Introduction: Prenatal screening should enable pregnant women to make informed choices. An informed decision is defined as one based on sufficient, relevant information and consistent with the decision-maker's values. This study aims to assess not only the extent to which pregnant women make informed choices about prenatal screening but also the psychological effects of informed decision-making. Method: The study sample consisted of 1159 pregnant women who were offered the nuchal translucency measurement or the maternal serum screening test. Level of knowledge, value consistency, informed choice, decisional conflict, satisfaction with decision, and anxiety were measured using questionnaires. Results: Of the participants, 83% were classified as having sufficient knowledge about prenatal screening, 82% made a value-consistent decision to accept or decline prenatal screening, and 68% made an informed decision. Informed choice was associated with more satisfaction with decision, less decisional conflict (this applied only to test acceptors), but was not associated with less anxiety. Although the rate of informed choice is relatively high, substantial percentages of women making uninformed choices due to insufficient knowledge, value inconsistency, or both, were found. Informed choice appeared to be psychologically beneficial. Conclusion: The present study underlines the importance of achieving informed choice in the context of prenatal screening.
|Number of pages||6|
|Journal||Huisarts en Wetenschap|
|Publication status||Published - 1 Aug 2007|