Rethinking autonomy in the context of prenatal screening decision-making
Objectives Answering the question: Does the offer of prenatal screening impede women in making autonomous choices? Methods Semi‐structured interviews with 59 women to whom a prenatal screening test was offered and who were in the process of taking a decision. Results Women described the offer as con...
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| Veröffentlicht in: | Prenatal diagnosis 2008-02, Vol.28 (2), p.115-120 |
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| creator | García, Elisa Timmermans, Danielle R. M. van Leeuwen, Evert |
| description | Objectives
Answering the question: Does the offer of prenatal screening impede women in making autonomous choices?
Methods
Semi‐structured interviews with 59 women to whom a prenatal screening test was offered and who were in the process of taking a decision.
Results
Women described the offer as confronting but expressed a positive attitude towards screening and considered the offer as an opportunity for making up their minds about testing. Participants stated that they took decisions freely to follow their individual perspectives. Nevertheless, they preferred to share the responsibility of taking decisions, and its consequences for other family members, with their partner and close persons.
Conclusions
The active offer of an unsolicited prenatal test need not be considered as an impediment for making an autonomous choice. The moral significance of prenatal testing is inseparably bound with the social context in which it is practiced. Influence from other persons and emotional reactions due to the test offer can be interpreted as supportive for making a choice. In clinical practice, testing should be timely offered in order to give women the opportunity of discussing their views with significant others. Caregivers should care for the emotions experienced by women so as to help them decide according to their values. Copyright © 2008 John Wiley & Sons, Ltd. |
| doi_str_mv | 10.1002/pd.1920 |
| format | Article |
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Answering the question: Does the offer of prenatal screening impede women in making autonomous choices?
Methods
Semi‐structured interviews with 59 women to whom a prenatal screening test was offered and who were in the process of taking a decision.
Results
Women described the offer as confronting but expressed a positive attitude towards screening and considered the offer as an opportunity for making up their minds about testing. Participants stated that they took decisions freely to follow their individual perspectives. Nevertheless, they preferred to share the responsibility of taking decisions, and its consequences for other family members, with their partner and close persons.
Conclusions
The active offer of an unsolicited prenatal test need not be considered as an impediment for making an autonomous choice. The moral significance of prenatal testing is inseparably bound with the social context in which it is practiced. Influence from other persons and emotional reactions due to the test offer can be interpreted as supportive for making a choice. In clinical practice, testing should be timely offered in order to give women the opportunity of discussing their views with significant others. Caregivers should care for the emotions experienced by women so as to help them decide according to their values. Copyright © 2008 John Wiley & Sons, Ltd.</description><identifier>ISSN: 0197-3851</identifier><identifier>EISSN: 1097-0223</identifier><identifier>DOI: 10.1002/pd.1920</identifier><identifier>PMID: 18186151</identifier><identifier>CODEN: PRDIDM</identifier><language>eng</language><publisher>Chichester, UK: John Wiley & Sons, Ltd</publisher><subject>Adult ; autonomous choice ; Biological and medical sciences ; Decision Making ; Delivery. Postpartum. Lactation ; emotions ; external constraints ; Family Health ; Female ; Fundamental and applied biological sciences. Psychology ; Genetics of eukaryotes. Biological and molecular evolution ; Gynecology. Andrology. Obstetrics ; Health Knowledge, Attitudes, Practice ; Humans ; internal constraints ; Interpersonal Relations ; Interviews as Topic ; Medical sciences ; Molecular and cellular biology ; Patient Acceptance of Health Care ; Personal Autonomy ; Pregnancy ; Prenatal Diagnosis - psychology ; prenatal screening</subject><ispartof>Prenatal diagnosis, 2008-02, Vol.28 (2), p.115-120</ispartof><rights>Copyright © 2008 John Wiley & Sons, Ltd.</rights><rights>2008 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4490-a726136f4be201c0fbe08721546f253ac7b7473819f831c031bfd38da58522b53</citedby><cites>FETCH-LOGICAL-c4490-a726136f4be201c0fbe08721546f253ac7b7473819f831c031bfd38da58522b53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fpd.1920$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fpd.1920$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=20081467$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18186151$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>García, Elisa</creatorcontrib><creatorcontrib>Timmermans, Danielle R. M.</creatorcontrib><creatorcontrib>van Leeuwen, Evert</creatorcontrib><title>Rethinking autonomy in the context of prenatal screening decision-making</title><title>Prenatal diagnosis</title><addtitle>Prenat. Diagn</addtitle><description>Objectives
Answering the question: Does the offer of prenatal screening impede women in making autonomous choices?
Methods
Semi‐structured interviews with 59 women to whom a prenatal screening test was offered and who were in the process of taking a decision.
Results
Women described the offer as confronting but expressed a positive attitude towards screening and considered the offer as an opportunity for making up their minds about testing. Participants stated that they took decisions freely to follow their individual perspectives. Nevertheless, they preferred to share the responsibility of taking decisions, and its consequences for other family members, with their partner and close persons.
