Thai pregnant women knowledge and attitudes about maternal serum screening for Down’s syndrome

Abstract

Objective To study the knowledge and the attitude about maternal serum screening for
Down’s syndrome in Thai pregnant women.
Study design Cross-sectional descriptive study.
Setting Department of Obstetrics and Gynecology, Faculty of Medicine, Chiang Mai
University.
Subjects 242 pregnant women who were 18 years or older, with a singleton live fetus and
gestational age of 10 through 21 weeks. All of them attended antenatal clinics between
1 January and 30 April 2007.
Methods An experimental maternal serum screening program offered to pregnant women,
together with a series of questionnaires to be completed before and after the counseling.
Main outcome measure Women’s knowledge and understanding of prenatal screening test;
attitude towards screening offer; perceive freedom of choice and satisfaction with information
given.
Results Ninety-seven percent of women accepted the offer of maternal serum screening.
Most of women had previous knowledge of Down’s syndrome, whereas there are limitations
in knowledge of maternal serum screening and diagnostic tests. Almost (80%) of them
considered the information given before screening was clear and sufficient for decision
making. Fifty-three percent of women felt worried to some extent after being given the
information. The majority of women showed a positive attitude towards the offer of maternal
serum screening. Eighty-seven percent of women agree that information on Down’s
syndrome screening should be extended to all pregnant women.
Conclusion Maternal serum screening was well accepted after the counseling, although the
pregnant women had limited understanding. Majority of women were satisfied with this
offering. However effective and clear communication are needed.