Decision outcomes in women offered noninvasive prenatal test (NIPT) for positive Down screening results

Tsz-Kin Lo1, Kelvin Yuen-Kwong Chan2, Anita Sik-Yau Kan2

  • 1a Department of Obstetrics & Gynecology , Princess Margaret Hospital , Hong Kong , China.

In this first Asian study, the decision outcomes (decision conflict, decision regret, and anxiety) of 262 pregnant women offered noninvasive prenatal test (NIPT) for high-risk Down screening results were assessed. Decision conflict was experienced by 3.5% and level of decisional regret low (mean score 15.7, 95%CI 13.2-18.3). All 13 cases of decisional regret were NIPT acceptors. Elevated anxiety was experienced by 55.9% at the time of decision making about NIPT and persistent in 30.3%. Insufficient knowledge about NIPT was associated with elevated anxiety at decision making (p = .011) and with decisional regret (p = .016). Decisional regret was associated with prolonged anxiety (p = .010).

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