Healthcare Professionals Attitude And Knowledgeon Double Test And Pregnancy Termination For Down Syndrome Hekimlerin İkili Test Hakkında Bilgi Düzeyi, Düşünceleri ve Down Sendromunda Terminasyon

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ABTRACT
Aim: This study aimed to evaluate the knowledge levels of physicians, who are not Gynecology & Obstetrics specialist or residents, on the 1st trimester screening
test for prenatal screening and their opinions about the double test and continuation-termination of a pregnancy, a patient or their wife, with a definite Down syndrome
diagnosis.
Material And Methods: A “measure of informed choice” survey was applied to physicians who are not Gynecology & Obstetrics specialist or residents. This survey was
developed by Marteau et al.; to evaluate the level of knowledge of the participants on the first trimester screening test and their opinions on the test. Their decision on
termination, any pregnancy or their wives’ pregnancy, of the pregnancy in the presence of a Down syndrome diagnosis was assessed. Level of knowledge, opinions
on the test and the decision on termination of the pregnancy were assessed.
Results: 100 physicians attended the survey and all of them completed the questionnaire. Of the 100 physicians in the study; 45% were female, 55% were male and
average age was 35±4.5 (27-50 years). While 81% of the participants had sufficient knowledge on the test, 19% had insufficient knowledge. 60% of the physicians had
negative and 40% of the physicians had positive attitude on conducting double test. 37% of the physicians indicated that they would want to continue the pregnancy
even if the Down syndrome diagnosis was definite, 18% indicated that they would finalize the pregnancy, 45% said that they weren’t sure of what their decision would be.
Conclusion: We found in this study that; 81% of the participants had sufficient knowledge on the double test, 60% of the physicians had negative attitude on conducting
double test and 37% of the physicians indicated that they would want to continue the pregnancy even if the Down syndrome diagnosis was definite.
Key Words: Healthcare providers’ opinions, double test, Down syndrome, termination
ÖZET
Amaç: Prenatal tarama amacıyla yapılan birinci trimester tarama testi hakkında Kadın Doğum Uzmanı veya asistanı olmayan hekimlerin bilgi düzeylerinin ve ikili test
hakkındaki düşüncelerinin değerlendirmesi, Prenatal Down Sendromu tanısı kesinleşen çiftlerin gebeliklerinde terminasyon ve gebeliğin devamı kararlarının araştırılması
hedeflendi.
Gereç ve Yöntemler: Kadın doğum uzmanı veya asistanı olmayan hekimlere “bilinçli seçim” anketi uygulandı. Bu anket Marteau ve arkadaşlarının geliştirdiği, katılanların
ilk trimester tarama testi hakkında bilgi düzeyini ve test hakkındaki düşüncelerini değerlendiren bir ankettir. Down Sendromu tanısının kesinleşmesi durumunda
çiftlerin gebeliklerinin sonlandırılması yada devamı kararı soruldu. Bilgi düzeyi, test hakkındaki düşünceler ve gebeliğin sonlandırılması kararı incelendi. SPSS tanımlayıcı
istatistik yöntemi kullanıldı.

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