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Antenatal screening: why do women refuse?

Maxine Hey1, Keith Hurst

  • 1Dewsbury District Hospital.

RCM Midwives : the Official Journal of the Royal College of Midwives
|August 22, 2003
PubMed
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Improving antenatal screening requires addressing parental needs and disability risks. Enhanced training and accessible information for parents and healthcare professionals are crucial for better outcomes.

Area of Science:

  • Maternal and Child Health
  • Public Health Policy
  • Genetic Counseling

Background:

  • High prevalence of childhood disabilities necessitates improved antenatal screening.
  • Parental needs and risks associated with disabilities require thorough investigation.
  • Existing antenatal screening services in Calderdale and Kirklees require evaluation.

Purpose of the Study:

  • To explore issues surrounding antenatal screening.
  • To understand parental needs and the risk of having a child with a disability.
  • To identify areas for improvement in antenatal screening services.

Main Methods:

  • Mixed-methods approach utilizing qualitative and quantitative data.
  • Data collection through questionnaires, interviews, and focus groups.

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  • Triangulation of data to ensure comprehensive findings.

    • Main Results:

    • Identified key themes: access to local services, parental knowledge of screening, and professional beliefs.
    • Revealed gaps in professional knowledge regarding antenatal screening.
    • Highlighted disparities in information access for 'at risk' groups, including ethnic minorities.

    Conclusions:

    • Need for dedicated antenatal screening coordinators in all Trusts.
    • Importance of in-service training for healthcare professionals.
    • Requirement for improved parental information and community education, particularly for vulnerable populations.