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Reprodüktif Çağdaki Kadınlar Arasında Prenatal Testlerin Kabulü ve Etkileyen Faktörlerin Araştırılması

Yıl 2025, Cilt: 14 Sayı: 2, 485 - 497, 26.06.2025
https://doi.org/10.37989/gumussagbil.1607651

Öz

Prenatal tarama ve tanı testleri, gebelik sırasında konjenital anomalileri ve genetik bozuklukları belirlemede hayati öneme sahiptir. Bu testlerin kabulünü etkileyen faktörlerin anlaşılması, anne ve fetüs sağlığı sonuçlarını iyileştirebilir. Bu çalışma, 18-49 yaş arasındaki kadınların prenatal tarama ve tanı testlerini kabul düzeylerini ve varsayımsal karar verme tutumlarını etkileyen faktörleri incelemiştir.
Kesitsel bir tasarım kullanılarak, Ankara'da bir üniversite hastanesinde ve aile sağlığı merkezlerinde en az bir kez hamile kalmış 1.266 kadından veri toplanmıştır. Katılımcılara, gelecekte hamile kalmaları durumunda bu testleri varsayımsal olarak kabul edip etmeyecekleri sorulmuştur. Veriler SPSS 20.0 yazılımı ile analiz edilmiştir.
Sonuçlar, katılımcıların %53,1’inin yalnızca girişimsel olmayan testleri kabul edeceğini, %37,5’inin ise girişimsel testleri de kabul edeceğini göstermiştir. Testleri reddetmenin başlıca nedenleri, olumsuz sonuçlara ilişkin endişeler (%59,2), gebeliğin sonlandırılmasını düşünmeme isteği (%23,8) ve testlerden kaynaklanan kaygı (%17,3) olarak belirlenmiştir. Çok değişkenli lojistik regresyon analizleri, test kabulünün yüksek eğitim seviyesi, gelir düzeyi ve alınan bilginin kapsamı ile anlamlı şekilde ilişkili olduğunu ortaya koymuştur. Ayrıca, sağlık çalışanları tarafından bilgilendirilen kadınların girişimsel testleri kabul etme oranlarının anlamlı derecede yüksek olduğu görülmüştür.
Bu bulgular, prenatal testler hakkında farkındalığı artırmak ve bu testlere ilişkin kaygıları azaltmak için kapsamlı danışmanlık ve hedefe yönelik sağlık eğitiminin önemini vurgulamaktadır. Sağlık okuryazarlığını geliştirmek ve bilinçli karar verme süreçlerini teşvik etmek, kadınların bu kritik sağlık hizmetlerini daha iyi anlamalarına yardımcı olabilir. Bulgular ayrıca, prenatal bakıma yönelik tutumları etkileyen kültürel ve sosyal faktörlere odaklanan uyarlanmış iletişim stratejilerinin önemini vurgulayarak prenatal sağlık hizmetlerini güçlendirmeyi amaçlamaktadır.

