Research Article
Year 2023,
Volume: 45 Issue: 3, 21 - 27, 30.09.2023
Abstract
References
- 1.Lewis JA (2011) Genetics and genomics impact perinatal nursing. Journal of Perinatal & Neonatal Nursing 25, 144– 147.
- 2.Skirton H & Barr O (2007) Influences on uptake of Down syndrome antenatal screening: a literature review. Evidence-Based Midwifery 5, 4– 9.
- 3.Evans MI, Andriole S, Evans SM. Genetics: update on prenatal screening and diagnosis. Obstet Gynecol Clin North Am. 2015 Jun;42(2):193-208. PMID: 26002161.
- 4.Turkey Public Health Institute (TPHI)), Department of Women and Reproductive Health. (2014). Antenatal Care Guide, Sağlık Bakanlığı Yayın No: 924 Ankara, 2014. Available at: http://bit.ly/1KP4ORI
- 5.Cunningham FG, Leveno KJ, Bloom SL et al. Prenatal Screening; In William's Obstetrics; 24th ed. New York City: The McGraw Hill Companies; 2014:283‐305.
- 6.Desdicioğlu R, Yıldırım M, Süleymanova İ, Atalay İ, Özcan M, Yavuz AF. Gebe kadınların antenatal testlere yaklaşımını etkileyen faktörler. Ankara Medical Journal, 2017; 17(1).
- 7.Nacar G. , Ünver H. , Derya Y. A. , Taşhan S. T. Prenatal Tarama Testleri Yaptırmanın Gebelik Anksiyetesine Etkisi. Annals of Health Sciences Research. 2018; 7(2): 35-40.
- 8.Seven, M., Akyüz, A., Eroglu, K., Daack‐Hirsch, S., & Skirton, H. (2017). Women's knowledge and use of prenatal screening tests. Journal of Clinical Nursing, 26(13-14), 1869-1877.
- 9.Ergün, P. (2011). Gebelerin üçlü tarama testi ve gebelikte yapılan diğer testler hakkındaki bilgi düzeyinin ölçülmesi (Master's thesis, Sağlık Bilimleri Enstitüsü).
- 10.Bilgin S, Bıldırcın FD, Alper T, Tosun M, Çetinkaya MB, Çelik H, et al. Gebelikte uygulanan tarama testlerinin anne anksiyetesine olan etkisi. Journal of Turkish Society of Obstetrics and Gynecology 2010; 7: 206-11.
- 11.Sahin, N. H., & Gungor, I. (2008). Congenital anomalies: parents’ anxiety, women's concerns before prenatal testing, and women's opinions towards the risk factors. Journal of Clinical Nursing, 17(6), 827-836.
- 12.Hacettepe University Institute of Population Studies (2014), “2013 Turkey Demographic and Health Survey”. Hacettepe University Institute of Population Studies, T.R. Ministry of Development and TÜBİTAK, Ankara, Turkey. Available at http://,.hips.hacettepe.edu.tr/eng/index.html
- 13.Kutlu R, Uzun L, Karaoğlu N, Görkemli H. Awareness of Pregnant Women About Routine Applied Screening Tests and Supportive Treatments in a University Hospital. İstanbul Med J 2020; 21(1): 71-7.
- 14.Menezes M, Meagher S, da Silva Costa F (2013) Ethical considerations when offering non-invasive prenatal testing. Rev Bras Ginecol Obstet 35: 195-198.
- 15.Chiang HH, Chao YM, Yuh YS (2006) Informed choice of pregnant women in prenatal screening tests for Down’s syndrome. J Med Ethics 32.
- 16.Fumagalli S, Sofia P, Nespoli A, Locatelli A, Colciago E (2017) Variables Affecting the Decision Making to Uptake Prenatal Testing. Insights Reprod Med Vol.1 No.2:9
- 17.Chan YM, Leung TY, Chan OK, Cheng YK, Sahota DS. Patient's choice between a non-invasive prenatal test and invasive prenatal diagnosis based on test accuracy. Fetal Diagn Ther. 2014;35(3):193-8. Epub 2013 Nov 13. PMID: 24247224.
- 18.Skutilova V. Knowledge, attitudes and decision-making in Czech women with atypical results of prenatal screening tests for the most common chromosomal and morphological congenital defects in the fetus: selected questionnaire results. Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2015 Mar;159(1):156-62. PMID: 23774847.
- 19.Yaprak M, Gümüştakım RŞ, Tok A, Doğaner A. Gebelerde oral glukoz tolerans testi farkındalığının tespiti. Ankara Medical Journal 2019;3:635-47.
- 20.Avci DK, Oner E. Examination of the knowledge, attitude and behaviors of pregnant women on screening tests made during pregnancy. East J Med 2018;23(2):84-89.
