Factors Affecting Women’s Acceptance of Amniocentesis and the Effectiveness of the Genetic Counseling
Date Issued
2008
Date
2008
Author(s)
Lin, Chih-Hsiu
Abstract
At present, amniocentesis is the most commonly used method of prenatal diagnosis to confirm the health status of fetus. The birth rate has decreased dramatically in recent years, it’s predictable for pregnant women to confirm the health status of fetus by using the most reliable way. Amniocentesis is no longer restricted to the advanced maternal aged (AMA) women, but also for those non-advanced maternal aged (non-AMA) (<34 years old) women who have maternal serum α-fetoprotein screening positive result or not. Non-AMA women have made the numbers of amniocentesis increased. It’s necessary to find out the motives and relevant factors of non-AMA women who accept the amniocentesis. Due to knowledge deficit, anxieties and fears would lead to stressful pregnant experiences. The genetic counseling can provide correct knowledge of amniocentesis, and to lower the anxieties accordingly. This study was aimed to understand the factors affecting women’s acceptance of amniocentesis and the effectiveness of the genetic counseling. Data were collected at a private obstetric clinic. Study subjects were 150 women arranged to undergo amniocentesis, including 73 AMA women and 77 non-AMA women. Information on women’s basic data, influence factors, motive factors, and knowledge of amniocentesis was collected. After genetic counseling, the effectiveness of the genetic counseling was assessed. The finding of the study was that comparing the motive factors about women’s accepting amniocentesis, AMA women in order were advanced age, fear to have a defect baby, physician’s suggestion, spouse support, whereas, for non-AMA woman, in order were fear to have a defect baby, spouse support, physician’s suggestion, self’s decision, positive result of maternal serum α-fetoprotein screening. The knowledge of amniocentesis showed that the non-AMA women were better than the AMA women. After genetic counseling, all of AMA and non-AMA women got full marks. It showed the genetic counseling had positive effect in raising the cognition abort amniocentesis, and the help was more apparent to AMA women. The effectiveness of the genetic counseling showed genetic counseling was necessary to help solving uncertainty and lowering the anxieties accordingly, and it was better in AMA women than non-AMA women.
Subjects
amniocentesis
advanced maternal age
non-advanced maternal age
motive
genetic counseling
effectiveness
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