Informed choice of pregnant women in prenatal screening tests for Down's syndrome.

Journal of Medical Ethics
H-H ChiangY-S Yuh

Abstract

Although maternal serum screening (MSS) for Down's syndrome has become routinely available in most obstetric clinics in many countries, few studies have addressed the reasons why women agree to undergo the MSS test. The aims of this study were to describe the circumstances in which MSS was offered to pregnant women and their reasons for undertaking it. Participant observation and in depth interviews were used in this study; specifically, the experiences of women who had a positive result for MSS and who then followed this up with amniocentesis were examined. The interviewees were twenty six mothers aged between 22 and 35 years. The interviews were audio taped and transcribed for analysis. The results were analysed by the constant comparative method. This study identified the reasons on which pregnant women appeared to base their decisions when undergoing MSS. The reasons were first, the recognition that the procedure was a prenatal routine procedure; second, the need to avoid the risk of giving birth to a baby with Down's syndrome, and third, a trust in modern technology and in the professional authorities. This study offers insights into the informed choice made by women with a positive MSS result. The reasons for undergoing M...Continue Reading

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Citations

Jan 1, 2014·Journal of Clinical Medicine·Amy MetcalfeJo-Ann Johnson
May 15, 2013·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Dana M KnutzenLisa M Foglia
Mar 7, 2009·Women and Birth : Journal of the Australian College of Midwives·Amanda Park, Maria Mathews
May 24, 2007·Journal of Clinical Nursing·Hsien-Hsien ChiangYeong-Seng Yuh
Nov 30, 2007·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·V Seror
Jan 11, 2008·Prenatal Diagnosis·Elisa GarcíaEvert van Leeuwen
Jun 14, 2015·Archives of Disease in Childhood. Fetal and Neonatal Edition·Judith L S BuddLucy K Smith
Nov 4, 2016·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Hua-Pin ChangPen-Hua Su
Apr 27, 2018·Journal of Medical Internet Research·Samira Abbasgholizadeh RahimiFrance Légaré
Jan 17, 2020·International Journal of Environmental Research and Public Health·Wei-Ju ChenLei-Shih Chen
Nov 10, 2021·American Journal of Perinatology·Tamandra MorganChristopher A Enakpene

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