open access

Vol 90, No 9 (2019)
Research paper
Published online: 2019-09-30
Get Citation

Preferences and expectations among Polish women regarding prenatal screening

Przemyslaw Kosinski1, Jose Carlos PB Ferreira12, Michal Lipa1, Martyna Kajurek3, Karolina Kurlenko3, Paulina Michalska3, Miroslaw Wielgos1
·
Pubmed: 31588553
·
Ginekol Pol 2019;90(9):544-548.
Affiliations
  1. 1st Department of Obstetrics and Gynecology, Medical University of Warsaw, Poland
  2. Faculdade de Medicina, Universidade Eduardo Mondlane, Maputo, Mozambique
  3. Students’ Research Group, 1st Department of Obstetrics and Gynecology, Medical University of Warsaw, Poland

open access

Vol 90, No 9 (2019)
ORIGINAL PAPERS Obstetrics
Published online: 2019-09-30

Abstract

Objectives: Patients’ attitudes and expectations of prenatal screening for genetic abnormalities throughout pregnancy are rarely analyzed by researchers as emotions and fears are both important and challenging factors. Prenatal counselling has never been so difficult as we live in the era of detailed ultrasound scans, cell-free fetal DNA and detailed microarray testing. The aim of this study was to investigate Polish women’s attitudes towards screening for chromosomal abnormalities and fetal defects. 

Material and methods: The study was a prospective survey conducted among a population of Polish women. An electronic questionnaire regarding prenatal diagnostics was distributed to a total number of 1072 female volunteers. 

Results: 1044 patients (97.30%) stated that they were motivated to undergo prenatal diagnostics and would want to be informed about fetal abnormalities. Over 90% of the respondents would want to be informed about serious defects with a high mortality rate (including trisomy 13 or 18). More than half the Polish women (54.83%) stated they were willing to consider terminating pregnancy in the case of a severe abnormality. 

Conclusions: Polish women expect prenatal screening. Almost all Polish women would want to be informed about both genetic and anatomical abnormalities and over half of them would consider terminating pregnancy in the case of a severe abnormality. Willingness to learn about a defect increased with average household income, and the statement of a will to terminate pregnancy depended mostly on maternal age and type of fetal abnormality.

Abstract

Objectives: Patients’ attitudes and expectations of prenatal screening for genetic abnormalities throughout pregnancy are rarely analyzed by researchers as emotions and fears are both important and challenging factors. Prenatal counselling has never been so difficult as we live in the era of detailed ultrasound scans, cell-free fetal DNA and detailed microarray testing. The aim of this study was to investigate Polish women’s attitudes towards screening for chromosomal abnormalities and fetal defects. 

Material and methods: The study was a prospective survey conducted among a population of Polish women. An electronic questionnaire regarding prenatal diagnostics was distributed to a total number of 1072 female volunteers. 

Results: 1044 patients (97.30%) stated that they were motivated to undergo prenatal diagnostics and would want to be informed about fetal abnormalities. Over 90% of the respondents would want to be informed about serious defects with a high mortality rate (including trisomy 13 or 18). More than half the Polish women (54.83%) stated they were willing to consider terminating pregnancy in the case of a severe abnormality. 

Conclusions: Polish women expect prenatal screening. Almost all Polish women would want to be informed about both genetic and anatomical abnormalities and over half of them would consider terminating pregnancy in the case of a severe abnormality. Willingness to learn about a defect increased with average household income, and the statement of a will to terminate pregnancy depended mostly on maternal age and type of fetal abnormality.

Get Citation

Keywords

genetics; prenatal counselling; ultrasound

About this article
Title

Preferences and expectations among Polish women regarding prenatal screening

Journal

Ginekologia Polska

Issue

Vol 90, No 9 (2019)

Article type

Research paper

Pages

544-548

Published online

2019-09-30

Page views

1236

Article views/downloads

1016

DOI

10.5603/GP.2019.0094

Pubmed

31588553

Bibliographic record

Ginekol Pol 2019;90(9):544-548.

Keywords

genetics
prenatal counselling
ultrasound

Authors

Przemyslaw Kosinski
Jose Carlos PB Ferreira
Michal Lipa
Martyna Kajurek
Karolina Kurlenko
Paulina Michalska
Miroslaw Wielgos

References (12)
  1. Ngan OM, Yi H, Wong SY, et al. Obstetric professionals' perceptions of non-invasive prenatal testing for Down syndrome: clinical usefulness compared with existing tests and ethical implications. BMC Pregnancy Childbirth. 2017; 17(1): 285.
  2. Chen An, Tenhunen H, Torkki P, et al. Considering medical risk information and communicating values: A mixed-method study of women's choice in prenatal testing. PLoS One. 2017; 12(3): e0173669.
  3. (GUS) CSO. Religion in Poland 2012-2014. Central Statistical Office of Poland (GUS) 2016.
  4. Hui L, Norton M. What is the real "price" of more prenatal screening and fewer diagnostic procedures? Costs and trade-offs in the genomic era. Prenat Diagn. 2018; 38(4): 246–249.
  5. Canick J. Safety first: choices in antenatal screening for Down's syndrome. J Med Screen. 2003; 10(2): 55.
  6. Filly RA. Obstetrical sonography: the best way to terrify a pregnant woman. J Ultrasound Med. 2000; 19(1): 1–5.
  7. Lichtenbelt KD, Schuring-Blom GH, van der Burg N, et al. Factors determining uptake of invasive testing following first-trimester combined testing. Prenat Diagn. 2013; 33(4): 328–333.
  8. Godino L, Turchetti D, Skirton H. A systematic review of factors influencing uptake of invasive fetal genetic testing by pregnant women of advanced maternal age. Midwifery. 2013; 29(11): 1235–1243.
  9. Green JM, Hewison J, Bekker HL, et al. Psychosocial aspects of genetic screening of pregnant women and newborns: a systematic review. Health Technol Assess. 2004; 8(33): iii, ix–x, 1.
  10. Bishop AJ, Marteau TM, Armstrong D, et al. Women and health care professionals' preferences for Down's Syndrome screening tests: a conjoint analysis study. BJOG. 2004; 111(8): 775–779.
  11. Hill M, Johnson JA, Langlois S, et al. Preferences for prenatal tests for Down syndrome: an international comparison of the views of pregnant women and health professionals. Eur J Hum Genet. 2016; 24(7): 968–975.
  12. Allison SJ, Stafford J, Anumba DOC. The effect of stress and anxiety associated with maternal prenatal diagnosis on feto-maternal attachment. BMC Womens Health. 2011; 11: 33.

Regulations

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

By VM Media Group sp. z o.o., ul. Świętokrzyska 73, 80–180 Gdańsk
tel.:+48 58 320 94 94, faks:+48 58 320 94 60, e-mail:  viamedica@viamedica.pl