Conclusions
The active offer of an unsolicited prenatal test need not be considered as an impediment for making an autonomous choice. The moral significance of prenatal testing is inseparably bound with the social context in which it is practiced. Influence from other persons and emotional reactions due to the test offer can be interpreted as supportive for making a choice. In clinical practice, testing should be timely offered in order to give women the opportunity of discussing their views with significant others. Caregivers should care for the emotions experienced by women so as to help them decide according to their values. Copyright © 2008 John Wiley & Sons, Ltd.</description><subject>Adult</subject><subject>autonomous choice</subject><subject>Biological and medical sciences</subject><subject>Decision Making</subject><subject>Delivery. Postpartum. Lactation</subject><subject>emotions</subject><subject>external constraints</subject><subject>Family Health</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Genetics of eukaryotes. Biological and molecular evolution</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Humans</subject><subject>internal constraints</subject><subject>Interpersonal Relations</subject><subject>Interviews as Topic</subject><subject>Medical sciences</subject><subject>Molecular and cellular biology</subject><subject>Patient Acceptance of Health Care</subject><subject>Personal Autonomy</subject><subject>Pregnancy</subject><subject>Prenatal Diagnosis - psychology</subject><subject>prenatal screening</subject><issn>0197-3851</issn><issn>1097-0223</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp10Mtq3DAUBmARGpLJhb5B8abNojjR0cWSlyFtM4WQNqFlIBshy1KjxpZdyUMzb18NY5JVVxLo0384P0JvAZ8DxuRibM-hJngPLQDXosSE0DdogSHfqeRwiI5S-p2hJLU4QIcgQVbAYYGW93Z69OHJh1-FXk9DGPpN4UMxPdrCDGGyz1MxuGKMNuhJd0Uy0dqw1a01PvkhlL3e_j5B-053yZ7O5zH6-eXzj6tlefPt-uvV5U1pGKtxqQWpgFaONZZgMNg1FktBgLPKEU61EY1ggkqonaT5nULjWipbzSUnpOH0GH3Y5Y5x-LO2aVK9T8Z2nQ52WCclMKk4q2mGZzto4pBStE6N0fc6bhRgtS1Nja3alpbluzly3fS2fXVzSxm8n4FORncu6pB3f3EEYwmsEtl93Lm_vrOb_81T3z_NY8ud9inX_KJ1fFI5S3C1ur1WlK3wij0s1R39BwBOj3k</recordid><startdate>200802</startdate><enddate>200802</enddate><creator>García, Elisa</creator><creator>Timmermans, Danielle R. M.</creator><creator>van Leeuwen, Evert</creator><general>John Wiley & Sons, Ltd</general><general>Wiley</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200802</creationdate><title>Rethinking autonomy in the context of prenatal screening decision-making</title><author>García, Elisa ; Timmermans, Danielle R. M. ; van Leeuwen, Evert</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4490-a726136f4be201c0fbe08721546f253ac7b7473819f831c031bfd38da58522b53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adult</topic><topic>autonomous choice</topic><topic>Biological and medical sciences</topic><topic>Decision Making</topic><topic>Delivery. Postpartum. Lactation</topic><topic>emotions</topic><topic>external constraints</topic><topic>Family Health</topic><topic>Female</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Genetics of eukaryotes. Biological and molecular evolution</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Health Knowledge, Attitudes, Practice</topic><topic>Humans</topic><topic>internal constraints</topic><topic>Interpersonal Relations</topic><topic>Interviews as Topic</topic><topic>Medical sciences</topic><topic>Molecular and cellular biology</topic><topic>Patient Acceptance of Health Care</topic><topic>Personal Autonomy</topic><topic>Pregnancy</topic><topic>Prenatal Diagnosis - psychology</topic><topic>prenatal screening</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>García, Elisa</creatorcontrib><creatorcontrib>Timmermans, Danielle R. M.</creatorcontrib><creatorcontrib>van Leeuwen, Evert</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Prenatal diagnosis</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>García, Elisa</au><au>Timmermans, Danielle R. M.</au><au>van Leeuwen, Evert</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Rethinking autonomy in the context of prenatal screening decision-making</atitle><jtitle>Prenatal diagnosis</jtitle><addtitle>Prenat. Diagn</addtitle><date>2008-02</date><risdate>2008</risdate><volume>28</volume><issue>2</issue><spage>115</spage><epage>120</epage><pages>115-120</pages><issn>0197-3851</issn><eissn>1097-0223</eissn><coden>PRDIDM</coden><abstract>Objectives
Answering the question: Does the offer of prenatal screening impede women in making autonomous choices?
Methods
Semi‐structured interviews with 59 women to whom a prenatal screening test was offered and who were in the process of taking a decision.
Results
Women described the offer as confronting but expressed a positive attitude towards screening and considered the offer as an opportunity for making up their minds about testing. Participants stated that they took decisions freely to follow their individual perspectives. Nevertheless, they preferred to share the responsibility of taking decisions, and its consequences for other family members, with their partner and close persons.
Conclusions
The active offer of an unsolicited prenatal test need not be considered as an impediment for making an autonomous choice. The moral significance of prenatal testing is inseparably bound with the social context in which it is practiced. Influence from other persons and emotional reactions due to the test offer can be interpreted as supportive for making a choice. In clinical practice, testing should be timely offered in order to give women the opportunity of discussing their views with significant others. Caregivers should care for the emotions experienced by women so as to help them decide according to their values. Copyright © 2008 John Wiley & Sons, Ltd.</abstract><cop>Chichester, UK</cop><pub>John Wiley & Sons, Ltd</pub><pmid>18186151</pmid><doi>10.1002/pd.1920</doi><tpages>6</tpages></addata></record> |
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| subjects | Adult autonomous choice Biological and medical sciences Decision Making Delivery. Postpartum. Lactation emotions external constraints Family Health Female Fundamental and applied biological sciences. Psychology Genetics of eukaryotes. Biological and molecular evolution Gynecology. Andrology. Obstetrics Health Knowledge, Attitudes, Practice Humans internal constraints Interpersonal Relations Interviews as Topic Medical sciences Molecular and cellular biology Patient Acceptance of Health Care Personal Autonomy Pregnancy Prenatal Diagnosis - psychology prenatal screening |
| title | Rethinking autonomy in the context of prenatal screening decision-making |
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