| Routinisation and constraints on informed choice in a one-stop clinic offering first trimester chromosomal antenatal screening for Down's syndrome. | |
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MedLine Citation:
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PMID: 20947230 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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OBJECTIVE: to explore routinisation and constraints on informed choice in a one-stop clinic offering first trimester antenatal chromosomal screening for Down's syndrome. DESIGN: recordings of booking appointments and pre-screening consultations in both a community and a hospital clinic setting. SETTING: one antenatal clinic site in the UK offering first trimester nuchal translucency screening in combination with maternal serum screening. PARTICIPANTS: 57 taped clinical consultations involving pregnant women and midwives and health-care assistants (HCAs). FINDINGS: midwives and HCAs expected women to make informed decisions about screening for Down's syndrome. However, midwives' attempts to maintain the normality of pregnancy and avoid discussions about potential scenarios, as well as their emphasis on the high accuracy rate of first trimester screening have routinised first trimester antenatal screening for Down's syndrome. Also, a general expectation in the clinic to take up screening and the constrained service context in which midwives and HCAs work had implications for women's informed choices. KEY CONCLUSIONS: directive information combined with lack of purposeful dialogue with pregnant women have constrained the process of information-giving about antenatal screening for Down's syndrome. IMPLICATIONS: the provision of information about antenatal screening for Down's syndrome is a challenging role for midwives. Changes in midwifery practice resulting from continuing education as well as less constraining service contexts could improve the quality of information about antenatal screening for Down's syndrome. |
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Authors:
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Maria Tsouroufli |
Publication Detail:
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Type: Journal Article Date: 2010-10-13 |
Journal Detail:
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Title: Midwifery Volume: 27 ISSN: 1532-3099 ISO Abbreviation: Midwifery Publication Date: 2011 Aug |
Date Detail:
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Created Date: 2011-07-18 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8510930 Medline TA: Midwifery Country: Scotland |
Other Details:
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Languages: eng Pagination: 431-6 Citation Subset: N |
Copyright Information:
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Copyright © 2010 Elsevier Ltd. All rights reserved. |
Affiliation:
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School of Medicine Health Policy and Practice, University of East Anglia, Norwich NR4 7TJ, UK. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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