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Journal of Genetic Counseling

, Volume 11, Issue 4, pp 265–276 | Cite as

Women's Knowledge of Prenatal Ultrasound and Informed Choice

Article

Abstract

This study evaluated women's understanding of prenatal ultrasound in terms of meeting the requirements for informed choice. A cross-sectional survey was conducted to evaluate (1) how information is provided, (2) women's perceived value of the information received and, (3) their understanding of ultrasound in relation to the principles of informed choice. Women (n = 113) completed a questionnaire prior to their 18-week ultrasound. Fifty-five percent stated they received no information from their care provider. Only 31.9% considered health care providers as a “very helpful” source of information. Yet, 69.0% stated their care provider gave them information that facilitated their understanding. Gaps were identified in women's understanding of ultrasound. Specifically, 46.0% did not view ultrasound as a screen for anomalies; some were uncertain about the safety (18.6%), diagnostic capabilities (26.5%), and limitations of testing (37.2%). These results suggest that women's understanding of ultrasound does not meet the requirements of informed choice.

informed choice informed consent prenatal ultrasound women's knowledge 

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REFERENCES

  1. Alberta Clinical Practice Guideline Program (1996) Patient opinion survey. Prenatal ultrasound. Alberta Med Assoc 17:13–14.Google Scholar
  2. Brent RL, Jensh RP, Beckman DA (1991) Medical sonography: Reproductive effects and risks. Teratology 44:123–146.Google Scholar
  3. Carroll JC, Reid AJ, Woodward CA, Permaul-Woods JA, Domb S, Ryan G, Arbitman S, Fallis B, Kilthei J (1997) Ontario maternal serum screening program: Practices, knowledge and opinions of health care providers. Can Med Assoc J 156:775–784.Google Scholar
  4. Chervenak FA, McCullough LB, Chervenak JL (1989) Prenatal informed consent for sonogram: An indication for obstetric ultrasonography. Am J Obstet Gynecol 161:857–860.Google Scholar
  5. Chitty LS, Hunt GH, Moore JL, Michael O(1991) Effectiveness of routine ultrasonography in detecting fetal structural abnormalities in low risk population. Br Med J 303:1165–1169.Google Scholar
  6. Etchells E, Sharpe G, Walsh P, Williams JR, Singer PA (1996) Bioethics for clinicians: I. Consent. Can Med Assoc J 155:177–180.Google Scholar
  7. Goel V, Glazier R, Holzapfel S, Pugh P, Summers A (1996) Evaluation patient's knowledge of maternal serum screening. Prenat Diagn 16:425–430.Google Scholar
  8. Green JM, Richards MPM (1993) Women's knowledge of prenatal screening tests. The relationship with hospital policy and demographic factors. J Reprod Infant Psychol 11:11–20.Google Scholar
  9. Marteau TM, Slack J, Kidd J, Shaw RW (1992) Presenting a routine screening test in antenatal care: Practice observed. Public Health 106:131–141.Google Scholar
  10. Marteau TM (1995) Towards informed decisions about prenatal testing: A review. Prenat Diagn 15:1215–1226.Google Scholar
  11. Newburn M, Gready M (1996) Commentary: Evidence based information for women is important. Br Med J 313:1253–1254.Google Scholar
  12. Society of Obstetricians and Gynecologists of Canada (1999) Clinical practice guidelines for ultrasound as part of routine prenatal care. Available at http//sogc.medical.org/SOGCnet/sogc docs/common/guide/pdfs/ps778.pdf.Google Scholar
  13. Summers AM (1994) Informed choice and prenatal screening. Can Family Physic 40:1688–1691.Google Scholar
  14. Todros T, Capuzzo E, Gaglioti P (2001) Prenatal diagnosis of congenital anomalies. Images Paediatr Cardiol 7:3–18.Google Scholar
  15. Truog RD (1996) Is ‘informed right of refusal’ the same as ‘informed consent’? J Clin Ethics 7:87–89.Google Scholar

Copyright information

© National Society of Genetic Counselors, Inc. 2002

Authors and Affiliations

  1. 1.Department of Community Health SciencesUniversity of CalgaryCalgaryCanada
  2. 2.Department of Pediatrics and PsychologyUniversity of CalgaryCalgaryCanada

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