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Interpretations of Informed Choice in Antenatal Screening among Pregnant Women-A Q Methodology Study
Shared Decision Making
Introduction Prenatal screening technologies have recently been advanced, therefore, women now have many more options. However, the decisions made on the screening and diagnosis has generated a significant impact, not only on women themselves, but also on their families. Informed choice has been recognized as an important component of the quality healthcare, and it is vital for improving the quality of the maternal care. The objective of this study is to explore the different viewpoints regarding an informed choice in the antenatal screening, and the decision making experiences among pregnant women. Methods The study was conducted at a regional hospital in Taipei, Taiwan. We conducted a Q-method with 100 pregnant women who had no antenatal screening with less than 24 weeks of gestation. Results The Q-Factor analysis produced four statistically independent viewpoints on the value of the informed choice: choice advised by the health professionals; choice as a family collective decision; choice as a self-confident decision; and choice as a decision shared by the women’s family. Conclusions and Recommendations Many women value the advice of the health professionals and would like to make their own decision with their partner. There is diversity in women’s viewpoints when attached to an informed choice in the antenatal screening. Some of these viewpoints contradict the informed choice which is interpreted by individualism. Apart from providing information, women can be supported to make an informed choice by empowerment interventions towards communication, and to make the correct decisions for themselves.
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