Decrease in acceptance of genetic amniocentesis after alteration of social conditions toward pregnancy termination

doi:10.5468/kjog.2010.53.12.1085

Journal List > Korean J Obstet Gynecol > v.53(12) > 1006371


Korean J Obstet Gynecol. 2010 Dec;53(12):1085-1091. Korean. Published online December 21, 2010. https://doi.org/10.5468/kjog.2010.53.12.1085
Copyright © 2010 Korean Society of Obstetrics and Gynecology


Decrease in acceptance of genetic amniocentesis after alteration of social conditions toward pregnancy termination
Byoung Jae Kim, M.D., Kyu Ri Hwang, M.D., Taek Sang Lee, M.D., Hye Won Jeon, M.D. and Kwang Bum Bai, M.D.
Department of Obstetrics and Gynecology, Seoul Metropolitan Government Seoul National University Boramae Medical Center, Seoul, Korea.
Corresponding author (Email: bjkimmd7@snu.ac.kr )

Received October 21, 2010; Revised November 16, 2010; Accepted November 17, 2010.

Abstract
Objective To investigate the effect of alteration of social conditions towards pregnancy termination on the acceptance of genetic amniocentesis. Methods Retrospective review of medical records was conducted for women (<20 weeks' gestation, singleton pregnancy) who visited our outpatient department between February 1, 2009 and August 31, 2010. Acceptance of genetic amniocentesis was compared between two groups of women: one from February 1, 2009 to November 30, 2009 (2009 group) and the other from December 1, 2009 to August 31, 2010 (2010 group) after strict regulation of pregnancy termination. The acceptance rate of those who were referred to our center for genetic amniocentesis in same time period was also evaluated. Results Overall, 19 of 101 (19%) women in the 2009 group and 10 of 93 (11%) in the 2010 group, opted for invasive diagnostic methods (P=0.16). Women > 35 years in the 2010 group (5/30, 17%) were less likely to accept genetic amniocentesis than 2009 group (15/30, 50%; P=0.01). Similar results were observed in those who were indicated for genetic amniocentesis. (9/35, 26% vs 19/34, 56%; P=0.02). Acceptance rate of genetic amniocentesis was increased for those who were referred from private clinic, but without statistical significance (15/21, 71% vs 13/14, 93%; P=0.20). Conclusion After strict regulation of pregnancy termination, acceptance rate of genetic amniocentesis was significantly decreased among women who had increased risk for chromosomal abnormalities or neural tube defect at our center. Whereas, there were no significant change in acceptance rate for those who were referred for amniocentesis from private clinic.


Keywords: Amniocentesis; Prenatal diagnosis; Therapeutic abortion

Figures


	Fig. 1 Schematic diagram of patient decisions
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	Fig. 2 Frequency of amniocentesis according to study period. Frequency of amniocentesis among pregnant women who had screening or confirmatory tests at our center between Feb 1, 2009 and Nov 30, 2009 (2009) was compared with that of those who had tests between Dec 1, 2009 and Aug 31, 2010 (2010).
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	Fig. 3 Acceptance of amniocentesis according to study period and whether she was referred or not. Acceptance of amniocentesis was compared among 4 groups, which were pregnant women who had increased risk of chromosomal abnormalities or neural tube defect at our center between Feb 1, 2009 and Nov 30, 2009 (2009), those who were referred from private clinic in the same period (referred 2009), those who had increased risk at our center between Dec 1, 2009 and Aug 31, 2010 (2010) and those who were referred for further studies (referred 2010).
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	Fig. 4 Schematic diagram of patient decisions in referred cases.
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Tables


	Table 1 Demographic characteristics of study population
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