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‘Small cost to pay for peace of mind’: Women's experiences with non‐invasive prenatal testing

BACKGROUND: Non‐invasive prenatal testing (NIPT) has been available in Australia on a user‐pays basis since 2012. Since its introduction, it has grown in popularity as a screening method for fetal aneuploidy and may become publicly funded. AIMS: To assess the motivations and experiences of women who...

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Autores principales: Bowman‐Smart, Hilary, Savulescu, Julian, Mand, Cara, Gyngell, Christopher, Pertile, Mark D., Lewis, Sharon, Delatycki, Martin B.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6850570/
https://www.ncbi.nlm.nih.gov/pubmed/30724335
http://dx.doi.org/10.1111/ajo.12945
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author Bowman‐Smart, Hilary
Savulescu, Julian
Mand, Cara
Gyngell, Christopher
Pertile, Mark D.
Lewis, Sharon
Delatycki, Martin B.
author_facet Bowman‐Smart, Hilary
Savulescu, Julian
Mand, Cara
Gyngell, Christopher
Pertile, Mark D.
Lewis, Sharon
Delatycki, Martin B.
author_sort Bowman‐Smart, Hilary
collection PubMed
description BACKGROUND: Non‐invasive prenatal testing (NIPT) has been available in Australia on a user‐pays basis since 2012. Since its introduction, it has grown in popularity as a screening method for fetal aneuploidy and may become publicly funded. AIMS: To assess the motivations and experiences of women who have undergone NIPT in a user‐pays system in Australia. MATERIALS AND METHODS: One thousand women who had undergone NIPT through the Victorian Clinical Genetics Services in Melbourne, Australia were contacted and asked to complete a mixed‐methods survey. The number of eligible responses received was 235. Quantitative data analysis was performed in STATA IC 15.1, and qualitative data were examined using content analysis. RESULTS: Women reported generally positive experiences with NIPT and 95% of respondents indicated they would undergo NIPT in a future pregnancy. Most respondents received a low‐risk result, with 2.2% receiving a high‐risk result. Respondents viewed NIPT favourably compared to invasive testing and cited reassurance as a key reason they sought it. However, a small minority of women reported negative experiences with the testing process. Women were also supportive of NIPT becoming publicly funded, with 93% of respondents indicating support. Pre‐ and post‐test counselling were identified as possible areas for improvement to ensure informed consent. CONCLUSION: In support of the existing literature, these results indicate that Australian women generally report positive experiences with NIPT. As NIPT becomes more common, with possible integration into public healthcare, further qualitative research would be valuable to examine the motivations and experiences of women undergoing NIPT.
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spelling pubmed-68505702019-11-18 ‘Small cost to pay for peace of mind’: Women's experiences with non‐invasive prenatal testing Bowman‐Smart, Hilary Savulescu, Julian Mand, Cara Gyngell, Christopher Pertile, Mark D. Lewis, Sharon Delatycki, Martin B. Aust N Z J Obstet Gynaecol Original Articles BACKGROUND: Non‐invasive prenatal testing (NIPT) has been available in Australia on a user‐pays basis since 2012. Since its introduction, it has grown in popularity as a screening method for fetal aneuploidy and may become publicly funded. AIMS: To assess the motivations and experiences of women who have undergone NIPT in a user‐pays system in Australia. MATERIALS AND METHODS: One thousand women who had undergone NIPT through the Victorian Clinical Genetics Services in Melbourne, Australia were contacted and asked to complete a mixed‐methods survey. The number of eligible responses received was 235. Quantitative data analysis was performed in STATA IC 15.1, and qualitative data were examined using content analysis. RESULTS: Women reported generally positive experiences with NIPT and 95% of respondents indicated they would undergo NIPT in a future pregnancy. Most respondents received a low‐risk result, with 2.2% receiving a high‐risk result. Respondents viewed NIPT favourably compared to invasive testing and cited reassurance as a key reason they sought it. However, a small minority of women reported negative experiences with the testing process. Women were also supportive of NIPT becoming publicly funded, with 93% of respondents indicating support. Pre‐ and post‐test counselling were identified as possible areas for improvement to ensure informed consent. CONCLUSION: In support of the existing literature, these results indicate that Australian women generally report positive experiences with NIPT. As NIPT becomes more common, with possible integration into public healthcare, further qualitative research would be valuable to examine the motivations and experiences of women undergoing NIPT. John Wiley and Sons Inc. 2019-02-06 2019-10 /pmc/articles/PMC6850570/ /pubmed/30724335 http://dx.doi.org/10.1111/ajo.12945 Text en © 2019 The Authors. Australian and New Zealand Journal of Obstetrics and Gynaecology published by John Wiley & Sons Australia, Ltd on behalf of Royal Australian and New Zealand College of Obstetricians and Gynaecologists This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Articles
Bowman‐Smart, Hilary
Savulescu, Julian
Mand, Cara
Gyngell, Christopher
Pertile, Mark D.
Lewis, Sharon
Delatycki, Martin B.
‘Small cost to pay for peace of mind’: Women's experiences with non‐invasive prenatal testing
title ‘Small cost to pay for peace of mind’: Women's experiences with non‐invasive prenatal testing
title_full ‘Small cost to pay for peace of mind’: Women's experiences with non‐invasive prenatal testing
title_fullStr ‘Small cost to pay for peace of mind’: Women's experiences with non‐invasive prenatal testing
title_full_unstemmed ‘Small cost to pay for peace of mind’: Women's experiences with non‐invasive prenatal testing
title_short ‘Small cost to pay for peace of mind’: Women's experiences with non‐invasive prenatal testing
title_sort ‘small cost to pay for peace of mind’: women's experiences with non‐invasive prenatal testing
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6850570/
https://www.ncbi.nlm.nih.gov/pubmed/30724335
http://dx.doi.org/10.1111/ajo.12945
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