PMID: 11920897Mar 29, 2002Paper

Dilemmas encountered by health practitioners offering nuchal translucency screening: a qualitative case study

Prenatal Diagnosis
Clare WilliamsBobbie Farsides

Abstract

To explore dilemmas experienced by practitioners involved in routine prenatal nuchal translucency (NT) screening. Qualitative study incorporating multidisciplinary practitioner discussion groups led by a health care ethicist. Inner-city teaching hospital with fetal medicine unit. Thirty-two practitioners whose work relates directly or indirectly to perinatal care. Practitioners identified a number of dilemmas, many of which centred on the tension between pregnancy being seen as a normal or a 'risky' time. Practitioners and women were perceived to have contrasting reasons for screening, with women welcoming the opportunity to 'see' their baby on the ultrasound scan, whilst practitioners were screening for abnormalities. These differing agendas led to various dilemmas particularly in relation to information giving, performing scans incorporating NT screening and promoting individual client choice. Plans to introduce routine NT screening need careful prospective consideration of the potential implications for both providers and users of the service. The discussion groups also identified the need for training in the complex communication skills required and an awareness of the related ethical dilemmas, plus the need for increased t...Continue Reading

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Citations

Jul 13, 2002·Prenatal Diagnosis
May 19, 2005·Social Science & Medicine·Clare WilliamsRachel Grellier
Oct 31, 2009·Applied Nursing Research : ANR·Fiona Hawthorne, Kathy Ahern
Oct 9, 2007·Midwifery·Susanne Georgsson OhmanUlla Waldenström
Sep 10, 2004·Scandinavian Journal of Caring Sciences·Maria Ekelin, Elizabeth Crang-Svalenius
Feb 4, 2012·American Journal of Medical Genetics. Part a·Marleen SchoonenEric Steegers
Mar 4, 2005·Social Science & Medicine·Clare Williams
May 17, 2005·Journal of Midwifery & Women's Health·Stanley S Grant
Dec 21, 2007·Sociology of Health & Illness·Kathryn EhrichRosamund Scott
May 29, 2020·Omega·Valerie FlemingClaudia Meier-Magistretti
Nov 27, 2004·Prenatal Diagnosis·Elizabeth Dormandy, Theresa M Marteau
Nov 21, 2002·Current Opinion in Obstetrics & Gynecology·Rosalinde Snijders, Eric Smith
Feb 5, 2021·European Journal of Midwifery·Charlotte H JansenEva Pajkrt
Apr 27, 2021·Global Bioethics = Problemi Di Bioetica·Cornelius EwuosoKris Dierickx

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