Women's knowledge and use of prenatal screening tests

Seven, Memnun; Akyüz, Aygül; Eroglu, RN Kafiye; Daack-Hirsch, Sandra; Skirton, Heather

doi:10.1111/jocn.13494

Cited by 25 publications

(24 citation statements)

References 22 publications

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“…In the current study, 84.1% of the women had received prenatal screening tests. In other studies conducted in Turkey, Seven, Akyuz, Eroglu, Daack‐Hirsch, and Skirton () found that 36.1% of pregnant women had undergone prenatal screening by either the triple or double test, while Öcal et al () observed that 58.1% of pregnant women had undergone one or both tests (Öcal et al, ; Seven et al, ). In Turkey, according to the Ministry of Health Prenatal Care and Management Guideline, all pregnant women should be routinely offered prenatal screening as a part of their prenatal care (Prenatal Care and Management Guideline, ), and indeed, the rate of women who had received prenatal screening tests in our study was high.…”

Section: Discussionmentioning

confidence: 98%

Genetic Literacy of pregnant women and their use of prenatal screening and diagnostic tests in Turkey

Seven

Paşalak

Şahin

et al. 2019

Journal of Genetic Counseling

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This study evaluated how genetic literacy of pregnant women in Turkey affects their use of prenatal screening and diagnostic tests. As a descriptive cross‐sectional study, a Participant Identification Form and the Genetic literacy and Comprehension Measure (GLAC) were used to collect data. The sample of study consisted of 189 pregnant women who made regular antenatal care visits in Giresun, Turkey. The mean age was 29.5 ± 5.9 years and mean gestational week was 34.9 ± 5.09. Of the women, 76.7% had undergone prenatal screening tests, and 85.5% of them had learned about the tests from their doctors. The mean GLAC score of familiarity was 3.67 ± 1.78 (out of seven), and the genetic concepts answered correctly were 5.30 ± 1.79 (out of eight). No statistically significant relationship emerged between the women's genetic literacy and their use of prenatal screening or diagnostic tests. However, relationships were statistically significant between the genetic literacy of the women and the educational levels of the women themselves or their spouses, consanguineous marital status, parity, and use of folic acid supplements. Primiparous women who were highly educated, had a highly educated spouse, were not in consanguineous marriages, and had taken folic acid supplements during pregnancy were more literate in genetics. There is a need for more educational opportunities in order for women to increase their familiarity with genetic terms. Educating women will improve their understanding of genetics‐related health services and increase their awareness of genetic diseases, which will allow them to take the appropriate actions for primary prevention.

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Section: Discussionmentioning

confidence: 98%

Genetic Literacy of pregnant women and their use of prenatal screening and diagnostic tests in Turkey

Seven

Paşalak

Şahin

et al. 2019

Journal of Genetic Counseling

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“…In general, this referral is made for prenatal diagnostic testing and counseling, but not for prenatal genetic screening. In Turkey, the uptake rate of prenatal screening is around 36% (Seven, Akyuz, Eroglu, Daack‐Hirsch, & Skirton, ). The rates of prenatal screening and diagnostic tests in European countries such as the Netherlands, the United Kingdom, and Denmark are 27%, 61%, and 90%, respectively (Crombag, Bensing, Iedema‐Kuiper, Schielen, & Visser, ).…”

Section: Discussionmentioning

confidence: 99%

Consanguineous marriage and its effect on reproductive behavior and uptake of prenatal screening

Şahin

Paşalak

Seven

2020

Journal of Genetic Counseling

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Consanguineous marriage is described as the union between a man and woman who share at least one common ancestor (Bittles & Black, 2010b). Consanguineous unions are common in many parts of the world. While it has declined in Western societies, consanguineous marriage is still common in North Africa, Middle East, and western Asia. Of all marriages in Turkey, 23% of them are consanguineous while rates around the

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“…This is due to the varying health literacy levels and numeracy skills that patients bring to the visit, as well as the personal and value-laden nature of prenatal genetic-testing decisions. [3][4][5][6]7 Other information necessary to convey at this first prenatal visit may include management of preexisting medical conditions, medication use, vaccination, and other emerging concerns for the pregnancy (eg, Zika virus, COVID-19). 8 As a result, the first prenatal visit is unique in that a large volume of information must be effectively conveyed and discussed between the patient and her provider.…”

Section: Introductionmentioning

confidence: 99%

Making the most of the first prenatal visit: The challenge of expanding prenatal genetic testing options and limited clinical encounter time

et al. 2020

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Objective Advances in prenatal genetics place additional challenges as patients must receive information about a growing array of screening and testing options. This raises concerns about how to achieve a shared decision‐making process that prepares patients to make an informed decision about their choices about prenatal genetic screening and testing options, calling for a reconsideration of how healthcare providers approach the first prenatal visit. Methods We conducted interviews with 40 pregnant women to identify components of decision‐making regarding prenatal genetic screens and tests at this visit. Analysis was approached using grounded theory. Results Participants brought distinct notions of risk to the visit, including skewed perceptions of baseline risk for a fetal genetic condition and the implications of screening and testing. Participants were very concerned about financial considerations associated with these options, ranking out‐of‐pocket costs on par with medical considerations. Participants noted diverging priorities at the first visit from those of their healthcare provider, leading to barriers to shared decision‐making regarding screening and testing during this visit. Conclusion Research is needed to determine how to restructure the initiation of prenatal care in a way that best positions patients to make informed decisions about prenatal genetic screens and tests.

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Women's knowledge and use of prenatal screening tests

Abstract: Perinatal nurses are ideally situated to inform pregnant women about prenatal screening tests to improve access to healthcare services and to ensure informed decisions are made by pregnant women and their partners.

Cited by 25 publications

References 22 publications

Genetic Literacy of pregnant women and their use of prenatal screening and diagnostic tests in Turkey

Genetic Literacy of pregnant women and their use of prenatal screening and diagnostic tests in Turkey

Consanguineous marriage and its effect on reproductive behavior and uptake of prenatal screening

Making the most of the first prenatal visit: The challenge of expanding prenatal genetic testing options and limited clinical encounter time

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