Proje Numarası

-

Kaynakça

  • 1. Narapureddy BR, Zahrani Y, Alqahtani HEM, Mugaiahgari BKM, Reddy LKV, Mohammed Asif S, et al. "Examining the prevalence of congenital anomalies in newborns: A cross-sectional study at a tertiary care maternity hospital in Saudi Arabia". Children. 2024;11(2):188.https://doi.org/10.3390/children11020188.
  • 2. World Health Organization. Congenital Disorders. 2023. [cited 2024 August 07]. Available from: https://www.who.int/news-room/fact-sheets/detail/birth-defects/.
  • 3. Van den Veyver IB. "Recent advances in prenatal genetic screening and testing". F1000Res. 2016;5:2591 https://doi.org/10.12688/f1000research.9215.1.
  • 4. KURT E. "Prenatal tanıda genetik danışmanlık sürecine etik bir bakış". Turkiye Klinikleri Journal of Medical Ethics-Law and History. 2013;21(3):136-40.
  • 5. Koçak DY, Kızılkaya Beji N, Büyükkayacı Duman N. "Prenatal tanı yöntemlerinde etik yaklaşım". Hemşirelik Akademik Araştırma Dergisi. 2015;1(2):86-90.
  • 6. Ergün P, Köken GN, Coşar E, Şahin FK, Arıöz DT, Yılmazer M. "Gebelerin üçlü tarama testi ve gebelikte yapılan diğer testler hakkındaki bilgi düzeyinin ölçülmesi". TAF Preventive Medicine Bulletin. 2011;10(4):403-8.
  • 7. Di Mattei V, Ferrari F, Perego G, Tobia V, Mauro F, Candiani M. "Decision-making factors in prenatal testing: A systematic review". Health psychology open. 2021;8(1):2055102920987455.https://doi.org/10.1177/2055102920987455.
  • 8. ACOG Practice Bulletin No. 77: Screening for Fetal Chromosomal Abnormalities. Obstetrics & Gynecology. 2007;109(1):217-28.
  • 9. NICE. Antenatal care. 2021. [cited 2024 August 19]. Available from: https://www.nice.org.uk/guidance/ng201.
  • 10. T.C. Sağlık Bakanlığı. Halk Sağlığı Genel Müdürlüğü KvÜSDB. Doğum Öncesi Bakım Yönetim Rehberi. Ankara2018.
  • 11. Tzela P, Antsaklis P, Kanellopoulos D, Antonakopoulos N, Gourounti K. "Factors influencing the decision-making process for undergoing invasive prenatal testing". Cureus. 2024;16(4).https://doi.org/10.7759/cureus.58803.
  • 12. Chan YM, Leung TY, Chan OKC, Cheng YKY, Sahota DS. "Patient's choice between a non-invasive prenatal test and invasive prenatal diagnosis based on test accuracy". Fetal Diagnosis and Therapy. 2013;35(3):193-8.https://doi.org/10.1159/000356075.
  • 13. Skutilova V. "Knowledge, attitudes and decision-making in Czech women with atypical results of prenatal screening tests for the most common chromosomal and morphological congenital defects in the fetus: selected questionnaire results". Biomedical Papers of the Medical Faculty of Palacky University in Olomouc. 2015;159(1)
  • 14. Lund ICB, Becher N, Petersen OB, Hill M, Chitty L, Vogel I. "Preferences for prenatal testing among pregnant women, partners and health professionals". Dan Med J. 2018;65:1-6.
  • 15. Belahcen A, Taloubi M, Chala S, Thimou Izgua A, Mdaghri Alaoui A. "Mother's awareness and attitudes towards prenatal screening for Down syndrome in Muslim Moroccans". Prenatal Diagnosis. 2014;34(9):821-30.https://doi.org/10.1002/pd.4373.
  • 16. Pop-Tudose ME, Popescu-Spineni D, Armean P, Pop IV. "Attitude, knowledge and informed choice towards prenatal screening for Down Syndrome: a cross-sectional study". BMC Pregnancy and Childbirth. 2018;18:1-8.https://doi.org/10.1186/s12884-018-2077-6.
  • 17. Pala E, Yiğitbaş K, Alın MA, Demirkol M, Olcar EG, Cesur FB, et al. "Gebelerde prenatal tanı testlerinin ve sonuçlarının farkındalığı: Gaziantep’te yapılan kesitsel bir çalışma". Van Sağlık Bilimleri Dergisi. 2021;14(1):1-6.https://doi.org/10.52976/vansaglik.728371.
  • 18. Dondorp W, De Wert G, Bombard Y, Bianchi DW, Bergmann C, Borry P, et al. "Non-invasive prenatal testing for aneuploidy and beyond: challenges of responsible innovation in prenatal screening". European Journal of Human Genetics. 2015;23(11):1438-50.https://doi.org/10.1038/ejhg.2015.57.
  • 19. Crombag NM, Bensing JM, Iedema-Kuiper R, Schielen PC, Visser GH. "Determinants affecting pregnant women’s utilization of prenatal screening for Down syndrome: a review of the literature". The Journal of Maternal-Fetal & Neonatal Medicine. 2013;26(17):1676-81.https://doi.org/10.3109/14767058.2013.798289.
  • 20. Vahanian SA, Baraa Allaf M, Yeh C, Chavez MR, Kinzler WL, Vintzileos AM. "Patient acceptance of non-invasive testing for fetal aneuploidy via cell-free fetal DNA". The Journal of Maternal-Fetal & Neonatal Medicine. 2014;27(1):106-9.https://doi.org/10.3109/14767058.2013.806477.
