Mishori Dery Anat, Carmi Rivka, Shoham Vardi Ilana
Department of Epidemiology and Health Services Evaluation, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
Prenat Diagn. 2008 Jun;28(6):518-24. doi: 10.1002/pd.2017.
OBJECTIVES/BACKGROUND: Current prenatal diagnostic abilities confront parents and health professionals with complicated issues regarding termination of pregnancy (TOP) due to fetal abnormalities. 1. To assess and compare attitudes of consumers (women) and providers (health professionals) of prenatal care regarding TOP due to fetal abnormality.2. To identify factors related to these attitudes.
The study was conducted in southern Israel. Consumers (596) were interviewed by phone 5-8 weeks postpartum. Health professionals (351) filled out a self-administrated questionnaire.
More than half of the interviewees approved of TOP due to mental retardation, death during infancy, severe physical disability and very low quality of life (in descending order). For each condition, care providers were significantly more supportive of TOP than women, and had far fewer hesitations. The hierarchy of 'TOP acceptability' was similar in both populations. Factors associated with women's attitudes were degree of religiosity, Ashkenazi origin and country of birth. Two approaches toward TOP were identified: 'consistent' versus 'ad hoc'.
Prenatal care providers and consumers differ in their attitudes regarding acceptability of reasons for TOP. Care providers offering prenatal tests should be aware of their patients' attitudes, in order to guide informed decisions regarding the tests.
目的/背景：当前的产前诊断能力使父母和健康专业人员面临因胎儿异常而终止妊娠（TOP）的复杂问题。1. 评估并比较产前护理的消费者（女性）和提供者（健康专业人员）对因胎儿异常而终止妊娠的态度。2. 确定与这些态度相关的因素。
该研究在以色列南部进行。产后5 - 8周通过电话采访了596名消费者（女性）。351名健康专业人员填写了一份自填式问卷。
超过一半的受访者赞成因智力迟钝、婴儿期死亡、严重身体残疾和极低生活质量（按降序排列）而终止妊娠。对于每种情况，护理提供者比女性对终止妊娠的支持度明显更高，且犹豫更少。两种人群中“终止妊娠可接受性”的层级相似。与女性态度相关的因素有宗教虔诚度、阿什肯纳兹血统和出生国家。确定了两种对待终止妊娠的方式：“一致”与“临时”。
产前护理提供者和消费者对终止妊娠原因的可接受性态度不同。提供产前检查的护理提供者应了解其患者的态度，以便指导有关检查的明智决策。
