scholarly journals A survey on awareness of genetic counseling for non-invasive prenatal testing: the first year experience in Japan

2016 ◽  
Vol 61 (12) ◽  
pp. 995-1001 ◽  
Author(s):  
Junko Yotsumoto ◽  
◽  
Akihiko Sekizawa ◽  
Nobuhiro Suzumori ◽  
Takahiro Yamada ◽  
...  
Keyword(s):  
Genetic Counseling ◽  
Prenatal Testing ◽  
First Year Experience ◽  
First Year ◽  
Non Invasive

scholarly journals Non-invasive respiratory unit in the Hungarian health care system

2012 ◽  
Vol 153 (23) ◽  
pp. 918-921 ◽  
Author(s):  
András Lorx ◽  
Dóra Bartusek ◽  
György Losonczy ◽  
János Gál
Keyword(s):  
Health Care ◽  
Intensive Care ◽  
Hospital Stay ◽  
Respiratory Insufficiency ◽  
First Year Experience ◽  
First Year ◽  
Non Invasive ◽  
High Dependency ◽  
Chronic Respiratory Insufficiency ◽  
General Wards

Treating patients with acute or chronic respiratory insufficiency still poses a major load on the healthcare system. Though there is evidence that treating these patients in high dependency respiratory units results in a shortening of hospital stay, reduces the need of intubation, and decreases mortality. In the Hungarian routine these patients are treated in general wards until the development of global respiratory insufficiency, when they are transferred to intensive care units. The authors present their first year experience on their novel Non-invasive Respiratory Unit established at Semmelweis University. Orv. Hetil., 2012, 153, 918–921.

Current status of non-invasive prenatal testing (NIPT): genetic counseling, dominant methods and overall performance

2016 ◽  
Vol 40 (5) ◽  
Author(s):  
Thomas Harasim ◽  
Imma Rost ◽  
Hanns-Georg Klein
Keyword(s):  
Genetic Counseling ◽  
Paradigm Shift ◽  
Sex Chromosome ◽  
Prenatal Testing ◽  
Diagnostic Procedures ◽  
Trisomy 13 ◽  
Current Status ◽  
Non Invasive ◽  
Overall Performance ◽  
Aneuploidy Testing

Abstract:The introduction of non-invasive prenatal testing (NIPT) into prenatal care represents a paradigm shift. With the absence of any intervention risk in contrast to invasive diagnostic procedures, NIPT has been widely adopted for the detection of fetal trisomy 13, 18 and 21. Additionally, fetal sex chromosome aneuploidy testing and sex determination are available, but can be compromised by both, medical and legal factors. Available validation studies were predominantly based on patients with a high

scholarly journals Qualitative investigation of the factors that generate ambivalent feelings in women who give birth after receiving negative results from non-invasive prenatal testing

2020 ◽  
Author(s):  
Junko Yotsumoto ◽  
Akihiko Sekizawa ◽  
Satomi Inoue ◽  
Nobuhiro Suzumori ◽  
Osamu Samura ◽  
...  
Keyword(s):  
Genetic Counseling ◽  
Pregnant Women ◽  
Qualitative Data ◽  
Prenatal Testing ◽  
Qualitative Investigation ◽  
Anticipatory Anxiety ◽  
Related Factors ◽  
Non Invasive ◽  
Negative Results

Abstract Background: Women who receive negative results from non-invasive prenatal genetic testing (NIPT) may find that they later have mixed or ambivalent feelings, for example, feelings of accepting NIPT and regretting undergoing the test. This study aimed to investigate the factors generating ambivalent feelings among women who gave birth after having received negative results from NIPT. Methods: A questionnaire was sent to women who received a negative NIPT result, and a contents analysis was conducted focusing on ambivalent expressions for those 1562 women who responded the questionnaire. The qualitative data gathered from the questionnaire were analyzed using the N-Vivo software package. Results: Environmental factors, genetic counseling-related factors, and increased anticipatory anxiety, affected the feeling of ambivalence among pregnant women. Furthermore, pregnant women desired more information regarding the detailed prognosis for individuals with Down syndrome and living with them and/or termination, assuming the possibility that they were positive. Conclusions: Three major interrelated factors affected the feeling of ambivalence in women. High-lighting and discussing such factors during genetic counseling may resolve some of these ambivalences, thereby enhancing the quality of decisions made by pregnant women.

scholarly journals Factors generating ambivalent feelings in women who gave birth after receiving a negative result on non-invasive prenatal testing: A qualitative study

2019 ◽  
Author(s):  
Junko Yotsumoto ◽  
Akihiko Sekizawa ◽  
Satomi Inoue ◽  
Nobuhiro Suzumori ◽  
Osamu Samura ◽  
...  
Keyword(s):  
Genetic Counseling ◽  
Pregnant Women ◽  
Qualitative Data ◽  
Prenatal Testing ◽  
Anticipatory Anxiety ◽  
Prenatal Genetic Testing ◽  
Related Factors ◽  
Non Invasive ◽  
Negative Results

