PMID: 7580707Oct 28, 1995Paper

A randomised trial of three methods of giving information about prenatal testing

BMJ : British Medical Journal
J G ThorntonA Vail

Abstract

To test the effect of extra non-directive information about prenatal testing, given individually or in a class. Antenatal clinics in a district general hospital and a university hospital. Randomised controlled trial; participants allocated to control group or offer of extra information individually or in class. 1691 women booking antenatal care before 15 weeks' gestation. All participants received the usual information about prenatal tests from hospital staff. Individual participants were offered a separate session with a research midwife in which prenatal screening was described in detail. Class participants were offered the same extra information in an early prenatal class. Attendance at extra information sessions; uptake rates of prenatal tests; levels of anxiety, understanding, and satisfaction with decisions. Attendance at classes was lower than at individual sessions (adjusted odds ratio 0.45; 95% confidence interval 0.35 to 0.58). Ultrasonography was almost universally accepted (99%) and was not affected by either intervention. Uptake of cystic fibrosis testing, high in controls (79%), was lowered in the individual group (0.44; 0.20 to 0.97) and classes (0.39; 0.18 to 0.86). Uptake of screening for Down's syndrome, alrea...Continue Reading

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