Genetic Diseases Research Branch, National Human Genome Research Institute, 10 Center Drive, Bethesda, MD 20892, USA.
Prenat Diagn. 2010 Jan;30(1):77-82. doi: 10.1002/pd.2343.
This study explores ambivalence toward undergoing amniocentesis among pregnant women with overall positive attitudes. Its novelty lies in the characterization of the type and origins of the ambivalence.
Thirty-six women between 35 and 44 years of age were recruited from a US prenatal testing center to participate in structured telephone interviews.
Thirty women chose to undergo testing. Attitudes toward undergoing amniocentesis were generally positive, although all participants simultaneously described feeling ambivalent. The women desired the information that amniocentesis could provide yet did not want to place their fetus at risk. Participants cited religious, moral, ethical and intellectual values important in shaping their attitudes toward undergoing amniocentesis. Important referents such as partners, other pregnant women, family members and physicians influenced their decisions.
Tensions were evident among the intellectual, moral and spiritual values that contribute to ambivalence toward undergoing amniocentesis. Illuminating and discussing such tensions during the genetic counseling sessions prior to testing may resolve some of this ambivalence and thereby increase the quality of decisions women make.
本研究探讨了对唐氏筛查持积极态度的孕妇中进行羊膜穿刺术的矛盾心理。其新颖之处在于对矛盾心理的类型和来源进行了描述。
从美国产前检查中心招募了 36 名 35 至 44 岁的孕妇，参与结构化电话访谈。
30 名女性选择接受检查。尽管所有参与者都同时描述了自己的矛盾心理，但她们对进行羊膜穿刺术的态度总体上是积极的。这些女性希望获得羊膜穿刺术可以提供的信息，但又不想让胎儿面临风险。参与者提到了宗教、道德、伦理和智力价值观，这些价值观对他们对羊膜穿刺术的态度形成起到了重要作用。重要的参照对象，如伴侣、其他孕妇、家庭成员和医生，也影响了她们的决定。
在导致对羊膜穿刺术的矛盾心理的智力、道德和精神价值观之间存在明显的紧张关系。在进行检测前的遗传咨询会议期间，阐明和讨论这种紧张关系，可能会解决一些这种矛盾心理，从而提高女性做出决策的质量。
