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先天性异常检测的产前咨询:摩洛哥穆斯林孕妇的偏好

Antenatal counselling for congenital anomaly tests: pregnant Muslim Moroccan women's preferences.

作者信息

Gitsels-van der Wal Janneke T, Martin Linda, Manniën Judith, Verhoeven Pieternel, Hutton Eileen K, Reinders Hans S

机构信息

Department of Midwifery Science, AVAG and the EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, Netherlands; Faculty of Theology, VU University Amsterdam, Amsterdam, Netherlands.

Department of Midwifery Science, AVAG and the EMGO Institute for Health and Care Research, VU University Medical Center, Amsterdam, Netherlands.

出版信息

Midwifery. 2015 Mar;31(3):e50-7. doi: 10.1016/j.midw.2015.01.002. Epub 2015 Jan 12.

DOI:10.1016/j.midw.2015.01.002
PMID:25637462
Abstract

OBJECTIVE

to gain insight into pregnant Muslim Moroccan women's preferences regarding the content of and approach to antenatal counselling for anomaly screening.

DESIGN

qualitative study using in-depth interviews.

SETTING

participants were recruited from one midwifery practice in a medium-sized city near Amsterdam.

PARTICIPANTS

12 pregnant Muslim Moroccan women who live in an area with a high density of immigrants. DATA COLLECTION AND DATA ANALYSES: we conducted open interviews after the cut-off date for the 20 week fetal anomaly scan and used techniques from the thematic analysis approach described by Braun and Clarke (2006).

FINDINGS

pregnant Muslim Moroccan women's preferences towards counselling could be summarised in three main findings. Firstly, pregnant Muslim Moroccan women underlined the importance of accurate and detailed information about the tests procedures and the anomalies that could be detected. Secondly, pregnant Muslim Moroccan women preferred counsellors to initiate discussions about moral topics and its relationship with the women's religious beliefs and values to facilitate an informed choice about whether or not to participate in the screening tests. Thirdly, pregnant Muslim Moroccan women preferred a counsellor who respects and treats them as an individual who has an Islamic background. The counsellor should have practical knowledge of Islamic rulings that are relevant to the anomaly tests.

KEY CONCLUSIONS

pregnant Muslim Moroccan women preferred to be accurately informed about antenatal anomaly tests and to be asked about their individual views on life by a counsellor who has genuine interest in the individual client and applied knowledge of Islamic beliefs regarding the value of life.

IMPLICATIONS FOR PRACTICE

counsellors should explore clients' moral values about quality of life and termination and its relationship with religious beliefs. Counsellors should know about Islamic rulings related to antenatal anomaly screening.

摘要

目的

深入了解摩洛哥穆斯林孕妇对于异常筛查产前咨询的内容及方式的偏好。

设计

采用深入访谈的定性研究。

地点

参与者从阿姆斯特丹附近一个中等规模城市的一家助产机构招募。

参与者

12名居住在移民高密度地区的摩洛哥穆斯林孕妇。数据收集与数据分析:在20周胎儿异常扫描截止日期后进行开放式访谈,并运用布劳恩和克拉克(2006年)描述的主题分析方法中的技术。

结果

摩洛哥穆斯林孕妇对咨询的偏好可归纳为三个主要发现。首先,摩洛哥穆斯林孕妇强调了关于检查程序和可能检测出的异常的准确详细信息的重要性。其次,摩洛哥穆斯林孕妇希望咨询者发起关于道德话题及其与女性宗教信仰和价值观关系的讨论,以便就是否参与筛查测试做出明智选择。第三,摩洛哥穆斯林孕妇更喜欢一位尊重并将她们视为有伊斯兰背景个体的咨询者。咨询者应具备与异常检测相关的伊斯兰教法的实践知识。

主要结论

摩洛哥穆斯林孕妇希望准确了解产前异常检测情况,并由一位真正关心个体客户且具备关于生命价值的伊斯兰信仰应用知识的咨询者询问她们对生活的个人看法。

对实践的启示

咨询者应探讨客户关于生活质量和终止妊娠的道德价值观及其与宗教信仰的关系。咨询者应了解与产前异常筛查相关的伊斯兰教法。

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