Genetic counselling: knowledge and attitudes towards prenatal diagnostic procedures among pregnant women

Doctoral Dissertation uoadl:1305896 477 Read counter

Unit:
Τομέας Υγείας - Μητέρας - Παιδιού
Library of the School of Health Sciences
Deposit date:
2015-06-04
Year:
2015
Author:
Καραγκιούζης Θωμάς
Dissertation committee:
Καθηγήτρια Σοφία Κίτσιου-Τζέλη
Original Title:
Γενετική συμβουλευτική: απόψεις και εκτιμήσεις των παραπεμπομένων για προγεννητικό έλεγχο
Languages:
Greek
Translated title:
Genetic counselling: knowledge and attitudes towards prenatal diagnostic procedures among pregnant women
Summary:
Objective:Τo assess knowledge and attitudes towards prenatal diagnostic
procedures among pregnant women
Methods: 354 pregnant who came in the Department of Medical Genetics,
University of Athenes, upon receiving the results of a prenatal chromosomal
test after undertaking amniocentesis or CVS were interviewed in person. A
structured questionnaire was answered based upon socio-demographic,
educational, life style and medical history variables, as well as questions
pertaining to the women’s knowledge, use and opinion of prenatal tests. Summary
statistics and multiple logistic regression analyses were performed
Results: No prior information on prenatal diagnostic procedures was reported in
29% or on prenatal screening tests in 50% of the study subjects.
Regarding the invasive prenatal procedures, women with no history of inherited
diseases were about 3-fold more likely to have inadequate knowledge (OR=2.72,
p=0.01), as were women of non-Greek nationality (OR=3.27, p=0.02), as well as
those who reported being unaware of the health consequences of smoking during
pregnancy (OR=2.50, p=0.005). By contrast, women of higher education were over
2-fold more likely to attain a higher level of knowledge of prenatal diagnostic
procedures (OR=0.51, p=10-4) as were those reported reading the popular press
(OR=0.44, p=10-4).
As far as concerning prenatal screening tests the results showed that popular
press reading was associated with more than 2-fold higher level of awareness
[odds ratio (OR)=0.51, p=0.0004]. Inadequate awareness was recorded among
pregnant women of non-Greek nationality (OR=2.07, p=0.04), as well as among
those also unaware of the effects of smoking during pregnancy (OR=2.39,
p=0.004).
Conclusion: In spite of the increased availability of prenatal diagnosis and
prenatal screening tests much more is needed to be done in order to improve the
efficiency of prenatal counselling especially in immigrants and women with a
low educational background.
Keywords:
Genetic counselling, Prenatal diagnosis procedures, Prenatal screening, Knowledge/attitudes among pregnant women
Index:
No
Number of index pages:
0
Contains images:
Yes
Number of references:
243
Number of pages:
182

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