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早期诊断和无创性产前检测(NIPT)的影响:性染色体非整倍体(SCAs)患儿父母的知识、态度和经验。

Impact of early diagnosis and noninvasive prenatal testing (NIPT): Knowledge, attitudes, and experiences of parents of children with sex chromosome aneuploidies (SCAs).

机构信息

Department of Pediatrics, George Washington University, Washington, District of Columbia, USA.

Department of Human and Molecular Genetics, Florida International University, Miami, Florida, USA.

出版信息

Prenat Diagn. 2020 Mar;40(4):470-480. doi: 10.1002/pd.5580. Epub 2019 Dec 4.

Abstract

OBJECTIVE

To investigate the attitudes of parents of children with a sex chromosome aneuploidy (SCA) regarding the impact of an early diagnosis and noninvasive prenatal testing (NIPT).

METHOD

A survey consisting of multiple choice and long response formatted questions was completed by parents of children with SCA(s).

RESULTS

Fifty-five participants responded to the survey. A total of 88.1% of participants who received an early diagnosis expressed that it had a positive impact on their child's life. Of the 23 participants who utilized NIPT, 95.7% believed it was a decisive factor in their life because they could research the disorders prior to the birth of their child (35.3%), pinpoint valuable resources and interventions (38.2%), and determine possible risk factors of neurodevelopmental delays to be considered after delivery (20.6%).

CONCLUSION

This study documented parental perspectives on the impact of an early SCA diagnosis and attitudes towards NIPT use for identifying those at risk for SCAs. These informative and insightful results provide personal experiences that health care providers may want to consider when providing prenatal counseling on NIPT for expectant mothers. As this analysis is the first of its kind, ascertainment is limited, and future research should aim to expand these findings by investigating the different factors influencing attitudes towards NIPT.

摘要

目的

调查性染色体非整倍体 (SCA) 患儿父母对早期诊断和无创产前检测 (NIPT) 的影响的态度。

方法

对 SCA 患儿的父母进行了一项包含多项选择和长响应格式问题的调查。

结果

55 名参与者对该调查做出了回应。总共 88.1% 的接受早期诊断的参与者表示,这对他们孩子的生活产生了积极的影响。在使用 NIPT 的 23 名参与者中,95.7% 的人认为这是他们生活中的一个决定性因素,因为他们可以在孩子出生前研究这些疾病(35.3%)、确定有价值的资源和干预措施(38.2%),并确定在分娩后需要考虑的神经发育迟缓的可能风险因素(20.6%)。

结论

本研究记录了父母对 SCA 早期诊断的影响以及对 NIPT 用于识别 SCA 风险的看法。这些信息丰富且有见地的结果提供了个人经验,医疗保健提供者在为孕妇提供关于 NIPT 的产前咨询时可能会考虑这些经验。由于这种分析是首例,因此确定是有限的,未来的研究应该旨在通过调查影响 NIPT 态度的不同因素来扩展这些发现。

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