Amniocentesis test uptake for congenital defects: Decision of pregnant women in Vietnam

Chuong, Nguyen Canh; Đức, Dương Minh; Anh, Nguyen Dong; Vui, Le Thi; Cuong, Le Pham Sy; Duong, Doan Thi Thuy; Ha, Bui Thi Thu

doi:10.1080/07399332.2018.1424168

Cited by 5 publications

(5 citation statements)

References 16 publications

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“…Evidence from our review indicates a dichotomy in which women with advanced educational backgrounds and those with secondary education or less are predisposed to opt for invasive diagnostic procedures. The first category is characterized by a better overall understanding of their available options [14,[16][17][18][19]28,29]. Conversely, the second category may be influenced by partial or misinformed perspectives on the invasive procedure, such as the risk of miscarriage [19,20].…”

Section: Discussionmentioning

confidence: 99%

“…Education levels have been identified as critical variable. An array of studies has indicated a correlation between higher educational attainment and increased utilization of invasive prenatal testing [14,[16][17][18]28,29]. On the other hand, other studies report that invasive testing, as opposed to NIPT, was associated with lower educational background (p=0.023).…”

Section: Sociodemographic Characteristicsmentioning

confidence: 99%

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Factors Influencing the Decision-Making Process for Undergoing Invasive Prenatal Testing

Tzela,

Antsaklis,

Kanellopoulos

et al. 2024

Cureus

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Invasive prenatal testing, amniocentesis, and chorionic villus sampling offer insights into fetal genetic integrity and health, but carry inevitable minor risks of miscarriage and infection, thus complicating the decision-making process for parents. Previous research has revealed several factors that influence the decision to undergo invasive prenatal testing, including demographic, clinical, and psychological aspects, and attitudes towards testing. Informed choice, involving understanding options and aligning them with personal values, is crucial, with healthcare providers playing a key role in offering unbiased information. This systematic review aims to gather and synthesize literature data on the above factors to draw conclusions to aid antenatal care providers in supporting couples to make more informed decisions about their prenatal care. A systematic search was performed in PubMed and PsycInfo databases using the appropriate keywords and an in-depth evaluation of the studies retrieved followed. Finally, 17 articles were eligible for our review investigating the decision-making process of invasive prenatal testing. Factors like maternal age, education, and ethnicity are pivotal during the decision-making process. Clinical characteristics also influence decisions and women with pregnancies categorized as high-risk or those who have undergone fertility treatment display a preference for invasive testing. There seems to be a direct correlation between a woman's willingness to consider pregnancy termination, deeply rooted in psychological and moral stances, and the inclination to undergo invasive testing. In the patient decision-making process, the provision and depth of knowledge are of paramount importance. A comprehensive understanding facilitates more informed decisions. Finally, attitudes towards termination of pregnancy, as another factor influencing the decision-making process, reveal a nuanced landscape where personal beliefs, religious considerations, legal restrictions, and perspectives on disability converge. Within this complex context, religion emerges as an important determinant, shaping individuals' views on the morality of abortion. This review sheds light on the most important factors influencing the couples’ consent for invasive prenatal testing. Healthcare professionals must identify which factors are critical in every specific case among several sociodemographic, clinical, emotional, and religious factors. Thus, they will be able to provide balanced and comprehensive information to help couples under this stressful procedure. We advocate for a patient-centered multidisciplinary approach while navigating couples through the intricate landscape of decision-making concerning invasive prenatal testing.

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Section: Discussionmentioning

confidence: 99%

Section: Sociodemographic Characteristicsmentioning

confidence: 99%

Factors Influencing the Decision-Making Process for Undergoing Invasive Prenatal Testing

