Parental expectations of raising a child with disability in decision-making for prenatal testing and termination of pregnancy: A mixed methods study
| Autor: | Daljit Singh Sahota, Olivia Miu Yung Ngan, Olivia Yiu Man Chan, Shenaz Ahmed, Louise D. Bryant, Huso Yi |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Parents Multivariate analysis Decision Making Developmental psychology 03 medical and health sciences 0302 clinical medicine Pregnancy Prenatal Diagnosis Surveys and Questionnaires medicine Humans 030212 general & internal medicine Child with disability Genetic testing Motivation Parenting medicine.diagnostic_test Reproductive autonomy 030503 health policy & services Abortion Induced General Medicine medicine.disease Raising (linguistics) Disabled Children Child Preschool Female Thematic analysis 0305 other medical science Psychology |
| Zdroj: | Patient Education and Counseling. 103:2373-2383 |
| ISSN: | 0738-3991 |
| Popis: | Objective To examine attitudes toward prenatal testing and termination of pregnancy (TOP) among parents and obstetric providers in relation to their views on raising a child with disability. Methods An explanatory sequential mixed methods study. A survey among 274 parents and 141 providers was followed by interviews with 26 parents and 10 providers. Using multivariate analysis, the relationships between attitudes were examined. Thematic analysis was used to identify the reasons behind the attitudes. Results In comparison with providers, parents reported more positive attitudes toward raising a child with disability and more moral views about TOP. Providers reported more variations in attitudes toward offering prenatal testing and TOP. Significant associations were found between attitudes toward prenatal testing, raising a child with disability, reproductive autonomy, and TOP. Three major themes were identified: (1) meanings of parenthood from genetic tests; (2) views toward TOP and parental responsibility; and (3) implications of advanced extended prenatal genetic testing. Conclusions Perceived social–cultural norms of disabilities and parental expectations of raising a child with disability influence decision-making regarding TOP. Practice Implications As more conditions of the fetus are able to be detected, the social–cultural implications of the technology and disabilities need to be addressed in antenatal care. |
| Databáze: | OpenAIRE |
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