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Licensed Unlicensed Requires Authentication Published by De Gruyter June 12, 2015

Parents’ experiences of having a baby with ambiguous genitalia

  • Mailme de Souza Oliveira , Roberto Benedito de Paiva-e-Silva , Gil Guerra-Junior and Andréa Trevas Maciel-Guerra EMAIL logo

Abstract

Health professionals must be aware of the impact on parents of the birth of children with ambiguous genitalia. This study aimed to analyze the experiences and perceptions of such parents. Parents of 30 children who were evaluated in a reference center for disorders of sex development (DSD) were interviewed. The questionnaire covered the prenatal period, the moment they were told about the disorder, initial management by health professionals, and problems they experienced. Only two cases were detected during pregnancy. The news was usually given to the mother alone by pediatricians. Most parents kept it secret and avoided exposing the baby to the prejudice of others. Parents of children who were referred without sex assignment usually held a personal belief of their child’s sex. Previous assignment was based on clinical examination and/or karyotype. Spreading knowledge about DSD could increase awareness of this issue, thus reducing parents’ shock and societal stigma. Training of neonatal care teams is required to avoid assignment before evaluation.


Corresponding author: Andréa Trevas Maciel-Guerra, MD, PhD, Faculty of Medical Sciences, Department of Medical Genetics, Unicamp, Rua Tessália Vieira de Camargo, 126, 13083-887 Campinas, SP, Brazil, Phone: 55 19 3521-8908, Fax: 55 19 3521-8909, E-mail: ; Interdisciplinary Research Group on Disorders of Sex Development (GIEDDS), FCM, Unicamp, São Paulo, Brazil

References

1. Hughes IA, Houk C, Ahmed SF, Lee PA. Consensus statement on management of intersex disorders. J Pediatr Urol 2006;2:148–62.10.1016/j.jpurol.2006.03.004Search in Google Scholar PubMed

2. Chitty LS, Chatelain P, Wolffenbuttel KP, Aigrain Y. Prenatal management of disorders of sex development. J Pediatr Urol 2012;8:576–84.10.1016/j.jpurol.2012.10.012Search in Google Scholar PubMed

3. Slijper F, Frets PG, Boehmer AL, Drop SL, Niermeijer MF. Androgen insensitivity syndrome (AIS): emotional reactions of parents and adult patients to the clinical diagnosis of ais and its confirmation by androgen receptor gene mutation analysis. Horm Res 2000;53:9–15.10.1159/000023506Search in Google Scholar PubMed

4. Sanders C, Carter B, Goodacre L. Parents’ narratives about their experiences of their child’s reconstructive genital surgeries for ambiguous genitalia. J Clin Nurs 2008;17:3187–95.10.1111/j.1365-2702.2007.02006.xSearch in Google Scholar PubMed

5. Hughes IA. Disorders of sex development: a new definition and classification. Best Pract Res Clin Endocrinol Metab 2008;22:119–34.10.1016/j.beem.2007.11.001Search in Google Scholar PubMed

6. MacKenzie D, Huntington A, Gilmour JA. The experiences of people with an intersex condition: a journey from silence to voice. J Clin Nurs 2009;18:1775–83.10.1111/j.1365-2702.2008.02710.xSearch in Google Scholar PubMed

7. Wiesemann C, Ude-Koeller S, Sinnecker GH, Thyen U. Ethical principles and recommendations for the medical management of differences of sex development (DSD)/intersex in children and adolescents. Eur J Pediatr 2010;169:671–9.10.1007/s00431-009-1086-xSearch in Google Scholar PubMed PubMed Central

8. Sanders C, Carter B, Goodacre L. Searching for harmony: parents’ narratives about their child’s genital ambiguity and reconstructive genital surgeries in childhood. J Adv Nurs 2011;67:2220–30.10.1111/j.1365-2648.2011.05617.xSearch in Google Scholar PubMed

9. Monlleó IL, Zanotti SV, De Araújo BP, Cavalcante EF, Pereira PD, et al. Prevalence of genital abnormalities in neonates. J Pediatr (Rio J) 2012;88:489–95.10.2223/JPED.2237Search in Google Scholar PubMed

10. Chavhan G, Parra D, Oudjhane K, Miller S, Babyn P, et al. Imaging of ambiguous genitalia: classification and diagnostic approach 1. Radiographics 2008;28:1891–904.10.1148/rg.287085034Search in Google Scholar PubMed

11. Cohen HL, Shapiro MA, Mandel FS, Shapiro ML. Normal ovaries in neonates and infants: a sonographic study of 77 patients 1 day to 24 months old. Am J Roentgenol 1993;160:583–6.10.2214/ajr.160.3.8430559Search in Google Scholar PubMed

12. Kanemoto K, Hayashi Y, Kojima Y, Maruyama T, Ito M, et al. Accuracy of ultrasonography and magnetic resonance imaging in the diagnosis of non-palpable testis. Int J Urol 2005;12:668–72.10.1111/j.1442-2042.2005.01102.xSearch in Google Scholar PubMed

13. Mansour SM, Hamed ST, Adel L, Kamal RM, Ahmed DM. Does MRI add to ultrasound in the assessment of disorders of sex development? Eur J Radiol 2012;81:2403–10.10.1016/j.ejrad.2011.12.036Search in Google Scholar PubMed

14. Bouvattier C, Mignot B, Lefèvre H, Morel Y, Bougnères P. Impaired sexual activity in male adults with partial androgen insensitivity. J Clin Endocrinol Metab 2006;91:3310–5.10.1210/jc.2006-0218Search in Google Scholar PubMed

15. Lemacks J, Fowles K, Mateus A, Thomas K. Insights from parents about caring for a child with birth defects. Int J Environ Res Public Health 2013;10:3465–82.10.3390/ijerph10083465Search in Google Scholar PubMed PubMed Central

Received: 2014-11-7
Accepted: 2015-1-9
Published Online: 2015-6-12
Published in Print: 2015-7-1

©2015 by De Gruyter

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