  • 21. Willruth A, Vieten J, Berg C, Gembruch U, Geipel A. "Decision making and attitudes towards invasive prenatal diagnosis in the early second trimester". Ultraschall in der Medizin-European Journal of Ultrasound. 2010;31(05):515-9.https://doi.org/10.1055/s-0028-1109897.
  • 22. Çoban D, Yılmaz S. "Prenatal tarama testleri için başvuran gebelerde risk algısı". Anatolian Journal of Health Research. 2024;5(1):87-92.https://doi.org/10.61534/anatoljhr.1447291.
  • 23. Seven M, Akyüz A, Eroglu K, Daack‐Hirsch S, Skirton H. "Women's knowledge and use of prenatal screening tests". Journal of Clinical Nursing. 2017;26(13-14):1869-77.https://doi.org/10.1111/jocn.13494.
  • 24. Karahan S, Karademir D, Ağadayı E. "Knowledge Levels, Attitudes, And Behaviors Of Pregnants About Prenatal Screening Tests: A Sectional Study". Cumhuriyet Medical Journal. 2023;45(3):21-7.https://doi.org/10.7197/cmj.1344696.
  • 25. Uğurlu M, Beydağ KD. "Bir Aile Sağlığı Merkezine Başvuran Gebelerin Gebelikte Yapılan Prenatal Tarama Testlerine İlişkin Görüş ve Tutumlarının İncelenmesi". Güncel Hemşirelik Araştırmaları Dergisi. 2022;2(2):84-94.
  • 26. Shantha N, Granger K, Arora P, Polson D. "Women's choice for Down's screening—A comparative experience in three district general hospitals". European Journal of Obstetrics & Gynecology and Reproductive Biology. 2009;146(1):61-4.https://doi.org/10.1016/j.ejogrb.2009.05.009.
  • 27. Schoonen M, Wildschut H, Essink-Bot M-L, Peters I, Steegers E, de Koning H. "The provision of information and informed decision-making on prenatal screening for Down syndrome: a questionnaire-and register-based survey in a non-selected population". Patient education and counseling. 2012;87(3):351-9.https://doi.org/10.1016/j.pec.2011.10.001.
  • 28. T.C. Sağlık Bakanlığı. Halk Sağlığı Genel Müdürlüğü KvÜSDB. Gebe Bilgilendirme Sınıfı Eğitim Kitabı. Ankara: Sağlık Bakanlığı Yayınları; 2014. 39-40 p.
  • 29. Dolanbay M, Kutuk MS, Terzioglu A, Ozgun MT, Subasioglu A. "Factors influencing the acceptance of prenatal testing by pregnant women". Kuwait Medical Journal. 2020;52(2):138-42.
  • 30. Gitsels-van der Wal JT, Verhoeven PS, Manniën J, Martin L, Reinders HS, Spelten E, et al. "Factors affecting the uptake of prenatal screening tests for congenital anomalies; a multicentre prospective cohort study". BMC pregnancy and childbirth. 2014;14:1-12.https://doi.org/10.1186/1471-2393-14-264.
  • 31. Dicke JM, Van Duyne L, Bradshaw R. "The utilization and choices of aneuploidy screening in a midwestern population". Journal of Genetic Counseling. 2014;23(5):874-80.https://doi.org/10.1007/s10897-014-9711-x.
  • 32. Sahin E, İnciser Paşalak Ş, Seven M. "Consanguineous marriage and its effect on reproductive behavior and uptake of prenatal screening". Journal of Genetic Counseling. 2020;29(5):849-56.https://doi.org/10.1002/jgc4.1214.
  • 33. Sharma SK, Kalam MA, Ghosh S, Roy S. "Prevalence and determinants of consanguineous marriage and its types in India: Evidence from the National Family Health Survey, 2015–2016". Journal of Biosocial Science. 2021;53(4):566-76.https://doi.org/10.1017/S0021932020000383.
  • 34. Beulen L, Grutters JP, Faas BH, Feenstra I, Groenewoud H, van Vugt JM, et al. "Women's and healthcare professionals' preferences for prenatal testing: a discrete choice experiment". Prenatal diagnosis. 2015;35(6):549-57.https://doi.org/10.1002/pd.4571.
  • 35. Sher C, Romano‐Zelekha O, Green MS, Shohat T. "Factors affecting performance of prenatal genetic testing by Israeli Jewish women". American Journal of Medical Genetics Part A. 2003;120(3):418-22.https://doi.org/10.1002/ajmg.a.20047.
  • 36. Seror V, Ville Y. "Prenatal screening for Down syndrome: women's involvement in decision‐making and their attitudes to screening". Prenatal Diagnosis: Published in Affiliation With the International Society for Prenatal Diagnosis. 2009;29(2):120-8.https://doi.org/10.1002/pd.2183.
  • 37. Usta IM, Nassar AH, Abu‐Musa AA, Hannoun A. "Effect of religion on the attitude of primiparous women toward genetic testing". Prenatal Diagnosis: Published in Affiliation With the International Society for Prenatal Diagnosis. 2010;30(3):241-6.https://doi.org/10.1002/pd.2447.
  • 38. Morgan T, Tan CD, Della-Torre M, Jackson-Bey T, DiGiovanni L, Enakpene CA. "Determinant of Prenatal Diagnostic Testing among Women with Increased Risk of Fetal Aneuploidy and Genetic Disorders". American journal of perinatology. 2021;41(4):470-7.https://doi.org/10.1055/a-1692-0309

