Determinates of underutilization of amniocentesis among Israeli Arab women

Muhsen, Khitam; Na'amnah, Wasef; Lesser, Yael; Volovik, Irina; Cohen, Dani; Shohat, Tamy

doi:10.1002/pd.2428

Cited by 15 publications

(19 citation statements)

References 19 publications

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“…The rate of amniocentesis among the Arab women aged ≥35 years (who are eligible for the test free of charge) was only 28.5% in 2010 and 18.5% in 2001 (p = 0.7). This is higher than what was reported for this group in 2005-2007 (13.5%) [4]. Consistent with this low percentage, the prenatal detection rate of Down syndrome was only 34.6% in women ≥35 years in 2010-2011 [5].…”

Section: Discussioncontrasting

confidence: 49%

“…Shoham-Vardi et al [11] reported that the main reasons for avoiding prenatal diagnosis in the Bedouin population were oppositions to pregnancy termination because of religious reasons and mistrust in the diagnosis of an existing abnormality. Muhsen et al [4] reported that the underutilization of amniocentesis among women aged ≥35 years was significantly associated with age, religiousness, the perception of amniocentesis as a risky procedure, the spouse's opposition to pregnancy termination, and unemployment (outside the home). These latter factors were not included in the present study.…”

Section: Discussionmentioning

confidence: 99%

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Increasing Rates of Prenatal Testing among Jewish and Arab Women in Israel over One Decade

Romano-Zelekha

Ostrovsky

Shohat

2014

Public Health Genomics

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Background/Aims/Objective: This study compared data on the use of prenatal tests offered to pregnant women in Israel as reported in a national survey conducted by the Israel Center for Disease Control in 2001 to data from 2010. Methods: Mothers of newborns were interviewed 8-72 h after delivery in 29 maternity wards in Israel on May 31, 2010. Results: A total of 768 women were interviewed, 569 (72.3%) were Jewish and 197 (25.7%) were Arabs. Nuchal translucency screening and early ultrasound level 2 were significantly more frequently done in both Jewish and Arab women in 2010 than in 2001. The use of the biochemical triple marker test and amniocentesis did not change. The increased rate of nuchal translucency screening and early ultrasound level 2 was significantly higher among the Jewish women compared to the Arabs (21.5 and 28.0% vs. 2.9 and 13.7% in 2001; 62.0 and 65.6% vs. 30.1 and 30.9% in 2010, respectively). The rates of amniocentesis in the Jewish women aged ≥35 years were 47.6 and 47.5% in 2001 and 2010, respectively; they are significantly higher than among the Arabs (18.5 and 28.5%, respectively). The factors associated with making more use of different prenatal tests were: secularity, a higher income, and supplementary medical insurance for the Jewish women, and supplementary medical insurance and printed information on prenatal testing for the Arabs. Conclusions: The prenatal testing rates have risen over the last decade in both population groups, but there are still significant gaps. We suggest that public funding of additional prenatal tests may increase their use in both population groups.

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Section: Discussioncontrasting

confidence: 49%

Section: Discussionmentioning

confidence: 99%

Increasing Rates of Prenatal Testing among Jewish and Arab Women in Israel over One Decade

Romano-Zelekha

Ostrovsky

Shohat

2014

Public Health Genomics

Self Cite

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“…Brajenovic et al reported a statistically significant difference in knowledge scores with respect to educational level. In contrast, no difference was observed regarding their attitudes toward amniocentesis [11]. Julian-Reynier et al [12] reported that educational level had no effect on acceptance of invasive diagnostic procedures.…”

Section: Discussionmentioning

confidence: 83%

Prenatal Diagnosis in Low Resource Setting: Is It Acceptable?

Shalaby

EL-Hady

Gamal

et al. 2012

J Obstet Gynecol India

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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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“…3 In some clinical settings, amniocentesis or CVS for aneuploidy has been offered to all pregnant women of advanced maternal age. [4][5][6] In other circumstances or countries, discussion of invasive testing may be prompted by a high-risk screening result. 7 However, the opportunity to use non-invasive techniques for some conditions is now feasible 8 and these are increasingly available to women in some countries.…”

mentioning

confidence: 99%

Offering prenatal diagnostic tests: European guidelines for clinical practice

et al. 2013

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For over four decades, it has been possible to offer prenatal diagnostic testing for fetal abnormalities. Prenatal testing is now available for a wide range of monogenic disorders as well as chromosomal abnormalities and should be provided within the ethical framework of informed consent and autonomous choice. However, there are no published guidelines for health professionals from varied disciplines who offer prenatal diagnosis (PND) in a range of possible settings including departments of maternity, obstetrics and clinical genetics. We used an Expert Group technique to develop a set of guidelines for provision of prenatal diagnostic services. Thirteen European health professionals, all experts in PND, participated in a workshop to develop the guidelines, which were then subjected to a wide consultation process. The objective of PND was defined as providing prenatal diagnostic testing services (for genetic conditions) that enable families to make informed choices consistent with their individual needs and values and which support them in dealing with the outcome of such testing. General principles, logistical considerations, clinical care and counselling topics are all described and are equally applicable to invasive and noninvasive testing. These guidelines provide a framework for ethical clinical care; however, they are flexible enough to enable practitioners to adapt them to their particular setting. Ideally, an individualised approach to each family is required to ensure autonomous choice and informed consent regarding prenatal diagnostic testing within the local ethical and legal framework.

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Determinates of underutilization of amniocentesis among Israeli Arab women

Abstract: Any program aimed at increasing amniocentesis uptake among Muslim women should be directed to both partners and should emphasize the low risk for miscarriage following the test.

Cited by 15 publications

References 19 publications

Increasing Rates of Prenatal Testing among Jewish and Arab Women in Israel over One Decade

Increasing Rates of Prenatal Testing among Jewish and Arab Women in Israel over One Decade

Prenatal Diagnosis in Low Resource Setting: Is It Acceptable?

Offering prenatal diagnostic tests: European guidelines for clinical practice

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