Shoham-Vardi I, Weiner N, Weitzman D, Levcovich A
Department of Epidemiology, Faculty of Health Sciences, Ben Gurion University of the Negev, Beer Sheva, Israel.
Prenat Diagn. 2004 Nov;24(11):869-75. doi: 10.1002/pd.867.
The Bedouin Arabs, a Muslim traditional ethnic minority in Israel, are faced with difficult choices when offered prenatal diagnosis as part of the universally provided prenatal care in Israel. This paper is to examine attitudes towards and practice of pregnancy termination, following an unfavorable prenatal diagnosis.
Semistructured interviews with 83 women were conducted to study attitudes. Data from the Soroka Medical Center, where all births in the area take place, were used to assess the rate of terminations of pregnancies following a diagnosis of a chromosomal anomaly.
While divided on the question of termination, many women believed that a second medical opinion is needed, preferably from an Arab physician. The reasons for termination are both child- and mother-related. Opposing termination is based on both the suspicion that the diagnosis might be wrong and on religious reasons. Between 1995 and 1999, 686 Bedouin women had undergone amniocentesis (2.4% of all pregnancies). Six of 11 pregnancies with the diagnosis of a trisomy were terminated (54.5%). All cases in which a trisomy was terminated were trisomy 21.
Culturally acceptable prenatal diagnostic services for Muslim populations should be based on early testing, and should involve Muslim physicians and religious authorities.
贝都因阿拉伯人是以色列的一个穆斯林传统少数民族，在以色列普遍提供的产前护理中接受产前诊断时面临艰难抉择。本文旨在研究在产前诊断结果不理想后对终止妊娠的态度和做法。
对83名女性进行半结构化访谈以研究态度。使用索罗卡医疗中心（该地区所有分娩都在此进行）的数据来评估染色体异常诊断后终止妊娠的比率。
虽然在终止妊娠问题上存在分歧，但许多女性认为需要第二种医学意见，最好来自阿拉伯医生。终止妊娠的原因既与孩子有关也与母亲有关。反对终止妊娠基于对诊断可能错误的怀疑以及宗教原因。1995年至1999年期间，686名贝都因女性接受了羊膜穿刺术（占所有妊娠的2.4%）。11例诊断为三体综合征的妊娠中有6例终止妊娠（54.5%）。所有终止妊娠的三体综合征病例均为21三体综合征。
针对穆斯林人群的文化上可接受的产前诊断服务应基于早期检测，并应包括穆斯林医生和宗教权威人士。
