Green J M
Centre for Family Research, University of Cambridge, UK.
Br J Obstet Gynaecol. 1995 Mar;102(3):228-32. doi: 10.1111/j.1471-0528.1995.tb09099.x.
To examine the attitudes of obstetricians in England and Wales concerning prenatal diagnosis and termination of pregnancy and to compare these with a similar survey carried out in 1980.
Postal questionnaires, based on those used in 1980, were sent to a random sample of 555 nonacademic consultant obstetricians, 71% of whom replied.
The proportion of consultant obstetricians with a conscientious objection to termination of pregnancy was the same in both surveys, although virtually all conscientious objectors said that they made an exception for serious fetal abnormality. A major change was in the proportion saying that they generally required an undertaking to terminate an affected pregnancy before proceeding with amniocentesis: 75% in 1980 compared with 34% in 1993. As in 1980, lower priority is given to telling women of negative test results than of positive. More obstetricians in 1993 are prepared to consider terminations later in pregnancy, both for fetal abnormality and for social reasons, than was the case in 1980, but many are not prepared to recommend termination as late in pregnancy as the law allows. In some cases this is due to misapprehensions about what is legal. There are particular problems concerning terminations for fetal anomalies that not all would consider serious. One in seven of the 1993 sample would not recommend termination for cystic fibrosis at any gestation. Only 13% would recommend termination for Down's syndrome beyond 24 weeks. There is a need not only for clarification of the law, but also of obstetrician's willingness to implement it.
调查英格兰和威尔士产科医生对产前诊断及终止妊娠的态度，并与1980年进行的类似调查作比较。
以1980年使用的问卷为基础，向555名非学术性顾问产科医生随机抽样发送邮政问卷，其中71%予以回复。
两次调查中，出于良心拒行终止妊娠的顾问产科医生比例相同，尽管几乎所有出于良心拒行者都表示，他们会对严重胎儿异常情况例外处理。一个主要变化在于，表示在进行羊膜穿刺术之前通常要求承诺终止受影响妊娠的比例：1980年为75%，1993年为34%。与1980年一样，告知女性检查阴性结果的优先级低于阳性结果。与1980年相比，1993年更多产科医生愿意考虑在妊娠后期因胎儿异常和社会原因终止妊娠，但许多人不准备按照法律允许的最晚时间推荐终止妊娠。在某些情况下，这是由于对法律规定存在误解。对于并非所有人都认为严重的胎儿异常情况的终止妊娠存在特殊问题。1993年样本中有七分之一的人在任何孕周都不会推荐因囊性纤维化而终止妊娠。只有13%的人会推荐在24周后因唐氏综合征而终止妊娠。不仅需要澄清法律，还需要明确产科医生执行法律的意愿。
