Arif Muhammad Osman, Fatmi Zafar, Pardeep Bhisham, Ali Tuba, Iqbal Hameed, Bangash Haider Khan, Pervaiz Rushna, Altaf Hira, Baba Javed Ali
Medical College, Aga Khan University, Karachi, Pakistan.
Prenat Diagn. 2008 Dec;28(12):1149-55. doi: 10.1002/pd.2144.
Perception and attitude regarding prenatal screening and induced abortion vary across different populations. This study assesses the attitudes and perceptions regarding prenatal screening and induced abortion among Pakistani adults.
We conducted a cross-sectional study among adults (18+) coming to the Aga Khan University Hospital, a private tertiary care hospital in Karachi, Pakistan.
Majority (65%) of the study population had knowledge about prenatal screening and it was acceptable to most (85.5%) of them. Significant proportion had high acceptance for induced abortion (23%) of a fetus that has serious congenital anomalies. On the other hand, 15% were unwilling to consider termination of pregnancy (TOP) in any circumstances. Women had more favorable attitude toward induced abortion. Most of the respondents (63%) were in favor of abortion if fetal death was imminent as a result of a congenital abnormality. Majority wanted mutual consultation of husband and wife for making decision regarding induced abortion (84%).
There was a considerable discord in opinion about abortion in the study population. Health care providers should involve both parents in making decisions about abortions and counsel them adequately about congenital disorders.
不同人群对产前筛查和人工流产的认知及态度各不相同。本研究评估了巴基斯坦成年人对产前筛查和人工流产的态度与认知。
我们在巴基斯坦卡拉奇一家私立三级护理医院阿迦汗大学医院对18岁及以上的成年人开展了一项横断面研究。
大部分（65%）研究对象了解产前筛查，且大多数（85.5%）认为其可接受。相当比例的人对患有严重先天性异常的胎儿进行人工流产的接受度较高（23%）。另一方面，15%的人在任何情况下都不愿意考虑终止妊娠（TOP）。女性对人工流产的态度更为积极。如果因先天性异常导致胎儿即将死亡，大多数受访者（63%）赞成堕胎。大多数人希望夫妻双方共同协商决定是否进行人工流产（84%）。
研究人群在人工流产问题上存在相当大的意见分歧。医疗服务提供者应让父母双方共同参与人工流产决策，并就先天性疾病对他们进行充分的咨询。
