geoscience.net logo
+ Resolve Article
+ Follow Us
Follow on FacebookFollow on Facebook
Follow on TwitterFollow on Twitter

+ Translate
+ Subscribe to Site Feed
GeoScience Most Shared ContentMost Shared Content

Exploring general practitioners' experience of informing women about prenatal screening tests for foetal abnormalities: a qualitative focus group study


, : Exploring general practitioners' experience of informing women about prenatal screening tests for foetal abnormalities: a qualitative focus group study. Bmc Health Services Research 8(): 114-114

Recent developments have made screening tests for foetal abnormalities available earlier in pregnancy and women have a range of testing options accessible to them. It is now recommended that all women, regardless of their age, are provided with information on prenatal screening tests. General Practitioners (GPs) are often the first health professionals a woman consults in pregnancy. As such, GPs are well positioned to inform women of the increasing range of prenatal screening tests available. The aim of this study was to explore GPs experience of informing women of prenatal genetic screening tests for foetal abnormality. A qualitative study consisting of four focus groups was conducted in metropolitan and rural Victoria, Australia. A discussion guide was used and the audio-taped transcripts were independently coded by two researchers using thematic analysis. Multiple coders and analysts and informant feedback were employed to reduce the potential for researcher bias and increase the validity of the findings. Six themes were identified and classified as 'intrinsic' if they occurred within the context of the consultation or 'extrinsic' if they consisted of elements that impacted on the GP beyond the scope of the consultation. The three intrinsic themes were the way GPs explained the limitations of screening, the extent to which GPs provided information selectively and the time pressures at play. The three extrinsic factors were GPs' attitudes and values towards screening, the conflict they experienced in offering screening information and the sense of powerlessness within the screening test process and the health care system generally. Extrinsic themes reveal GPs' attitudes and values to screening and to disability, as well as raising questions about the fundamental premise of testing. The increasing availability and utilisation of screening tests, in particular first trimester tests, has expanded GPs' role in facilitating women's informed decision-making. Recognition of the importance of providing this complex information warrants longer consultations to respond to the time pressures that GPs experience. Understanding the intrinsic and extrinsic factors that impact on GPs may serve to shape educational resources to be more appropriate, relevant and supportive.

US$19.90

PMID: 18507850

DOI: 10.1186/1472-6963-8-114


Other references

Iinuma, I.; Omi, E.; Kawaguchi, M.; Kawanami, T., 1969: Color sensation in protans and deutans. Nippon Ganka Gakkai Zasshi 73(10): 2178-2185

Hu, K.; Gaudron, P.; Anders, H.J.achim; Ertl, G., 1992: ACE-inhibitor treatment early after large myocardial infarction improves cardiac function and remodeling in rats. Journal of Molecular & Cellular Cardiology 24(SUPPL 5): S46

Bazhina T.A., 1988: New discovery of radiolarians in Paleogene sections of West Siberia, Tomsk region. Pages 121-125 1988

Surdacki, A.; Stochmal, E.; Szurkowska, M.; Bode-Böger, S.M.; Martens-Lobenhoffer, J.; Stochmal, A.; Klecha, A.; Kawecka-Jaszcz, K.; Dubiel, J.S.; Huszno, B.; Szybiński, Z., 2006: Nontraditional atherosclerotic risk factors and extent of coronary atherosclerosis in patients with combined impaired fasting glucose and impaired glucose tolerance. Partially inconsistent data exist on mutual relations between nontraditional atherosclerotic risk factors, including the magnitude of insulin resistance (IR), as well as on their relevance for atherogenesis in the metabolic syndrome. Subjects exhi...

Stroganova, L.A.; Kriukova, N.A., 1963: On The Technic Of Determining Thiamine In The Blood During Antibiotic Therapy. Laboratornoe Delo 60: 15-17

Beerheide, W.; von Mach, M.A.; Ringel, M.; Fleckenstein, C.; Schumann, S.; Renzing, N.; Hildebrandt, A.; Brenner, W.; Jensen, O.; Gebhard, S.; Reifenberg, K.; Bender, J.; Oesch, F.; Hengstler, J.G., 2002: Downregulation of beta2-microglobulin in human cord blood somatic stem cells after transplantation into livers of SCID-mice: an escape mechanism of stem cells?. Adherently growing, non-hematopoietic somatic stem cells isolated from human cord blood were stained with the fluorescent dye PKH26 and transplanted into livers of SCID-mice to examine a possible cell fate transition. Already 7 days after transpla...

Saito, H.; Tatebayashi, K., 2004: Regulation of the osmoregulatory HOG MAPK cascade in yeast. The budding yeast Saccharomyces cerevisiae has at least five signal pathways containing a MAP kinase (MAPK) cascade. The high osmolarity glycerol (HOG) MAPK pathway is essential for yeast survival in high osmolarity environment. This mini-review s...

Adams, M.; Jewell, A.Paul., 2007: The use of Complementary and Alternative Medicine by cancer patients. The use of Complementary and Alternative Medicine (CAM) among cancer patients is widespread and appears to be increasing. However, it is not clear whether patients use CAM as an 'alternative' to standard oncology care or as an adjunct to...

Hurrell, H.G., 1952: Third report on mammals. Report Devonshire Association for the Advancement of Science, 84: 302-305

Napier, E.L.; Goe, W.R.; Pugh, A.R., 1985: Incidence and predictive factors associated with farm accidents in Ohio. This bulletin, the sixth in a safety study series, presents information regarding farm accidents in Ohio. Descriptive data concerning the nature and extent of farm related accidents in Ohio for the period 1980-82 is outlined, and past efforts are...