Elkins T E, Stovall T G, Wilroy S, Dacus J V
Obstet Gynecol. 1986 Aug;68(2):181-4.
Mothers of children with Down syndrome were surveyed by questionnaire concerning their attitudes about amniocentesis, prenatal genetic counseling, and abortion. Of the 101 who responded, 40 had borne children after giving birth to a child with Down syndrome. Half had amniocentesis in subsequent pregnancies but only half of these said they would abort the pregnancy if Down syndrome was confirmed. Extreme variations in opinions were noted among the replies. Recognizing patient ambivalence and attempting to provide counseling that represents both positive and negative data about Down syndrome may help physicians avoid conflicts with patients who request prenatal genetic counseling.
通过问卷调查，对唐氏综合征患儿的母亲们就她们对羊膜穿刺术、产前遗传咨询和堕胎的态度进行了调查。在101位做出回应的母亲中，有40位在生下患有唐氏综合征的孩子后又生育了其他孩子。其中一半人在随后的妊娠中接受了羊膜穿刺术，但只有一半人表示如果确诊为唐氏综合征，她们会选择堕胎。在回复中发现了意见的极大差异。认识到患者的矛盾心理，并尝试提供既包含唐氏综合征正面数据又包含负面数据的咨询服务，可能有助于医生避免与请求产前遗传咨询的患者发生冲突。
