On Being at Higher Risk : A Qualitative study of Prenatal Screening for Chromosomal Anomalies  

Oleh:

Heyman, Bob ; Hundt. Gillian ; Sandall, Jane ; Spencer, Kevin ; Williams, CLare ; Grellier, Rachel ; Pitson, Laura

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Social Science & Medicine (www.elsevier.com/locate/sosscimed) vol. 62 no. 10 (May 2006), page 2360-2372.
Topik: anomalies; chromosomal anomalies; amternity caer; risk communication; risk amnagement; paerntal screening; UK

Ketersediaan

Perpustakaan Pusat (Semanggi) Nomor Panggil: SS53.4 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Isi artikel

This paper explores the meaning of higher risk status to women undergoing prenatal maternal screenng for chromosomal anomalies. Quotations from highly structured interviews and transcripsts of pre screening consultations in suburban London are use to illustrate pregnant women's diverse responses to the offer of the screenings and to entering living with and exiting from higher risk status. Some women reject screening in order to avoid the psychosocial and medical risks associated with higher risk status, or because they rule out prgenancy termination. They may question the risk selection implicity built into the provision of preventative systems for some health problems but not others. Women who screen at higehr risk may challenge this designation by questioning the system specific probability used to separate them from the lower risk population. However some experience distress even when they appreciate the precautionary basis on which their higher risk designation is based. They may find disengagement from higher risk status difficult after a diagnostic test has ruled out chromosomal anomalies. The findings highlight the complexity of communicating risk information to pregnant women and other screened populations, and emphasis the need to support those living with higher risk status and the benefits of keeping the time lived with this status as short as possible.

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