- 21.Gitsels-van der Wal JT, Manniën J, Ghaly MM, Verhoeven PS, Hutton EK & Reinders S (2014a) The role of religion in decision-making on antenatal screening of congenital anomalies: a qualitative study amongst Muslim Turkish origin immigrants. Midwifery 30, 297– 302.
- 22.Gitsels-vander Wal JT, Verhoeven PS, Manniën J, Martin L, Reinders S, Spelten E & Hutton EK (2014b) Factors affecting the uptake of prenatal screening tests for congenital anomalies, a multicentre prospective cohort study. BMC Pregnancy and Childbirth 14, 264.
- 23.Gitsels-vander Wal JT, Martin L, Manniën J, Verhoeven P, Hutton EK & Reinders S (2015) Antenatal counseling for congenital anomaly tests: Pregnant Muslim Moroccan women's preferences. Midwifery 31, 50– 57.
- 24.NICE (2021) Antenatal care for uncomplicated pregnancies. Clinical Guidelines, p: 132.
- 25.Rowe HJ, Fisher JR & Quinlivan JA (2006) Are pregnant Australian women well informed about prenatal genetic screening? A systematic investigation using the Multidimensional Measure of Informed Choice. Australian and New Zealand Journal of Obstetrics and Gynaecology 46(5): 433-439.
KNOWLEDGE LEVELS, ATTITUDES, AND BEHAVIORS OF PREGNANTS ABOUT PRENATAL SCREENING TESTS: A SECTIONAL STUDY
Abstract
Aim: To determine the knowledge levels, attitudes, and behaviors of pregnant women who come to the obstetrics clinic in a university hospital about prenatal screening tests.
Method: It is a descriptive cross-sectional study. The population consists of approximately 900 pregnant women who are 28 weeks and beyond, who applied to …….. University Faculty of Medicine, Obstetrics and Gynecology outpatient clinic between October-December 2021. The research questionnaire was applied face to face to those who agreed to participate in the study. The data form consisting of 21 questions included questions about the descriptive characteristics and obstetric histories of pregnant women.
Results: 254 people participated. The mean gestational week of the participants was 34.9±3.9 (min:28-max:41). The most common screening tests were detailed ultrasound (80.7%) and double screening tests. Those who received information from their obstetrician had a significantly higher rate of having the test. When the participants' knowledge scores about prenatal screening tests are evaluated, respectively; Detailed ultrasound knowledge score was 5.6±0.9, Double test 5.0±1.3, Oral Glucose Tolerance Test 4.8±1.1, and Triple test 4.7±1.2(min:2-max:7). When the reasons for not having prenatal screening tests were questioned, the most common answer for all screening tests was "I don't think the test is necessary". For the OGTT, the second most common reason for not having it done was because they heard from the media that the test was harmful. The fact that the pregnant women had a double and triple screening, went to regular controls and had a high double-triple test knowledge score had a significant effect. Amniocentesis was recommended for 3.5% of the pregnant women based on prenatal test results, but none of them had amniocentesis. In case of unfavorable prenatal test results, the majority of pregnant women were considering continuing the pregnancy.
Conclusion: In this study, we found that the rate of testing increased with the increasing knowledge level of pregnant women and physician counseling. In this context, health professionals should provide women with the necessary education about screening and diagnostic tests to enable them to make informed decisions.
References
- 1.Lewis JA (2011) Genetics and genomics impact perinatal nursing. Journal of Perinatal & Neonatal Nursing 25, 144– 147.
- 2.Skirton H & Barr O (2007) Influences on uptake of Down syndrome antenatal screening: a literature review. Evidence-Based Midwifery 5, 4– 9.
- 3.Evans MI, Andriole S, Evans SM. Genetics: update on prenatal screening and diagnosis. Obstet Gynecol Clin North Am. 2015 Jun;42(2):193-208. PMID: 26002161.
- 4.Turkey Public Health Institute (TPHI)), Department of Women and Reproductive Health. (2014). Antenatal Care Guide, Sağlık Bakanlığı Yayın No: 924 Ankara, 2014. Available at: http://bit.ly/1KP4ORI
- 5.Cunningham FG, Leveno KJ, Bloom SL et al. Prenatal Screening; In William's Obstetrics; 24th ed. New York City: The McGraw Hill Companies; 2014:283‐305.
- 6.Desdicioğlu R, Yıldırım M, Süleymanova İ, Atalay İ, Özcan M, Yavuz AF. Gebe kadınların antenatal testlere yaklaşımını etkileyen faktörler. Ankara Medical Journal, 2017; 17(1).
- 7.Nacar G. , Ünver H. , Derya Y. A. , Taşhan S. T. Prenatal Tarama Testleri Yaptırmanın Gebelik Anksiyetesine Etkisi. Annals of Health Sciences Research. 2018; 7(2): 35-40.
