We evaluated demographic factors and factors specific to the current pregnancy, and their relationship to the decision to continue or terminate a pregnancy after prenatal diagnosis of Down syndrome. All cases of Down syndrome (DS) managed at a tertiary care center from 1989-1997 were retrospectively
Parental decisions to terminate/continue following abnormal cytogenetic prenatal diagnosis: “What” is still more important than “when”
✍ Scribed by Evans, Mark I.; Sobiecki, Michelle A.; Krivchenia, Eric L.; Duquette, Debra A.; Drugan, Arie; Hume, Roderick F.; Johnson, Mark P.
- Publisher
- John Wiley and Sons
- Year
- 1996
- Tongue
- English
- Weight
- 16 KB
- Volume
- 61
- Category
- Article
- ISSN
- 0148-7299
- DOI
- 10.1002/(sici)1096-8628(19960202)61:4<353::aid-ajmg9>3.0.co;2-v
No coin nor oath required. For personal study only.
✦ Synopsis
This study was undertaken to determine if parental decisions to continue or terminate following the diagnosis of a cytogenetic abnormality have changed over the past 8 years at the same center. Parental decisions in 310 prenatal chromosomal abnormalities were stratified by procedure (chorionic vil- lus sampling [CVS] vs. amniocentesis) and the severity of the anomaly (severe vs mildmoderate). Patients with severe anomalies were much more likely to terminate regardless of gestational age. There was a trend (P = .107) toward a lower rate of termination for mild-moderate degrees in the second trimester. There was no change in patient's decisions over time. Patients' decisions about termination are focused on the severity of the disorder and only marginally influenced by when in gestation the decision is made. @ 1996 Wiley-Liss, Inc.
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