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Factors Influencing the Decision-Making Process for Undergoing Invasive Prenatal Testing
Panagiota Tzela1, Panagiotis Antsaklis2, Dimitrios Kanellopoulos1
1Department of Midwifery, School of Health and Care Sciences, University of West Attica, Athens, GRC.
Cureus
|April 24, 2024
Summary
Invasive prenatal testing decisions are influenced by maternal age, education, ethnicity, and attitudes toward pregnancy termination. Healthcare providers should offer comprehensive, unbiased information to support informed choices.
Area of Science:
- Obstetrics and Gynecology
- Medical Genetics
- Bioethics
Background:
- Invasive prenatal testing (IPT) like amniocentesis and chorionic villus sampling aids fetal health assessment but carries risks.
- Parental decision-making for IPT is complex, influenced by various demographic, clinical, and psychological factors.
- Informed choice is paramount, requiring healthcare providers to offer unbiased information aligned with parental values.
Purpose of the Study:
- To systematically review and synthesize literature on factors influencing parental decisions regarding invasive prenatal testing.
- To provide evidence-based conclusions to assist antenatal care providers in supporting couples' informed decision-making.
- To highlight the importance of patient-centered care in navigating IPT choices.
Main Methods:
- Systematic literature search conducted in PubMed and PsycInfo databases.
- In-depth evaluation of retrieved studies using relevant keywords.
- Inclusion of 17 articles investigating the decision-making process for invasive prenatal testing.
Main Results:
- Maternal age, education, and ethnicity significantly impact IPT decisions.
- High-risk pregnancies and fertility treatment history correlate with a preference for IPT.
- Willingness to consider pregnancy termination, influenced by psychological, moral, and religious stances, is a key factor.
Conclusions:
- Sociodemographic, clinical, emotional, and religious factors critically influence couples' consent for IPT.
- Healthcare professionals must identify critical factors for each case to provide balanced information.
- A patient-centered, multidisciplinary approach is advocated for supporting couples through IPT decision-making.
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