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Prenatal Diagnosis in Low Resource Setting: Is It Acceptable?

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Abstract

Aim

This study aimed to explore knowledge and acceptability of prenatal procedures both non-invasive prenatal screening tests and invasive procedures among Egyptian women in childbearing age and to assess their attitude toward such procedures. Also to examine confounding factors affecting women’s attitude toward prenatal procedures.

Study Design

A cross-sectional study on a representative sample of women in childbearing age attending Obstetrics & Gynecology outpatient clinic at Mansoura University Hospital, Egypt. An anonymous questionnaire was supplemented by voluntary interviewers for women in childbearing age.

Results

465 women were included in the study. The mean age ± SD was 27 ± 6 years. About 44 % of women were knowledgeable about non-invasive prenatal screening procedure, and only 25.5 % had heard about invasive prenatal procedures. 88.8 % express positive attitude regarding performance of the screening tests. Forty-one percent of the group agreed to perform invasive prenatal procedures during their pregnancy. Educational level and family history of congenital anomalies significantly affected attitudes toward testing during future pregnancy. The cost of procedure affected the decision to perform in 56.7 % of women.

Conclusion

Egyptian women express positive attitude toward non-invasive prenatal screening but showed poor knowledge. Their attitude toward invasive procedure is guarded by the risk of abortion. Education and family history of fetal anomalies are the factors that affect attitudes. The cost of the prenatal test affects the decision made by the women to participate in testing.

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References

  1. Rostant K, Steed L, O’Leary P. Survey of the knowledge, attitudes and experiences of Western Australian women in relation to prenatal screening and diagnostic procedures. Aust N Z J Obstet Gynaecol. 2003;43(2):134–8.

    Article  PubMed  Google Scholar 

  2. Al-Jader LN, Parry-Langdon N, William Smith RJ. Survey of attitudes of pregnant women towards Down syndrome screening. Prenat Diagn. 2000;20:23–9.

    Article  PubMed  CAS  Google Scholar 

  3. ACOG Committee on Practice Bulletins. Screening for fetal chromosomal abnormalities, ACOG Practice Bulletin No. 77. Obstet Gynecol. 2007;217:109–202.

    Google Scholar 

  4. Kitsiou-Tzeli S, Petridou ET, Karagkiouzis T, et al. Knowledge and attitudes towards prenatal diagnostic procedures among pregnant women in Greece. Fetal Diagn Ther. 2010;27(3):149–55.

    Article  PubMed  Google Scholar 

  5. Dahl K, Kesmodel U, Hvidman L, et al. Informed consent: providing information about prenatal examinations. Acta Obstet Gynecol Scand. 2006;85(12):1420–5.

    Article  PubMed  Google Scholar 

  6. Stefansdottir V, Skirton H, Jonasson K, et al. Effects of knowledge, education, and experience on acceptance of first trimester screening for chromosomal anomalies. Acta Obstet Gynecol Scand. 2010;89(7):931–8.

    Article  PubMed  Google Scholar 

  7. Hedayat KM, Shooshtarizadeh P, Raza M. Therapeutic abortion in Islam: contemporary views of Muslim Shiite scholars and effect of recent Iranian legislation. J Med Ethics. 2006;32(11):652–7.

    Article  PubMed  CAS  Google Scholar 

  8. Babay ZA. Attitudes of a high-risk group of pregnant Saudi Arabian women to prenatal screening for chromosomal anomalies. East Mediterr Heal J. 2004;10:4–5.

    Google Scholar 

  9. Dahl K, Kesmodel U, Hvidman L. Informed consent: attitudes, knowledge and information concerning prenatal examinations. Acta Obstet Gynecol Scand. 2006;85(12):1414–9.

    Article  PubMed  Google Scholar 

  10. Willruth A, Vieten J, Berg C, et al. Decision making and attitudes towards invasive prenatal diagnosis in the early second trimester. Ultraschall Med. 2010;31(5):515–9.

    Article  PubMed  CAS  Google Scholar 

  11. Muhsen K, Na’amnah W, Lesser Y, et al. Determinates of underutilization of amniocentesis among Israeli Arab women. Prenat Diagn. 2010;30(2):138–43.

    Article  PubMed  Google Scholar 

  12. Brajenovic B, Babic I, Ristic S, et al. Pregnant women’s attitudes toward amniocentesis before receiving Down syndrome screening results. Women’s Health Issues. 2008;18(2):79–84.

    Article  Google Scholar 

  13. Julian-Reynier C, Macquart-Moulin G, Moatti JP, et al. Attitudes of women of childbearing age towards prenatal diagnosis in south eastern France. Prenat Diagn. 1993;13(7):613–27.

    Article  PubMed  CAS  Google Scholar 

  14. Kishk NA. Knowledge, attitudes and practices of women towards antenatal care: rural-urban comparison. J Egypt Public Health Assoc. 2002;77(5–6):479–98.

    PubMed  Google Scholar 

  15. Benn PA, Kaminsky LM, Ying J, et al. Combined second trimester biochemical and ultrasound screening for Down syndrome. Obstet Gynecol. 2002;100(6):1168–76.

    Article  PubMed  Google Scholar 

  16. Souka AP, Michalitsi VD, Skentou H, et al. Attitudes of pregnant women regarding termination of pregnancy for fetal abnormality. Prenat Diag. 2010;30(10):977–80.

    Article  CAS  Google Scholar 

  17. Jaber L, Dolfin T, Shohat T, et al. Prenatal diagnosis for detecting congenital malformations: acceptance among Israeli Arab Women. IMAJ. 2000;2:346–50.

    PubMed  CAS  Google Scholar 

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Correspondence to Hend Abdel Rahaman Shalaby.

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Shalaby, H.A.R., Elhady, R.A., Gamal, A.M. et al. Prenatal Diagnosis in Low Resource Setting: Is It Acceptable?. J Obstet Gynecol India 62, 515–519 (2012). https://doi.org/10.1007/s13224-012-0185-1

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  • DOI: https://doi.org/10.1007/s13224-012-0185-1

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