Kasnakoglu Berna Tari, Cakar Mehmet, Okem Zeynep Guldem, Tanacan Atakan, Fadiloglu Erdem, Orgul Gokcen, Beksac Mehmet Sinan
Department of Business Administration, TOBB Economics and Technology University, Ankara, Turkey.
Department of Management, Baskent University, Ankara Turkey.
Z Geburtshilfe Neonatol. 2020 Jun;224(3):136-142. doi: 10.1055/a-1076-1039. Epub 2020 Mar 10.
To investigate the reasons for decision-making and concerns of patients in the field of prenatal screening, invasive prenatal diagnostic testing (IPDT), and termination of pregnancy (TOP).
This questionnaire-based study consisted of 107 pregnant women who were referred for prenatal screening to the Hacettepe University Hospital. The questionnaire given to patients was prepared from scratch since there is no standard set of questions measuring patients' feelings and concerns regarding prenatal screening/diagnosis, IPDT, and TOP.
Our questionnaire results showed that it is possible to classify decision-making factors into 6 groups: psychological, social, fear, religious/faith, support, and trust. The majority of patients were undecided (48.6%) about IPDT if prenatal screening test results were risky. Only 23.4% of patients were willing to accept IPDT. On the other hand, 55.1% of patients were not willing to undergo TOP if the fetal karyotyping results were abnormal. Religious factors seem to be important in refusing IPDT and TOP.
Physicians should re-evaluate their practice in the field of prenatal screening and diagnosis in light of the high refusal rates of IPDT and TOP. Understanding factors influencing women's decision-making processes provides insight for service providers to help women at high risk of having foetal anomalies to make better-informed choices.
探讨产前筛查、侵入性产前诊断检测（IPDT）及终止妊娠（TOP）领域中患者的决策原因及担忧。
这项基于问卷调查的研究纳入了107名转诊至哈杰泰佩大学医院进行产前筛查的孕妇。由于没有一套标准问题来衡量患者对产前筛查/诊断、IPDT及TOP的感受和担忧，因此给患者的问卷是重新编制的。
我们的问卷调查结果显示，决策因素可分为6组：心理、社会、恐惧、宗教/信仰、支持和信任。如果产前筛查检测结果有风险，大多数患者（48.6%）对IPDT尚未做出决定。只有23.4%的患者愿意接受IPDT。另一方面，如果胎儿核型分析结果异常，55.1%的患者不愿意接受TOP。宗教因素在拒绝IPDT和TOP方面似乎很重要。
鉴于IPDT和TOP的高拒绝率，医生应重新评估他们在产前筛查和诊断领域的做法。了解影响女性决策过程的因素可为服务提供者提供见解，以帮助有胎儿异常高风险的女性做出更明智的选择。