Tzela,

Antsaklis,

Kanellopoulos

et al. 2024

Cureus

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“…From a socio-demographic and clinical-obstetric point of view, studies with different quality levels unanimously indicate that advanced maternal age (Beulen et al, 2015;Gil et al, 2015;Grinshpun-Cohen et al, 2015a, 2015bSchoonen et al, 2012;Ternby et al, 2015;Watanabe et al, 2017), having a risk for genetic anomalies and previous abortions induce women to undergo prenatal testing, without distinction between invasive or non-invasive test (Chan et al, 2014;Seven et al, 2017;Skutilova, 2015). Similarly, no differences emerge in the use of both invasive and noninvasive prenatal testing in relation to educational level, in particular a higher educational attainment is associated with a greater use of prenatal test in general (Bangsgaard and Tabor, 2013;Beulen et al, 2015;Canh Chuong et al, 2018;Dicke et al, 2014;Farrell et al, 2014;Gil et al, 2015). Only a study with poor methodological quality (Crombag et al, 2016) reports that women with a high level of education are more likely to decline cFTS.…”

Section: Discussionmentioning

confidence: 99%

“…Higher educational attainment is associated with a greater use of both invasive and non-invasive prenatal testing (Bangsgaard and Tabor, 2013;Beulen et al, 2015;Canh Chuong et al, 2018;Dicke et al, 2014;Farrell et al, 2014;Gil et al, 2015). In addition, the studies by Chan et al (2014) and by Cheng et al (2018) indicate that a low level of education is associated with the choice of invasive prenatal diagnosis rather than NIPT.…”

Section: Sociodemographic and Clinical Characteristicsmentioning

confidence: 99%

Decision-making factors in prenatal testing: A systematic review

Mattei

Ferrari

Perego

et al. 2021

Health Psychology Open

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This review examines the factors that affect the decision-making process of parental couples evaluating prenatal screening and diagnostic tests. A systematic search was performed using PubMed and PsycInfo databases. The 46 included studies had to: investigate the decision-making process about prenatal testing; focus on tests detecting trisomy 21, 18, 13, and abnormalities of sex chromosomes; be published in English peer-reviewed journals. The decision-making process seems composed of different levels: an individual level with demographic, clinical, and psychological aspects; a contextual level related to the technical features of the test and the information received; a relational level involving family and society.

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“…Pregnant women in Singapore are routinely offered to screen for Down Syndrome (DS). 1 The utilization of prenatal testing is associated with many factors including advanced maternal age, [2][3][4] family history of DS, 5 ethnicity, 3,4,6,7 education, 2-4,7-10 income, 10 gestational age, 11 inclination to terminate the pregnancy of an affected fetus, 4,12 religiosity, [13][14][15] conception method, and physician's recommendation. [16][17][18] Traditionally, pregnant women are offered a combined First Trimester Screening (cFTS) which includes ultrasonography and serum screening.…”

Section: Introductionmentioning

confidence: 99%

Preferences for a non‐invasive prenatal test as first‐line screening for Down Syndrome: A discrete choice experiment

et al. 2022

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Objective To investigate preferences of pregnant women for the characteristics of prenatal testing, and to quantify their willingness‐to‐pay (WTP) for non‐invasive prenatal testing (NIPT) as first‐line screening for Down Syndrome. Method A cross‐sectional discrete choice experiment survey including five testing attributes was administered to 192 pregnant women (≤14 weeks' gestation) who were aged ≥21 years in Singapore. We calculated marginal WTP for improvements in testing characteristics and NIPT. Results We identified two groups of women with distinct preferences for prenatal testing. Women aged ≥35 years, with at least a university education, and with intention to terminate pregnancy of an affected fetus were more likely to be in the group with higher WTP for improvements in test characteristics. While participants valued increased detection rate and lower screen positive rate associated with NIPT, they also valued no risk of test failure and ability to test for birth defects using standard testing. The participants, on average, were not willing to pay for NIPT over the standard testing as a first‐line screening test. Conclusions As a first‐line screening, NIPT was not preferred over standard testing. The prenatal consultations should focus on each testing characteristic equally as our findings show diverse preferences for testing characteristics.

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Amniocentesis test uptake for congenital defects: Decision of pregnant women in Vietnam

Cited by 5 publications

References 16 publications

Factors Influencing the Decision-Making Process for Undergoing Invasive Prenatal Testing

Factors Influencing the Decision-Making Process for Undergoing Invasive Prenatal Testing

Decision-making factors in prenatal testing: A systematic review

Preferences for a non‐invasive prenatal test as first‐line screening for Down Syndrome: A discrete choice experiment

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