Why do pregnant women accept or decline prenatal diagnosis for Down syndrome?

被引:16
作者
Ternby E. [1 ]
Axelsson O. [1 ,2 ]
Annerén G. [3 ]
Lindgren P. [1 ,4 ]
Ingvoldstad C. [1 ,4 ]
机构
[1] Department of Women’s and Children’s Health, Uppsala University, Uppsala
[2] Centre for Clinical Research Sörmland, Uppsala University, Eskilstuna
[3] Department of Immunology, Genetics and Pathology, Uppsala University, Uppsala
[4] Department of Clinical Science, Intervention and Technology (CLINTEC), Obstetrics and Gynecology, Karolinska Institutet, Stockholm
关键词
Decision-making; Down syndrome; Informed choice; Knowledge of condition screened for; Prenatal diagnosis;
D O I
10.1007/s12687-016-0272-6
中图分类号
学科分类号
摘要
To investigate if actual knowledge of Down syndrome (DS), influences the decision to accept or decline prenatal diagnosis (PND). Secondary aims were to elucidate reasons for accepting or declining PND and investigate differences between the accepting and declining group in perceived information, knowing someone with DS and thoughts about decision-making. A questionnaire was completed by 76 pregnant women who underwent invasive testing and 65 women who declined tests for chromosomal aberrations in Uppsala, Sweden. Apart from one question no significant differences were found in knowledge of DS between women declining or accepting PND for DS. Both groups had varying and in several respects low levels of knowledge about DS and its consequences. Most common reasons to accept PND were ‘to ease my worries’ and ‘to do all possible tests to make sure the baby is healthy’. Corresponding statements declining PND were ‘termination of pregnancy is not an option’ and ‘because invasive tests increase the risk of miscarriage’. More women declining PND knew someone with DS. Knowledge of DS at these levels is not a major factor when women decide to accept or decline PND for DS. Their choice is mostly based on opinions and moral values. © 2016, Springer-Verlag Berlin Heidelberg.
引用
收藏
页码:237 / 242
页数:5
相关论文
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  • [1] Bryant L., Hewison J.D., Green J., Attitudes towards prenatal diagnosis and termination in women who have a sibling with Down’s syndrome, J Reprod Infant Psychol, 23, pp. 181-198, (2005)
  • [2] Dahl K., Kesmodel U., Hvidman L., Olesen F., Informed consent: providing information about prenatal examinations, Acta Obstet Gynecol, 85, pp. 1420-1425, (2006)
  • [3] Garcia E., Timmermans D.R., van Leuwen E., The impact of ethical beliefs on decisions about prenatal screening tests: searching for justification, Soc Sci Med, 66, 3, pp. 753-764, (2008)
  • [4] Gekas J., Gondry J., Mazur S., Cesbron P., Thepot F., Informed consent to serum screening for Down syndrome: are women given adequate information?, Prenat Diagn, 19, pp. 1-7, (1999)
  • [5] Gottfredsdottir H., Sandall J., Bjornsdottir K., This is just what you do when you are pregnant:” a qualitative study of prospective parents in Iceland who accept nuchal translucency screening, Midwifery, 25, pp. 711-720, (2009)
  • [6] Gottfredsdottir H., Bjornsdottir K., Sandall J., How do prospective parents who decline prenatal screening account for their decision?, Soc Sci Med, 69, pp. 274-277, (2009)
  • [7] Michie S., Dormandy E., Marteau T.M., Informed choice: understanding knowledge in the context of screening uptake, Patient Educ Couns, 50, pp. 247-253, (2003)
  • [8] SOSFS 2012:20 Socialstyrelsens föreskrifter och allmänna råd om fosterdiagnostik och preimplantatorisk genetisk diagnostik. Swedish, URL, (2013)
  • [9] Press N., Browner C.H., Why women say yes to prenatal diagnosis, Soc Sci Med, 45, 7, pp. 979-989, (1997)
  • [10] Santalahti P., Aro A.R., Hemminki E., Helenius H., Ryynanen M., On what grounds do women participate in prenatal screening?, Prenat Diagn, 18, pp. 153-165, (1998)