Exploring Acceptance and Influencing Factors of Prenatal Tests Among Women of Reproductive Age

Yıl 2025, Cilt: 14 Sayı: 2, 485 - 497, 26.06.2025
https://doi.org/10.37989/gumussagbil.1607651

Öz

Prenatal screening and diagnostic tests are essential for identifying congenital anomalies and genetic disorders during pregnancy. Understanding the factors influencing acceptance of these tests can improve maternal and fetal health outcomes. This study examined the acceptance of prenatal screening and diagnostic tests among women aged 18–49 and the factors influencing their hypothetical decision-making attitudes.
Using a cross-sectional design, data were collected from 1,266 women who had been pregnant at least once in a university hospital and family health centers in Ankara, Türkiye. Participants were asked whether they would hypothetically accept these tests in a future pregnancy. SPSS 20.0 software was used for data analysis.
Results showed that 53.1% of participants would accept only non-invasive tests, while 37.5% would also accept invasive tests. The primary reasons for rejecting the tests were concerns about adverse outcomes (59.2%), unwillingness to consider pregnancy termination (23.8%), and test-related anxiety (17.3%). Multivariate logistic regression revealed significant associations between test acceptance and higher educational level, income, and the extent of information received. Women informed by healthcare professionals demonstrated significantly higher acceptance rates for invasive tests.
The findings emphasize the importance of comprehensive counseling and targeted health education to enhance awareness and reduce anxiety surrounding prenatal tests. Improving health literacy and promoting informed decision-making can help women navigate these critical healthcare choices. These insights also underscore the role of tailored communication strategies in addressing cultural and social factors influencing attitudes toward prenatal care, ultimately aiming to strengthen prenatal healthcare services.