Abstract Background: Some women with negative results on non-invasive prenatal genetic testing (NIPT) may have ambivalent feelings later. This study aimed to investigate the factors generating ambivalent feel-ings among women who gave birth after having received negative results on NIPT. Methods: A questionnaire was sent to women who received a negative NIPT result, and a contents analysis was conducted for those 1562 women who responded to the open-ended question. The con-tents of these qualitative data were analyzed using the N-Vivo software package. Results: Environmental factors, genetic counseling-related factors, and increased anticipatory anxiety affected the feeling of ambivalence among pregnant women. Furthermore, pregnant women desired more information regarding the detailed prognosis for individuals with Down syndrome and living with them and/or abortion, assuming the possibility that they were positive. Conclusions: Three major interrelated factors affected the feeling of ambivalence in women. High-lighting and discussing such factors during genetic counseling may resolve some of these ambivalences, thereby enhancing the quality of decisions made by pregnant women.

scholarly journals Postpartum questionnaire survey of women who tested negative in a non-invasive prenatal testing: examining negative emotions towards the test

2020 ◽  
Author(s):  
Tatsuko Hirose ◽  
Nahoko Shirato ◽  
Mikiko Izumi ◽  
Keiko Miyagami ◽  
Akihiko Sekizawa
Keyword(s):  
Genetic Counseling ◽  
Negative Emotion ◽  
Negative Emotions ◽  
Prenatal Testing ◽  
Anxiety And Depression ◽  
Control Group ◽  
Psychosocial Status ◽  
Non Invasive ◽  
Fetal Aneuploidy ◽  
One Year

AbstractNon-invasive prenatal testing (NIPT) is used worldwide to screen for fetal aneuploidy. Although previous studies on the psychosocial aspects of NIPT have focused on satisfaction regarding the test, we surveyed women who experienced negative emotions after receiving NIPT. From January 2018 to March 2019, we surveyed pregnant women whose NIPT results were negative, one year after the test. Of the 526 respondents, 35 (6.7%) regretted receiving NIPT and blamed themselves for taking it. We assigned this 6.7% of respondents to the negative emotion group. Although, 76.5% of the participants in the negative emotion group reported they would like to take NIPT for their next pregnancy, it was significantly lower as compared to the control group (92%). Furthermore, 31.9% of respondents in the control group reported that they would recommend similar tests to their relatives and friends. Conversely, in the negative emotion group, this proportion was lower at 17.1%. This suggests that guilt over testing may be meaningful. Thus, this study showed that some NIPT examinees regretted taking the test and blamed themselves. Respondents reported experiencing stress, anxiety, and depression even before NIPT affirming that it is important to address pregnant women’s psychosocial status during pre-test genetic counseling.

scholarly journals The Knowledge, Attitude, Practices, and Satisfaction of Non-Invasive Prenatal Testing among Chinese Pregnant Women under Different Payment Schemes: A Comparative Study

2020 ◽  
Vol 17 (19) ◽  
pp. 7187
Author(s):  
Wenjun Zhu ◽  
XiaoXiao Ling ◽  
Wenru Shang ◽  
Jiayan Huang
Keyword(s):  
Genetic Counseling ◽  
Pregnant Women ◽  
Insurance Coverage ◽  
Prenatal Testing ◽  
Chi Square ◽  
Aneuploidy Screening ◽  
Logistic Regression Models ◽  
Non Invasive ◽  
Payment Schemes ◽  
Chi Square Test

Non-invasive prenatal testing (NIPT) for aneuploidy screening has been widely applied across China, and costs can affect Chinese pregnant women’s choices. This study aims to assess the knowledge, attitude, practices (KAP) and satisfaction regarding NIPT among pregnant women in China, and to further explore the relationship between payment schemes and women’s acceptability of and satisfaction with NIPT. A questionnaire survey was performed in Shenzhen and Zhengzhou, China, which separately applied “insurance coverage” and “out-of-pocket” payment scheme for NIPT. The major differences between the two cities were compared using chi-square test, Wilcoxon rank sum test, and propensity score matched analysis. Logistic regression models were applied to explore predictors for women’s acceptability and satisfaction. Compared with Zhengzhou participants, a higher proportion of Shenzhen women had heard of NIPT (87.30% vs. 64.03%), were willing to receive NIPT (91.80% vs. 80.43%) and had taken NIPT (83.12% vs. 54.54%), while their satisfaction level was lower. Having NIPT-related knowledge was associated with higher acceptability, and receiving genetic counseling helped to improve satisfaction. Besides, women with higher annual household incomes were more likely to take and be satisfied with NIPT. In conclusion, more attention should be paid to health education, subsidies for NIPT, and genetic counseling.

