Informed choice in prenatal testing: a survey among obstetricians and gynaecologists in Europe & Asia

Ananda van den Heuvel, Lyn Chitty, Elizabeth Dormandy, Ainsley Newson, Zuzana Deans, Theresa M. Marteau*

*Corresponding author for this work

Research output: Contribution to journalArticle (Academic Journal)peer-review

7 Citations (Scopus)

Abstract

Purpose To ascertain the extent to which the value obstetricians and gynaecologists attach to informed choice in the context of prenatal testing varies across countries.

Method The values attached to informed choice and the perceived importance of test decisions reflecting the views of others considered significant to pregnant women were assessed and compared across obstetricians and gynaecologists in six countries: UK (n = 176), Netherlands (n = 331), Italy (n = 254), Greece (n = 116), China (n = 116) and India (n = 123).

Results While respondents from the United Kingdom and the Netherlands almost unanimously believed prenatal testing should reflect a parental choice (94%), substantial minorities in Greece, India, and China and to a lesser extent Italy, believed testing should either reflect a family choice or no choice (11-41%). Respondents who attached a low value to the views of others attached greater value to parental choice. Multinomial logistic regression analysis confirmed the independent predictive value of a country and perceived importance of test decision reflecting the views of significant others.

Conclusion While many obstetricians and gynaecologists favour prenatal testing reflecting a parental choice, the extent to which their values may affect the likelihood that informed choice is realised, may vary across countries. The impact of these findings on patient autonomy is raised. Copyright C 2008 John Wiley & Sons, Ltd.

Translated title of the contributionInformed choice in prenatal testing: a survey among obstetricians and gynaecologists in Europe & Asia
Original languageEnglish
Pages (from-to)1238-1244
Number of pages7
JournalPrenatal Diagnosis
Volume28
Issue number13
DOIs
Publication statusPublished - Dec 2008

Keywords

  • prenatal diagnosis
  • informed choice
  • values
  • cultural diversity
  • health care professionals
  • autonomy
  • INFORMATION
  • CONSENT

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