Proje Numarası

-

Kaynakça

  • 1. Narapureddy BR, Zahrani Y, Alqahtani HEM, Mugaiahgari BKM, Reddy LKV, Mohammed Asif S, et al. "Examining the prevalence of congenital anomalies in newborns: A cross-sectional study at a tertiary care maternity hospital in Saudi Arabia". Children. 2024;11(2):188.https://doi.org/10.3390/children11020188.
  • 2. World Health Organization. Congenital Disorders. 2023. [cited 2024 August 07]. Available from: https://www.who.int/news-room/fact-sheets/detail/birth-defects/.
  • 3. Van den Veyver IB. "Recent advances in prenatal genetic screening and testing". F1000Res. 2016;5:2591 https://doi.org/10.12688/f1000research.9215.1.
  • 4. KURT E. "Prenatal tanıda genetik danışmanlık sürecine etik bir bakış". Turkiye Klinikleri Journal of Medical Ethics-Law and History. 2013;21(3):136-40.
  • 5. Koçak DY, Kızılkaya Beji N, Büyükkayacı Duman N. "Prenatal tanı yöntemlerinde etik yaklaşım". Hemşirelik Akademik Araştırma Dergisi. 2015;1(2):86-90.
  • 6. Ergün P, Köken GN, Coşar E, Şahin FK, Arıöz DT, Yılmazer M. "Gebelerin üçlü tarama testi ve gebelikte yapılan diğer testler hakkındaki bilgi düzeyinin ölçülmesi". TAF Preventive Medicine Bulletin. 2011;10(4):403-8.
  • 7. Di Mattei V, Ferrari F, Perego G, Tobia V, Mauro F, Candiani M. "Decision-making factors in prenatal testing: A systematic review". Health psychology open. 2021;8(1):2055102920987455.https://doi.org/10.1177/2055102920987455.
  • 8. ACOG Practice Bulletin No. 77: Screening for Fetal Chromosomal Abnormalities. Obstetrics & Gynecology. 2007;109(1):217-28.
  • 9. NICE. Antenatal care. 2021. [cited 2024 August 19]. Available from: https://www.nice.org.uk/guidance/ng201.
  • 10. T.C. Sağlık Bakanlığı. Halk Sağlığı Genel Müdürlüğü KvÜSDB. Doğum Öncesi Bakım Yönetim Rehberi. Ankara2018.
  • 11. Tzela P, Antsaklis P, Kanellopoulos D, Antonakopoulos N, Gourounti K. "Factors influencing the decision-making process for undergoing invasive prenatal testing". Cureus. 2024;16(4).https://doi.org/10.7759/cureus.58803.
  • 12. Chan YM, Leung TY, Chan OKC, Cheng YKY, Sahota DS. "Patient's choice between a non-invasive prenatal test and invasive prenatal diagnosis based on test accuracy". Fetal Diagnosis and Therapy. 2013;35(3):193-8.https://doi.org/10.1159/000356075.
  • 13. Skutilova V. "Knowledge, attitudes and decision-making in Czech women with atypical results of prenatal screening tests for the most common chromosomal and morphological congenital defects in the fetus: selected questionnaire results". Biomedical Papers of the Medical Faculty of Palacky University in Olomouc. 2015;159(1)
  • 14. Lund ICB, Becher N, Petersen OB, Hill M, Chitty L, Vogel I. "Preferences for prenatal testing among pregnant women, partners and health professionals". Dan Med J. 2018;65:1-6.
  • 15. Belahcen A, Taloubi M, Chala S, Thimou Izgua A, Mdaghri Alaoui A. "Mother's awareness and attitudes towards prenatal screening for Down syndrome in Muslim Moroccans". Prenatal Diagnosis. 2014;34(9):821-30.https://doi.org/10.1002/pd.4373.
