Women's experiences of counselling in cases of a screen-positive prenatal screening result

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http://hdl.handle.net/10138/330804

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Vuorenlehto , L , Hinnelä , K , Äyräs , O , Ulander , V-M , Louhiala , P & Kaijomaa , M 2021 , ' Women's experiences of counselling in cases of a screen-positive prenatal screening result ' , PLoS One , vol. 16 , no. 3 , 0247164 . https://doi.org/10.1371/journal.pone.0247164

Title: Women's experiences of counselling in cases of a screen-positive prenatal screening result
Author: Vuorenlehto, Leena; Hinnelä, Kaisa; Äyräs, Outi; Ulander, Veli-Matti; Louhiala, Pekka; Kaijomaa, Marja
Contributor organization: HUS Gynecology and Obstetrics
Department of Obstetrics and Gynecology
Helsinki University Hospital Area
University of Helsinki
Faculty of Medicine
Teachers' Academy
Pekka Louhiala / Principal Investigator
Department of Public Health
Date: 2021-03-10
Language: eng
Number of pages: 12
Belongs to series: PLoS One
ISSN: 1932-6203
DOI: https://doi.org/10.1371/journal.pone.0247164
URI: http://hdl.handle.net/10138/330804
Abstract: Objective To study women's apprehensions, understanding and experiences of counselling concerning a screen-positive result in screening for fetal chromosomal defects. Methods A questionnaire study including different steps of the prenatal screening process was carried out in Helsinki University Hospital. Women's experiences concerning counselling immediately after a screen-positive result and during further examinations in the Fetal Medicine Unit (FMU) were analyzed. Results 143 women filled in the questionnaire. Less than half of the women considered the primary counselling after a screen-positive result to be explicit (43.9%) and sufficient (43.1%). In the FMU, 88.3% and 89.8% of women were satisfied with the explicitness and sufficiency of counselling. Most women (75%) experienced worry before further examinations but less than half (45%) had considered their personal values concerning diagnostic tests. Half (50.5%) of women expected the worry to continue even if diagnostic tests turn out normal. Most (81%) women were aware that diagnostic tests are voluntary and were confident (85.3%) with their decision to participate. Conclusions After a screen-positive result, women have unanswered questions, experience anxiety and confusion. The possibility of an abnormal screening result is not seriously considered beforehand. To enable an informed consent for prenatal screening, improvements in prescreening counselling during the first visits of antenatal care need to be made.
Subject: DOWN-SYNDROME
1ST TRIMESTER
PREGNANCY
ANXIETY
STRESS
RISK
TRISOMY-21
KNOWLEDGE
IMPACT
3123 Gynaecology and paediatrics
Peer reviewed: Yes
Rights: cc_by
Usage restriction: openAccess
Self-archived version: publishedVersion


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