Congenital anomalies: parents’ anxiety and women's concerns before prenatal testing and women's opinions towards the risk factors

Şahin, Nevin Hotun; Güngör, İlkay

doi:10.1111/j.1365-2702.2007.02023.x

Cited by 28 publications

(30 citation statements)

References 23 publications

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“…Several studies proved that a higher level of knowledge was associated with a lower level of emotional distress and anxiety. (5) On the contrary, our study revealed that the association between women's Table 1. Distribution of sociodemographic and obstetric characteristics by invasive prenatal diagnosis of Down syndrome Table 2.Distribution of knowledge, perceived risk for invasive procedure of Down syndrome in pregnant women Table 3.…”

Section: Discussioncontrasting

confidence: 50%

“…Several studies claim that pregnant women with inadequate information and less knowledge about prenatal testing had higher anxiety scores than women with more knowledge of prenatal diagnosis. (5) On the contrary, a study by Rowe et al (6) claims that anxiety levels of pregnant women who were well informed were not significantly different from those who were poorly informed. (6) In addition, psychological responses are also influenced by women's perceived risk of having an abnormal baby.…”

Section: Introductionmentioning

confidence: 81%

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Amniocentesis increases level of anxiety in women with invasive prenatal diagnosis of Down syndrome

Tursinawati

Thain

Choi

et al. 2015

UnivMed

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BACKGOUNDInvasive prenatal diagnosis (PND) through amniocentesis and chorionic villus sampling (CVS) can detect Down syndrome. Pregnant women usually experience a variety of psychological responses associated with invasive PND. This study is intended to assess depression, anxiety and stress levels and the factors related to their psychological responses in pregnant women with invasive prenatal diagnosis of Down syndrome. METHODSA cross sectional study was conducted at Kandang Kerbau Women's and Children's Hospital, Singapore. The psychological responses of 70 women undergoing PND were assessed by Depression Anxiety Stress Scale 21 (DASS 21) questionnaire. A multiple linear regression analysis was used to analyze association between knowledge and perceived risk with psychological responses (CI 95% and significance value p<0.05). RESULTSMore than half of the participants had normal anxiety (55.7%), stress (72.8%), depression levels (65.8%). The results revealed significantly higher level of anxiety in women with gestational age >13 weeks who had pursued amniocentesis. Women with no previous children had higher levels of depression and stress. Women who pursued amniocentesis had significantly higher anxiety scores compared to women undergoing CVS (p=0.015). CONCLUSIONS

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Section: Discussioncontrasting

confidence: 50%

Section: Introductionmentioning

confidence: 81%

Amniocentesis increases level of anxiety in women with invasive prenatal diagnosis of Down syndrome

Tursinawati

Thain

Choi

et al. 2015

UnivMed

View full text Add to dashboard Cite

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“…The absence of distress was also found which is a psychological benefit that sharply contrasts with women's experiences of invasive testing, which carries a risk of miscarriage. 21 Regarding the disadvantages of NIPD, very few issues were raised by participants and concerns such as the burden of 'unnecessary' decision-making for pregnancies that may spontaneously abort 22 were outweighed by the potential benefits of NIPD. One concern raised by a number of participants was around social sexing.…”

Section: Discussionmentioning

confidence: 99%

Non-invasive prenatal diagnosis for fetal sex determination: benefits and disadvantages from the service users’ perspective

et al. 2012

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Prenatal fetal sex determination is clinically indicated for women who are at risk of having a child with a serious genetic disorder affecting a particular sex. Ultrasound has been the traditional method used, but early fetal sex determination using non-invasive prenatal diagnosis (NIPD) can now be performed using cell-free fetal DNA in maternal plasma. The study aim was to assess the views and experiences of service users who had used NIPD for fetal sex determination. In this paper, we report on the perceived benefits and disadvantages. A qualitative approach using semi-structured interviews was used. A total of 44 participants (38 women and 6 partners of participating women) were recruited. Participants' views and experiences of NIPD were overwhelmingly positive. Concerning benefits over traditional methods, three themes emerged: (1) technical aspects of technology; (2) timing; and (3) enhanced decision-making. Practical advantages of NIPD included avoiding miscarriage, and there were a number of psychological advantages associated with timing such as perceived control, early re-engagement, normalization of pregnancy and peace of mind. Participants also valued NIPD as it enabled a stepwise approach to decisionmaking. A number of disadvantages were discussed including concerns about social sexing and increased bonding at a time in pregnancy when miscarriage risk is high. However, participants felt these were fairly minor in comparison with the advantages of NIPD. Until definitive genetic diagnosis using NIPD is available, NIPD for fetal sex determination is perceived as a good interim measure with a number of notable advantages over traditional methods.

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“…Consistent with our hypothesis, men reported to a higher degree than women that their partners had a much higher influence on their decision. This may reflect the power that is attributed to women in pregnancyrelated decisions, as it is often believed they should have the final word in whatever choice concerns their body (Browner & Preloran, 1999), especially considering the risk of miscarriage associated with the procedure, along with the female's physical discomfort that is often mentioned by couples as an amniocentesis-related concern (Cederholm et al, 1999;Sahin & Gungor, 2008). However, it remains to be known whether men and women perceive this apparent unbalance.…”

Section: Decision-making Process Regarding Amniocentesismentioning

confidence: 99%

“…On the other hand, men's presence is also associated with higher levels of decisional conflict (regarding IDTs) and anxiety in women, prior to the first appointment. As a coping strategy, some women may ask for partner's support, while those who have more confidence in their decision might not need their partners to be present (Humphreys et al, 2003;Sahin & Gungor, 2008).…”

Section: Men's Attendance Of Genetic Counseling and The Decision-makimentioning

confidence: 99%

Amniocentesis Due to Advanced Maternal Age: The Role of Marital Intimacy in Couples’ Decision-Making Process

et al. 2011

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Due to the risk of fetal anomaly, pregnant women of advanced maternal age are given the option to undergo amniocentesis. This study aimed to describe couples' decision-making process regarding amniocentesis, and assess whether it is influenced by marital intimacy and men's attendance of genetic counseling. During pregnancy, 112 couples answered the Personal Assessment of Intimacy in Relationships questionnaire and scales regarding the decision to undergo amniocentesis. Most couples shared and reached an agreement regarding this decision. Higher levels of marital engagement and communication, but not men's attendance, were associated with higher agreement, influence, and decision sharing. Clinical implications are discussed.

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Congenital anomalies: parents’ anxiety and women's concerns before prenatal testing and women's opinions towards the risk factors

Cited by 28 publications

References 23 publications

Amniocentesis increases level of anxiety in women with invasive prenatal diagnosis of Down syndrome

Amniocentesis increases level of anxiety in women with invasive prenatal diagnosis of Down syndrome

Non-invasive prenatal diagnosis for fetal sex determination: benefits and disadvantages from the service users’ perspective

Amniocentesis Due to Advanced Maternal Age: The Role of Marital Intimacy in Couples’ Decision-Making Process

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