3D Printed Models in Pregnancy and Its Utility in Improving Psychological Constructs: a Case Series

Overview

Journal 3D Print Med

Publisher Biomed Central

Date 2022 Jun 9

PMID 35678895

Authors

John Joseph Cote

Brayden Patric Cote

Amy S Badura-Brack

Affiliations

Soon will be listed here.

Abstract

Background: 3D printing is being utilized in almost every aspect of medicine. 3D printing has especially been used in conjunction with 3D ultrasonography to assist in antenatal assessment and presurgical planning with fetal malformations. As printing capabilities improve and applications are explored there may be more advantages for all parents to visualize and touch 3D printed models of their fetus.

Case Presentation: We present three cases involving 3D printed models and four different but interrelated psychological constructs- antenatal depression, antenatal anxiety, maternal-fetal attachment, and paternal-fetal attachment. Each case shows for the first time possible beneficial effects within these prevalent and significant problems.

Conclusions: The degree to which the anxiety, depression, and attachment scores improved after the presentation of the 3D printed models is encouraging. Randomized controlled trials utilizing 3D printed models to improve psychological constructs should be supported considering the findings within these four cases.

References

Yin X, Sun N, Jiang N, Xu X, Gan Y, Zhang J . Prevalence and associated factors of antenatal depression: Systematic reviews and meta-analyses. Clin Psychol Rev. 2020; 83:101932. DOI: 10.1016/j.cpr.2020.101932. View

Dennis C, Falah-Hassani K, Shiri R . Prevalence of antenatal and postnatal anxiety: systematic review and meta-analysis. Br J Psychiatry. 2017; 210(5):315-323. DOI: 10.1192/bjp.bp.116.187179. View

Liang J, Ma Q, Zhao X, Pan G, Zhang G, Zhu B . Feasibility Analysis of 3D Printing With Prenatal Ultrasound for the Diagnosis of Fetal Abnormalities. J Ultrasound Med. 2021; 41(6):1385-1396. DOI: 10.1002/jum.15821. View

Cannella B . Maternal-fetal attachment: an integrative review. J Adv Nurs. 2005; 50(1):60-8. DOI: 10.1111/j.1365-2648.2004.03349.x. View

Werner H, Lopes J, Tonni G, Araujo Junior E . Maternal-fetal attachment in blind women using physical model from three-dimensional ultrasound and magnetic resonance scan data: six serious cases. J Matern Fetal Neonatal Med. 2015; 29(14):2229-32. DOI: 10.3109/14767058.2015.1085015. View

Westerneng M, de Jonge A, van Baar A, Witteveen A, Jellema P, Paarlberg K . The effect of offering a third-trimester routine ultrasound on pregnancy-specific anxiety and mother-to-infant bonding in low-risk women: A pragmatic cluster-randomized controlled trial. Birth. 2021; 49(1):61-70. PMC: 9290476. DOI: 10.1111/birt.12573. View

Dubovicky M, Belovicova K, Csatlosova K, Bogi E . Risks of using SSRI / SNRI antidepressants during pregnancy and lactation. Interdiscip Toxicol. 2018; 10(1):30-34. PMC: 6096863. DOI: 10.1515/intox-2017-0004. View

Nicot R, Hurteloup E, Joachim S, Druelle C, Levaillant J . Using low-cost 3D-printed models of prenatal ultrasonography for visually-impaired expectant persons. Patient Educ Couns. 2021; 104(9):2146-2151. DOI: 10.1016/j.pec.2021.02.033. View

Khanghah A, Khalesi Z, Hassanzadeh Afagh R . The importance of depression during pregnancy. JBRA Assist Reprod. 2020; 24(4):405-410. PMC: 7558890. DOI: 10.5935/1518-0557.20200010. View

10.

de Paz N, Sanchez S, Huaman L, Diez Chang G, Pacora P, Garcia P . Risk of placental abruption in relation to maternal depressive, anxiety and stress symptoms. J Affect Disord. 2010; 130(1-2):280-4. PMC: 2994998. DOI: 10.1016/j.jad.2010.07.024. View

11.

Tutschek B . 3D prints from ultrasound volumes. Ultrasound Obstet Gynecol. 2018; 52(6):691-698. DOI: 10.1002/uog.20108. View

12.

Sedgmen B, McMahon C, Cairns D, Benzie R, Woodfield R . The impact of two-dimensional versus three-dimensional ultrasound exposure on maternal-fetal attachment and maternal health behavior in pregnancy. Ultrasound Obstet Gynecol. 2006; 27(3):245-51. DOI: 10.1002/uog.2703. View

13.

Nadkarni P, Ohno-Machado L, Chapman W . Natural language processing: an introduction. J Am Med Inform Assoc. 2011; 18(5):544-51. PMC: 3168328. DOI: 10.1136/amiajnl-2011-000464. View

14.

Lee L, McKenzie-McHarg K, Horsch A . The impact of miscarriage and stillbirth on maternal-fetal relationships: an integrative review. J Reprod Infant Psychol. 2018; 35(1):32-52. DOI: 10.1080/02646838.2016.1239249. View

15.

Goldberg S, Flemotomos N, Martinez V, Tanana M, Kuo P, Pace B . Machine learning and natural language processing in psychotherapy research: Alliance as example use case. J Couns Psychol. 2020; 67(4):438-448. PMC: 7393999. DOI: 10.1037/cou0000382. View

16.

Spitzer R, Kroenke K, Williams J, Lowe B . A brief measure for assessing generalized anxiety disorder: the GAD-7. Arch Intern Med. 2006; 166(10):1092-7. DOI: 10.1001/archinte.166.10.1092. View

17.

De Jong-Pleij E, Ribbert L, Pistorius L, Tromp E, Mulder E, Bilardo C . Three-dimensional ultrasound and maternal bonding, a third trimester study and a review. Prenat Diagn. 2012; 33(1):81-8. DOI: 10.1002/pd.4013. View

18.

Cote J, Badura-Brack A, Walters R, Dubay N, Bredehoeft M . Randomized Controlled Trial of the Effects of 3D-Printed Models and 3D Ultrasonography on Maternal-Fetal Attachment. J Obstet Gynecol Neonatal Nurs. 2020; 49(2):190-199. DOI: 10.1016/j.jogn.2020.01.003. View

19.

Chung T, Lau T, Yip A, Chiu H, Lee D . Antepartum depressive symptomatology is associated with adverse obstetric and neonatal outcomes. Psychosom Med. 2001; 63(5):830-4. DOI: 10.1097/00006842-200109000-00017. View

20.

Condon J . The assessment of antenatal emotional attachment: development of a questionnaire instrument. Br J Med Psychol. 1993; 66(2):167-83. DOI: 10.1111/j.2044-8341.1993.tb01739.x. View