Women's attitudes to the successive decisions possibly involved in prenatal screening for Down syndrome: how consistent with their actual decisions?

Authors

  • Valerie Seror,

    Corresponding author
    1. INSERM, UMR912 “Economic & Social Sciences, Health Systems & Societies” (SE4S), F-13000 Marseilles, France
    2. University Aix Marseille, UMR912, F-13000 Marseilles, France
    • INSERM UMR912, BP156, 232 bld Sainte Marguerite, 13273 Marseille Cedex 9, France.
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  • Yves Ville

    1. Department of Obstetrics and Gynecology, Necker-Enfants malades Hospital, University Paris Descartes, F-75000 Paris, France
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Abstract

Objectives

To investigate women's attitudes to successive decisions possibly involved in Down syndrome screening (i.e. about ultrasound and biochemical screening, invasive testing, and termination of pregnancy) and to compare attitudes and actual decisions.

Methods

Four hundred women were invited to complete a self-administered questionnaire within 3 days postpartum. A hierarchical cluster analysis identified respondents with similar attitudes, and logistic regressions assessed the effects of factors relating to decision-making on attitudes.

Results

Three hundred and ninety-one women returned the questionnaire. Three clusters of women were identified. Two clusters comprised respondents stating that decision-making should be based on attitudes to either termination of pregnancy (32.8%) or invasive testing-related miscarriage (30.2%). The third cluster (37.0%) considered that obtaining information about pregnancy should be the main objective when deciding about biochemical screening or invasive testing. Multivariate logistic regressions showed some consistency between attitudes and previous decisions.

Practice implications

Providing information and eliciting women's attitudes towards the sequence of decisions possibly involved in Down syndrome screening could help them make their decisions about screening and/or invasive testing in line with their attitudes. Copyright © 2010 John Wiley & Sons, Ltd.

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