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Pregnant women’s and healthcare professionals’ preferences in decision-making process for prenatal screening: world experience

https://doi.org/10.25557/2073-7998.2019.06.3-10

Abstract

Many countries are introducing a non-invasive prenatal test, NIPT, into the public health system as a contingent screening for pregnant women, which improves the detection of chromosomal abnormalities of the fetus and reduces the number of unwarranted invasive procedures. Analysis of the literature showed that the majority of doctors and pregnant women from the high and intermediate risk groups are ready to use NIPT as an additional screening due to its safety, high sensitivity and the possibility of early reception of results. However, there were found differences between countries in choosing the method of prenatal screening for chromosomal abnormalities of the fetus, which depend on the ethnic, sociodemographic and religious characteristics of the respondents, as well as on the peculiarities of the local health policy related to the need for partial or full payment of the prenatal test and the availability of abortion. It was concluded that each country needs its own guidelines, developed with taking into account the social context, and the issue of introducing NIPT into routine practice should be decided by the results of sociological research among large groups of pregnant women and healthcare professionals in the country.

About the Authors

E. E. Zaiaeva
Federal State Budgetary Educational Institution of Further Professional Education Russian Medical Academy of Continuous Professional Education of the Ministry of Healthcare of the Russian Federation
Russian Federation


E. E. Baranova
Federal State Budgetary Educational Institution of Further Professional Education Russian Medical Academy of Continuous Professional Education of the Ministry of Healthcare of the Russian Federation
Russian Federation


L. A. Zhuchenko
Federal State Budgetary Educational Institution of Further Professional Education Russian Medical Academy of Continuous Professional Education of the Ministry of Healthcare of the Russian Federation
Russian Federation


L. Yu. Ivanova
Federal Center of Theoretical and Applied Sociology of the Russian Academy of Sciences
Russian Federation


V. L. Izhevskaya
Federal State Budgetary Institution Research Centre for Medical Genetics
Russian Federation


Review

For citations:


Zaiaeva E.E., Baranova E.E., Zhuchenko L.A., Ivanova L.Yu., Izhevskaya V.L. Pregnant women’s and healthcare professionals’ preferences in decision-making process for prenatal screening: world experience. Medical Genetics. 2019;18(6):3-10. (In Russ.) https://doi.org/10.25557/2073-7998.2019.06.3-10

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ISSN 2073-7998 (Print)