Document Detail

Prenatal screening for chromosome abnormalities in a region with no access to termination of pregnancy.
MedLine Citation:
PMID:  19360812     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To analyze the different variables that affect couples' decision-making about prenatal screening of chromosome abnormalities in a population with limited access to prenatal diagnosis and no legal termination of pregnancy (TOP). METHODS: From February through August 2004, 79 couples who requested for prenatal screening at centers from Argentina and Uruguay participated in a study. A cross-sectional survey was administered to assess attitudes toward prenatal screening, the decision-making process, and knowledge and attitudes toward TOP. RESULTS: Mean maternal age was 32.8 +/- 0.4 years. Among the couples, 88.61% knew that TOP due to fetal anomalies is not legal in their countries. When asked about the possibility of TOP in case of a serious fetal anomaly, 53% would contemplate this option. CONCLUSION: Prenatal screening is a common practice worldwide. However, unlike most developed countries, our region has a limited access to prenatal diagnosis and no legal TOP. Those couples who stated that 'reassurance about fetal well-being' was the most important reason to perform prenatal screening had more positive attitudes toward TOP than those who considered this screening important 'to be better prepared to receive the baby'. Our findings can be used to inform and revise current health-care policies.
Cynthia I Paolini; Andrea Gadow; Florencia Petracchi; Laura Igarzabal; Roberto Quadrelli; Enrique C Gadow
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Prenatal diagnosis     Volume:  29     ISSN:  1097-0223     ISO Abbreviation:  Prenat. Diagn.     Publication Date:  2009 Jul 
Date Detail:
Created Date:  2009-07-06     Completed Date:  2009-10-02     Revised Date:  2009-11-19    
Medline Journal Info:
Nlm Unique ID:  8106540     Medline TA:  Prenat Diagn     Country:  England    
Other Details:
Languages:  eng     Pagination:  659-63     Citation Subset:  IM    
Department of Psychiatry, Center for Medical Education and Clinical Research CEMIC. University Hospital, Buenos Aires, Argentina.
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MeSH Terms
Abortion, Eugenic / legislation & jurisprudence*,  psychology
Attitude to Health
Chromosome Disorders / diagnosis*,  therapy
Cross-Sectional Studies
Decision Making
Genetic Counseling / psychology,  utilization
Genetic Testing / utilization*
Health Services Accessibility* / legislation & jurisprudence
Maternal Age
Prenatal Diagnosis / utilization*
Referral and Consultation
Social Class

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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