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Men’s Knowledge About Maternal Serum Screening for Down Syndrome and their Attitude Towards Amniocentesis

Abstract

The present study aimed to assess (i) the impact of screening consultation on male partner’s knowledge about second trimester maternal serum screening for Down syndrome and on their attitudes toward amniocentesis, and (ii) the concomitant effect of men’s involvement in pregnancy on both knowledge and attitudes. The study included 164 men who accompanied their partners to the screening appointment. Knowledge Questionnaire and Partner’s Involvement in Pregnancy Scale with two dimensions, support and distance, were administered. Involvement in pregnancy was determined using two factors; support and distance. Findings revealed a significant post-consultation improvement in men’s knowledge about the test, but less-educated men and those who were more distanced from partner and pregnancy were less knowledgeable even post-consultation. Compared to before the consultation, most men had a positive attitude toward amniocentesis and were willing to suggest it to their partners in case of positive test results (77 % and 42 %, respectively). The remainder would either leave the decision to their partners (20 %) or were undecided (3 %). Higher perception of distance was associated with men’s unwillingness to be involved in amniocentesis decisions, particularly before consultation. However, the consultation had considerable potential to engage men with this attitude in the decision-making process. The study highlights the need to change woman-oriented prenatal screening practices for Down syndrome to involve their male partners in the consultation.

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References

  • Alio, A. P., Lewis, C. A., Scarborough, K., Harris, K., & Fiscella, K. (2013). A community perspective on role of fathers during pregnancy: a qualitative study. BMC Pregnancy and Chilbirth, 13, 60.

    Article  Google Scholar 

  • Brajenović-Milić, B., Tislarić, D., Bačić, J., Paravić, J., Slivar, A. E., Kapović, M., et al. (1998). Screening for Down’s syndrome and neural tube defect in Croatia. A regional prospective study. Fetal Diagnosis and Therapy, 13, 367–371.

    Article  PubMed  Google Scholar 

  • Brajenović-Milić, B., Babić, I., Ristić, S., Vraneković, J., Brumini, G., & Kapović, M. (2008). Pregnant women’s attitudes toward amniocentesis before receiving down syndrome screening results. Women’s Health Issues, 18, 79–84.

    Article  PubMed  Google Scholar 

  • Brajenović-Milić, B., Martinac Dorčić, T., Kuljanić, K., & Petrović, O. (2010). Stress and anxiety in relation to amniocentesis: do women who perceive their partners to be more involved in pregnancy feel less stressed and anxious? Croatian Medical Journal, 51, 137–143.

    Article  PubMed  PubMed Central  Google Scholar 

  • Dheensa, S., Metcalfe, A., & Williams, R. A. (2013). Men’s expirience of antenatal screening: a metasynthesis of the qualitative research. International Journal of Nursing Studies, 50, 121–133.

    Article  PubMed  Google Scholar 

  • Dheensa, S., Metcalfe, A., & Williams, R. A. (2015). What do men want from antenatal screening? Findings from an interview study in England. Midwifery, 31, 208–214.

    Article  PubMed  Google Scholar 

  • Gottfredsdόttir, H., Sandall, J., & Bjӧrnsdόttir, K. (2009). This is just what you do when you are pregnant: a qualitative study of prospective parents in Iceland who accept NT screening. Midwifery, 6, 711–720.

    Article  Google Scholar 

  • Green, J.M., Hewison, J., Bekker, H.L., Bryant, L.D., & Cuckle, H.S. (2004). Psychosocial aspects of genetic screening of pregnant women and newborns: a systematic review. Health Technology Assessment, 8(33), iii, ix–x, 1–109.

  • Croatian Society for Perinatal Medicine (2010). Nacionalna stručna preporuka za prenatalni probir i dijagnostiku kromosomopatija (National expert recommendations for prenatal screening and diagnosis of chromosomal abnormalities). Gynaecologia et Perinatologia, 19, 119–126.

  • Kennan, R., Smith, A. C. M., Watkins, C., & Zuber-Pittore, C. (2000). To use or not to use: male partners’ perspectives on decision making about prenatal diagnosis. Journal of Genetic Counseling, 9, 33–45.

    Article  Google Scholar 

  • Locock, L., & Alexander, J. (2006). “Just a bystander”? Men’s place in the process of fetal screening and diagnosis. Social Science & Medicine, 62, 1349–1359.

    Article  Google Scholar 

  • Lou, S., Mikkelsen, L., Hvidman, L., Petersen, O. B., & Palmhøj Nielsen, C. (2015). Does screening for Down’s syndrome cause anxiety in pregnant women? A systematic review. Acta Obstetricia et Gynecologica Scandinavica, 94, 15–27.

