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Decision-making process of prenatal screening described by pregnant women and their partners
Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.ORCID iD: 0000-0002-5316-0492
Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.ORCID iD: 0000-0002-9209-5179
Örebro University, School of Medicine, Örebro University, Sweden. Örebro University Hospital. Department of Obstetrics & Gynaecology, Örebro University Hospital, Örebro, Sweden.
Örebro University, School of Health and Medical Sciences, Örebro University, Sweden.ORCID iD: 0000-0003-3702-3831
2015 (English)In: Health Expectations, ISSN 1369-6513, E-ISSN 1369-7625, Vol. 18, no 5, p. 1582-1592Article in journal (Refereed) Published
Abstract [en]

Background: Pregnant women are often faced with having to decide about prenatal screening for Down’s syndrome. However,the decision to participate in or refrain from prenatal screening can be seen as an important decision not only for the pregnant woman but also for both the partners.

Objective: The aim of this study was to explore the couples’ processes of decision making about prenatal screening.

Methods: A total of 37 semi-structured interviews conducted at two time points were analysed using the interpretive description.

Setting: The study was carried out in Maternal health-care centres,Örebro County Council, Sweden.

Participants: Fifteen couples of different ages and with different experiences of pregnancy and childbirth were interviewed.

Results: Three different patterns of decision making were identified. For the couples in The open and communicative decision-making process’, the process was straightforward and rational, and the couples discussed the decision with each other. ‘The closed and personal decision-making process’ showed an immediate and non-communicative decision making where the couples decided each for themselves. The couples showing ‘The searching and communicative decision-making process’ followed an arduous road in deciding whether to participate or not in prenatal screening and how to cope with the result.

Conclusions: The decision-making process was for some couples a fairly straightforward decision, while for others it was a more complex process that required a great deal of consideration.

Place, publisher, year, edition, pages
Wiley-Blackwell, 2015. Vol. 18, no 5, p. 1582-1592
Keywords [en]
decision making, prenatal, screening, qualitative analysis
National Category
Nursing
Research subject
Caring sciences
Identifiers
URN: urn:nbn:se:oru:diva-31088DOI: 10.1111/hex.12147ISI: 000365046700079PubMedID: 24118867Scopus ID: 2-s2.0-84942293987OAI: oai:DiVA.org:oru-31088DiVA, id: diva2:653523
Available from: 2013-10-04 Created: 2013-10-04 Last updated: 2018-06-26Bibliographically approved
In thesis
1. Couples' experiences of an extended information visit about prenatal screening: decision making and satisfaction
Open this publication in new window or tab >>Couples' experiences of an extended information visit about prenatal screening: decision making and satisfaction
2014 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The overall aim of this thesis was to describe pregnant women's and partners' views and experiences on early prenatal screening with the combined test, with special focus on the two-step information model.

Interviews were performed with 15 couples who had taken part in the extended information visit about prenatal screening, describing their perceptions of the information model (I) and ten couples or women of those, for a follow-up interview exploring their decision-making process (II). Seven couples, who had not taken part in the extended information visit, were interviewed describing their views and experiences about prenatal screening (III). A questionnaire was answered by 295 women and by 223 partners about their satisfaction about the decision whether or not to participate in the combined test, and their assessment of whether or not this choice had been difficult (IV).

The results showed that different opinions were expressed about the offer of the extended information visit. The separate visit was welcomed by most couples (I). The decision-making process regarding whether to take part in the test or not was described by most couples as a fairly straightforward decision, while for others it was a more complex process that required a great deal of consideration (II). An apprehension of the test, by some of those who had refrained the extended information visit, was that it was an expression of society's involvement in decisions that belong to the expectant parents (III). Ninety-three percent of both women and partners considered the decision about participating in the combined tests as uncomplicated, and well over 90%, of both women and partners were satisfied with their decision (IV).

The conclusions in this thesis, are that the decision whether or not to participate in the combined test is multidimensional and influenced by different views. The two-step information model helped the pregnant woman and the partner to make a decision in a fairly straightforward process or a more complex process with mixed feelings.

Place, publisher, year, edition, pages
Örebro: Örebro university, 2014. p. 69
Series
Örebro Studies in Care Sciences, ISSN 1652-1153 ; 59
Keywords
decision-making, patient education, patient satisfaction, prenatal screening
National Category
Nursing
Research subject
Caring sciences
Identifiers
urn:nbn:se:oru:diva-36105 (URN)978-91-7529-045-4 (ISBN)
Public defence
2014-11-21, Prismahuset, Hörsal 2, Örebro universitet, Fakultetsgatan 1, Örebro, 09:00 (Swedish)
Opponent
Supervisors
Available from: 2014-08-25 Created: 2014-08-25 Last updated: 2017-10-17Bibliographically approved

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Wätterbjörk, IngerBlomberg, KarinNilsson, KerstinSahlberg-Blom, Eva

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