Pregnant women's attitudes toward amniocentesis before receiving Down syndrome screening results.

Full Abstract

OBJECTIVES: We sought to evaluate pregnant women's knowledge about features of second-trimester screening for Down syndrome and to assess whether knowledge and educational level influence their attitude toward amniocentesis before receiving test results. METHODS: Pregnant Caucasian women (n = 300) <35 years old with no personal or family history of Down syndrome were surveyed. Women were randomized to 2 groups. One group of women (n = 150) were surveyed by questionnaire before consultation with specially trained midwives; the other group of women (n = 150) were surveyed after consultation. The questionnaire consisted of 3 sections: 1) participants' demographic data, 2) knowledge about prenatal screening for Down syndrome, and 3) readiness to undergo amniocentesis if there was an increased risk of Down syndrome. RESULTS: Women surveyed after consultation had greater total knowledge scores than those surveyed before consultation (p < .001). A statistically significant difference in knowledge scores in relation to educational levels was observed only in women who were surveyed before consultation (p = .007). Significantly more women were prepared to accept amniocentesis in the group surveyed after consultation (74%) than before consultation (53%; p < .001). CONCLUSION: Knowledge gained during a prescreening consultation influenced pregnant women's attitudes toward further diagnostic investigation. A smaller proportion of women who were indecisive was observed in the group surveyed after prescreening consultation. Indecisiveness was not affected by poor knowledge about screening, but rather by difficulty in knowing how they will feel and what they will do if their screening result is positive.

Author information

Author/s: Brajenovic-Milic, Bojana (B); Babic, Ivana (I); Ristic, Smiljana (S); Vranekovic, Jadranka (J); Brumini, Gordana (G); Kapovic, Miljenko (M);

Affiliation: Department of Biology and Medical Genetics, School of Medicine, University of Rijeka, Rijeka, Croatia. bojana(-atsign-)medri.hr

Journal and publication information

Publication Type: Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't

Journal: Women's health issues : official publication of the Jacobs Institute of Women's Health (Womens Health Issues), published in United States. (Language: eng)

Reference: -2008 Mar-Apr; vol 18 (issue 2) : pp 79-84

Dates: Created 2008/03/05; Completed 2008/06/19;

PMID: 18180167, status: MEDLINE (last retrieval date: 2/18/2009, IMS Date: )

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