    Article  PubMed  Google Scholar 

  • Martin, L. T., McNamara, M. J., Milot, A. S., Halle, T., & Hair, C. (2007). The effect of father involvement during pregnancy on receipt of prenatal care and maternal smoking. Maternal Child Health Journal, 11, 595–602.

    Article  PubMed  Google Scholar 

  • Paravić, J., Brajenović-Milić, B., Tišlarić, D., Kapović, M., Botica, A., Jurcan, V., et al. (1999). Maternal serum screening for Down syndrome; a survey of pregnant women’s views. Community Genetics, 2, 109–112.

    PubMed  Google Scholar 

  • Rapp, R. (2000). Testing women, testing the fetus. London: Routledge.

    Google Scholar 

  • Reed, K. (2009). It’s them faulty genes again: women, men, and the gendered nature of genetic responsibility in prenatal blood screening. Sociology of Health and Illness, 31, 343–359.

    Article  PubMed  Google Scholar 

  • Reed, K. (2011). Making men matter: exploring gender roles in prenatal blood screening. Journal of Gender Studies, 29, 55–66.

    Article  Google Scholar 

  • Sjögren, B. (1992). The expectant father and prenatal diagnosis. Journal of Psychosomatic Obstetrics and Gynaecology, 13, 197–208.

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

The authors wish to thank Željka Superina, who kindly gave up her time to help with recruitment. The study was supported in part by a grant No. 13.06.1.2.38 from the University of Rijeka, Rijeka, Croatia.

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Correspondence to Bojana Brajenović-Milić.

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Conflict of Interest

Bojana Brajenović-Milić and Tamara Martinac Dorčić declare that they have no conflict of interest.

Human Studies and Informed Consent

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. Informed consent was obtained from all patients before inclusion in the study.

Animal Studies

No animal studies were carried out by the authors for this article.

Appendix

Appendix

The following statements describe some of the possible behaviors and thoughts of future fathers. Please read each statement and assess the extent to which each of the following statements applies to you. There are no right or wrong answers.

The numbers indicate:

1. Strongly disagree.

2. Somewhat disagree.

3. Neither disagree/neither agree.

4. Somewhat agree.

5. Strongly agree.

1. I want to know more about pregnancy and childbirth.* 1 2 3 4 5
2. I have supported my wife/partner from the beginning of the pregnancy.* 1 2 3 4 5
3. I talk to my wife/partner about her feelings about the pregnancy.* 1 2 3 4 5
4. I leave decisions regarding the pregnancy and the child to my wife/partner.** 1 2 3 4 5
5. It seems to me that I can’t express my feelings about the pregnancy.** 1 2 3 4 5
6. I go with my wife/partner to her medical appointments.* 1 2 3 4 5
7. My opinion regarding the pregnancy is not acknowledged.** 1 2 3 4 5
8. I have always wanted to become a parent.* 1 2 3 4 5
9. I seek information about pregnancy in different ways (e.g., via Internet, TV shows, books, magazines).* 1 2 3 4 5
10. I am aware of the possible complications of pregnancy.* 1 2 3 4 5
11. I look forward to becoming a father.* 1 2 3 4 5
12. Since the beginning of the pregnancy of my wife/partner, I have felt like a spectator.** 1 2 3 4 5
13. I try to be as attentive as I can to my wife/partner.* 1 2 3 4 5
14. I am not familiar with the progress of the pregnancy of my wife/partner.** 1 2 3 4 5
15. I talk with my wife/partner about the problems encountered during her pregnancy.* 1 2 3 4 5
16. I try to prepare the household for the arrival of the new member.* 1 2 3 4 5
17. My wife/partner involves me in all decisions about the pregnancy.* 1 2 3 4 5
18. I am interested in and read the literature related to pregnancy.* 1 2 3 4 5
19. I do not want to attend the pregnancy course with my wife/partner.** 1 2 3 4 5
20. I help my wife/partner in everything I can to ease her pregnancy.* 1 2 3 4 5
21. I talk with my wife/partner about pregnancy.* 1 2 3 4 5
  1. *perception of support
  2. **perception of distance

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Brajenović-Milić, B., Dorčić, T.M. Men’s Knowledge About Maternal Serum Screening for Down Syndrome and their Attitude Towards Amniocentesis. J Genet Counsel 26, 141–149 (2017). https://doi.org/10.1007/s10897-016-9989-y

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  • DOI: https://doi.org/10.1007/s10897-016-9989-y

Keywords

  • Maternal serum screening
  • Down syndrome
  • men’s knowledge
  • men’s involvement in pregnancy
  • men’s attitude toward amniocentesis