- 8.Seven, M., Akyüz, A., Eroglu, K., Daack‐Hirsch, S., & Skirton, H. (2017). Women's knowledge and use of prenatal screening tests. Journal of Clinical Nursing, 26(13-14), 1869-1877.
- 9.Ergün, P. (2011). Gebelerin üçlü tarama testi ve gebelikte yapılan diğer testler hakkındaki bilgi düzeyinin ölçülmesi (Master's thesis, Sağlık Bilimleri Enstitüsü).
- 10.Bilgin S, Bıldırcın FD, Alper T, Tosun M, Çetinkaya MB, Çelik H, et al. Gebelikte uygulanan tarama testlerinin anne anksiyetesine olan etkisi. Journal of Turkish Society of Obstetrics and Gynecology 2010; 7: 206-11.
- 11.Sahin, N. H., & Gungor, I. (2008). Congenital anomalies: parents’ anxiety, women's concerns before prenatal testing, and women's opinions towards the risk factors. Journal of Clinical Nursing, 17(6), 827-836.
- 12.Hacettepe University Institute of Population Studies (2014), “2013 Turkey Demographic and Health Survey”. Hacettepe University Institute of Population Studies, T.R. Ministry of Development and TÜBİTAK, Ankara, Turkey. Available at http://,.hips.hacettepe.edu.tr/eng/index.html
- 13.Kutlu R, Uzun L, Karaoğlu N, Görkemli H. Awareness of Pregnant Women About Routine Applied Screening Tests and Supportive Treatments in a University Hospital. İstanbul Med J 2020; 21(1): 71-7.
- 14.Menezes M, Meagher S, da Silva Costa F (2013) Ethical considerations when offering non-invasive prenatal testing. Rev Bras Ginecol Obstet 35: 195-198.
- 15.Chiang HH, Chao YM, Yuh YS (2006) Informed choice of pregnant women in prenatal screening tests for Down’s syndrome. J Med Ethics 32.
- 16.Fumagalli S, Sofia P, Nespoli A, Locatelli A, Colciago E (2017) Variables Affecting the Decision Making to Uptake Prenatal Testing. Insights Reprod Med Vol.1 No.2:9
- 17.Chan YM, Leung TY, Chan OK, Cheng YK, Sahota DS. Patient's choice between a non-invasive prenatal test and invasive prenatal diagnosis based on test accuracy. Fetal Diagn Ther. 2014;35(3):193-8. Epub 2013 Nov 13. PMID: 24247224.
- 18.Skutilova V. Knowledge, attitudes and decision-making in Czech women with atypical results of prenatal screening tests for the most common chromosomal and morphological congenital defects in the fetus: selected questionnaire results. Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub. 2015 Mar;159(1):156-62. PMID: 23774847.
- 19.Yaprak M, Gümüştakım RŞ, Tok A, Doğaner A. Gebelerde oral glukoz tolerans testi farkındalığının tespiti. Ankara Medical Journal 2019;3:635-47.
- 20.Avci DK, Oner E. Examination of the knowledge, attitude and behaviors of pregnant women on screening tests made during pregnancy. East J Med 2018;23(2):84-89.
- 21.Gitsels-van der Wal JT, Manniën J, Ghaly MM, Verhoeven PS, Hutton EK & Reinders S (2014a) The role of religion in decision-making on antenatal screening of congenital anomalies: a qualitative study amongst Muslim Turkish origin immigrants. Midwifery 30, 297– 302.
- 22.Gitsels-vander Wal JT, Verhoeven PS, Manniën J, Martin L, Reinders S, Spelten E & Hutton EK (2014b) Factors affecting the uptake of prenatal screening tests for congenital anomalies, a multicentre prospective cohort study. BMC Pregnancy and Childbirth 14, 264.
- 23.Gitsels-vander Wal JT, Martin L, Manniën J, Verhoeven P, Hutton EK & Reinders S (2015) Antenatal counseling for congenital anomaly tests: Pregnant Muslim Moroccan women's preferences. Midwifery 31, 50– 57.
- 24.NICE (2021) Antenatal care for uncomplicated pregnancies. Clinical Guidelines, p: 132.
- 25.Rowe HJ, Fisher JR & Quinlivan JA (2006) Are pregnant Australian women well informed about prenatal genetic screening? A systematic investigation using the Multidimensional Measure of Informed Choice. Australian and New Zealand Journal of Obstetrics and Gynaecology 46(5): 433-439.
There are 25 citations in total.
Details
| Primary Language | English |
|---|---|
| Subjects | Family Medicine, Primary Health Care, Medical Education |
| Journal Section | Basic Science Research Articles |
| Authors | |
| Publication Date | September 30, 2023 |
| Acceptance Date | September 11, 2023 |
| Published in Issue | Year 2023Volume: 45 Issue: 3 |
