardiology Consultations.
Article in Journal of cardiovascular development and disease, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- Parent Perspectives on Optimal Communication About a New Prenatal Diagnosis of Complex Congenital Heart Disease: A Concept Mapping Study.Pediatric cardiology · 2026Article
- How Clinicians Prenatally Discuss Management Options and Outcomes for Congenital Heart Disease.Journal of pain and symptom management · 2026Article
- Discussion of the Fetus in Fetal Cardiology Consultations: A Qualitative Study.Children (Basel, Switzerland) · 2025Article
- Perspectives of Challenges in Counseling for Congenital Heart Defects.Pediatric cardiology · 2025Article
- An Observational Study of Dialogue about Uncertainty in Clinician-Family Counseling Conversations Following Prenatal Diagnosis of Complex Congenital Heart Disease.PEC innovation · 2024Article
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Authors and funding
8 authors.
Funding
Abstract
The way clinicians communicate with parents during pregnancy about congenital heart disease (CHD) can significantly influence parental understanding of and psychological response to the diagnosis. A necessary first step to improving communication used in fetal cardiology consultations is to understand and describe the language currently used, which this paper aims to do. Nineteen initial fetal cardiology consultations with parents were audio-recorded, transcribed verbatim, and coded by two independent coders. A codebook was inductively developed and applied to all transcripts. The finalized coding was used to characterize fetal cardiologists' language. We identified four discourse styles employed in fetal cardiology consultations: small talk, medical, plain, and person-centered. Plain language was used to define and emphasize the meaning of medical language. Person-centered language was used to emphasize the baby as a whole person. Each consultation included all four discourse styles, with plain and medical used most frequently. Person-centered was used less frequently and mostly occurred near the end of the encounters; whether this is the ideal balance of discourse styles is unknown. Clinicians also used person-centered language (as opposed to disease-centered language), which is recommended by medical societies. Future studies should investigate the ideal balance of discourse styles and the effects of clinician discourse styles on family outcomes, including parents' decision-making, psychological adjustment, and quality of life.
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