Ahmed, S, Jafri, H, Rashid, Y et al. (3 more authors) (2017) Attitudes towards non-invasive prenatal diagnosis among obstetricians in Pakistan: a developing, Islamic country. Prenatal Diagnosis, 37 (3). pp. 289-295. ISSN 0197-3851
Abstract
Objectives Stakeholders' views are essential for informing implementation strategies for non-invasive prenatal testing (NIPT). Little is known about such views in developing countries. We explored attitudes towards NIPT among obstetricians in Pakistan, a developing, Islamic country. Methods A 35-item questionnaire was distributed and collected at eight events (a national conference and seven workshops in five cities) for obstetric professionals on advances in fetal medicine. Results Responses from 113 obstetrician show positive attitudes towards implementation of NIPT: 95% agreed prevention of genetic conditions was a necessity, and 97% agreed public hospitals should provide prenatal screening tests. However, participants also agreed the availability of NIPT would increase social pressure on women to have prenatal screening tests and to terminate an affected pregnancy (53% and 63%, respectively). Most participants would not offer NIPT for sex determination (55%), although 31% would. The most valued aspects of NIPT were its safety, followed by its utility and then accuracy. Conclusion Participants generally supported the implementation of NIPT but raised concerns about social implications. Therefore, national policy is needed to regulate the implementation of NIPT, and pretest information and post-test genetic counselling are needed to mitigate social pressure and support parents to make informed decisions.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © 2017 John Wiley & Sons, Ltd. This is the peer reviewed version of the following article: "Ahmed, S., Jafri, H., Rashid, Y., Mason, G., Ehsan, Y., and Ahmed, M. (2017) Attitudes towards non-invasive prenatal diagnosis among obstetricians in Pakistan, a developing, Islamic country. Prenat Diagn, 37: 289–295" which has been published in final form at http://doi.org/10.1002/pd.5008. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving. |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Medicine (Leeds) > Leeds Institute of Health Sciences (Leeds) > Academic Unit of Public Health (Leeds) |
Depositing User: | Symplectic Publications |
Date Deposited: | 19 Jan 2017 10:22 |
Last Modified: | 11 Feb 2018 01:38 |
Status: | Published |
Publisher: | Wiley |
Identification Number: | 10.1002/pd.5008 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:110890 |