scholarly journals Qualitative investigation of the factors that generate ambivalent feelings in women who give birth after receiving negative results from non-invasive prenatal testing

2019 ◽  
Author(s):  
Junko Yotsumoto ◽  
Akihiko Sekizawa ◽  
Satomi Inoue ◽  
Nobuhiro Suzumori ◽  
Osamu Samura ◽  
...  
Keyword(s):  
Genetic Counseling ◽  
Pregnant Women ◽  
Qualitative Data ◽  
Prenatal Testing ◽  
Qualitative Investigation ◽  
Anticipatory Anxiety ◽  
Related Factors ◽  
Non Invasive ◽  
Negative Results

Abstract Background: Women who receive negative results from non-invasive prenatal genetic testing (NIPT) may find that they later have mixed or ambivalent feelings, for example, feelings of accepting NIPT and regretting undergoing the test. This study aimed to investigate the factors generating ambivalent feelings among women who gave birth after having received negative results from NIPT. Methods: A questionnaire was sent to women who received a negative NIPT result, and a contents analysis was conducted focusing on ambivalent expressions for those 1562 women who responded the questionnaire. The qualitative data gathered from the questionnaire were analyzed using the N-Vivo software package. Results: Environmental factors, genetic counseling-related factors, and increased anticipatory anxiety, affected the feeling of ambivalence among pregnant women. Furthermore, pregnant women desired more information regarding the detailed prognosis for individuals with Down syndrome and living with them and/or termination, assuming the possibility that they were positive. Conclusions: Three major interrelated factors affected the feeling of ambivalence in women. Highlighting and discussing such factors during genetic counseling may resolve some of these ambivalences, thereby enhancing the quality of decisions made by pregnant women.

scholarly journals Qualitative investigation of the factors that generate ambivalent feelings in women who give birth after receiving negative results from non-invasive prenatal testing

2020 ◽  
Author(s):  
Junko Yotsumoto ◽  
Akihiko Sekizawa ◽  
Satomi Inoue ◽  
Nobuhiro Suzumori ◽  
Osamu Samura ◽  
...  
Keyword(s):  
Genetic Counseling ◽  
Pregnant Women ◽  
Qualitative Data ◽  
Prenatal Testing ◽  
Qualitative Investigation ◽  
Anticipatory Anxiety ◽  
Related Factors ◽  
Non Invasive ◽  
Negative Results

Abstract Background: Women who receive negative results from non-invasive prenatal genetic testing (NIPT) may find that they later have mixed or ambivalent feelings, for example, feelings of accepting NIPT and regretting undergoing the test. This study aimed to investigate the factors generating ambivalent feelings among women who gave birth after having received negative results from NIPT.Methods: A questionnaire was sent to women who received a negative NIPT result, and a contents analysis was conducted focusing on ambivalent expressions for those 1562 women who responded the questionnaire. The qualitative data gathered from the questionnaire were analyzed using the N-Vivo software package.Results: Environmental factors, genetic counseling-related factors, and increased anticipatory anxiety, affected the feeling of ambivalence among pregnant women. Furthermore, pregnant women desired more information regarding the detailed prognosis for individuals with Down syndrome and living with them and/or termination, assuming the possibility that they were positive.Conclusions: Three major interrelated factors affected the feeling of ambivalence in women. Highlighting and discussing such factors during genetic counseling may resolve some of these ambivalences, thereby enhancing the quality of decisions made by pregnant women.

scholarly journals Ambivalence among women who gave birth after receiving a negative result on non-invasive prenatal testing: a qualitative study

2019 ◽  
Author(s):  
Junko Yotsumoto ◽  
Akihiko Sekizawa ◽  
Satomi Inoue ◽  
Nobuhiro Suzumori ◽  
Osamu Samura ◽  
...  
Keyword(s):  
Genetic Counseling ◽  
Pregnant Women ◽  
Qualitative Data ◽  
Prenatal Testing ◽  
Anticipatory Anxiety ◽  
Related Factors ◽  
Factors Affecting ◽  
Non Invasive ◽  
Negative Results

Abstract Background This study aimed to investigate the factors affecting ambivalent feelings among women who gave birth after having received negative results on non-invasive prenatal genetic testing (NIPT). Methods A questionnaire was sent to women who received a negative NIPT result, and a contents analysis was conducted for those 1562 women who responded to the open-ended question. The contents of these qualitative data were analyzed using the N-Vivo software package. Results Environmental factors, genetic counseling-related factors, and increased anticipatory anxiety affected the feeling of ambivalence among pregnant women. Furthermore, pregnant women desired more information regarding the detailed prognosis for individuals with Down syndrome and living with them and/or abortion, assuming the possibility that they were positive. Conclusions Three major interrelated factors affected the feeling of ambivalence in women.　Highlighting and discussing such factors during the genetic counseling may resolve some of these ambivalences, thereby enhancing the quality of decisions made by pregnant women.

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