  • 16. Pop-Tudose ME, Popescu-Spineni D, Armean P, Pop IV. "Attitude, knowledge and informed choice towards prenatal screening for Down Syndrome: a cross-sectional study". BMC Pregnancy and Childbirth. 2018;18:1-8.https://doi.org/10.1186/s12884-018-2077-6.
  • 17. Pala E, Yiğitbaş K, Alın MA, Demirkol M, Olcar EG, Cesur FB, et al. "Gebelerde prenatal tanı testlerinin ve sonuçlarının farkındalığı: Gaziantep’te yapılan kesitsel bir çalışma". Van Sağlık Bilimleri Dergisi. 2021;14(1):1-6.https://doi.org/10.52976/vansaglik.728371.
  • 18. Dondorp W, De Wert G, Bombard Y, Bianchi DW, Bergmann C, Borry P, et al. "Non-invasive prenatal testing for aneuploidy and beyond: challenges of responsible innovation in prenatal screening". European Journal of Human Genetics. 2015;23(11):1438-50.https://doi.org/10.1038/ejhg.2015.57.
  • 19. Crombag NM, Bensing JM, Iedema-Kuiper R, Schielen PC, Visser GH. "Determinants affecting pregnant women’s utilization of prenatal screening for Down syndrome: a review of the literature". The Journal of Maternal-Fetal & Neonatal Medicine. 2013;26(17):1676-81.https://doi.org/10.3109/14767058.2013.798289.
  • 20. Vahanian SA, Baraa Allaf M, Yeh C, Chavez MR, Kinzler WL, Vintzileos AM. "Patient acceptance of non-invasive testing for fetal aneuploidy via cell-free fetal DNA". The Journal of Maternal-Fetal & Neonatal Medicine. 2014;27(1):106-9.https://doi.org/10.3109/14767058.2013.806477.
  • 21. Willruth A, Vieten J, Berg C, Gembruch U, Geipel A. "Decision making and attitudes towards invasive prenatal diagnosis in the early second trimester". Ultraschall in der Medizin-European Journal of Ultrasound. 2010;31(05):515-9.https://doi.org/10.1055/s-0028-1109897.
  • 22. Çoban D, Yılmaz S. "Prenatal tarama testleri için başvuran gebelerde risk algısı". Anatolian Journal of Health Research. 2024;5(1):87-92.https://doi.org/10.61534/anatoljhr.1447291.
  • 23. Seven M, Akyüz A, Eroglu K, Daack‐Hirsch S, Skirton H. "Women's knowledge and use of prenatal screening tests". Journal of Clinical Nursing. 2017;26(13-14):1869-77.https://doi.org/10.1111/jocn.13494.
  • 24. Karahan S, Karademir D, Ağadayı E. "Knowledge Levels, Attitudes, And Behaviors Of Pregnants About Prenatal Screening Tests: A Sectional Study". Cumhuriyet Medical Journal. 2023;45(3):21-7.https://doi.org/10.7197/cmj.1344696.
  • 25. Uğurlu M, Beydağ KD. "Bir Aile Sağlığı Merkezine Başvuran Gebelerin Gebelikte Yapılan Prenatal Tarama Testlerine İlişkin Görüş ve Tutumlarının İncelenmesi". Güncel Hemşirelik Araştırmaları Dergisi. 2022;2(2):84-94.
  • 26. Shantha N, Granger K, Arora P, Polson D. "Women's choice for Down's screening—A comparative experience in three district general hospitals". European Journal of Obstetrics & Gynecology and Reproductive Biology. 2009;146(1):61-4.https://doi.org/10.1016/j.ejogrb.2009.05.009.
  • 27. Schoonen M, Wildschut H, Essink-Bot M-L, Peters I, Steegers E, de Koning H. "The provision of information and informed decision-making on prenatal screening for Down syndrome: a questionnaire-and register-based survey in a non-selected population". Patient education and counseling. 2012;87(3):351-9.https://doi.org/10.1016/j.pec.2011.10.001.
  • 28. T.C. Sağlık Bakanlığı. Halk Sağlığı Genel Müdürlüğü KvÜSDB. Gebe Bilgilendirme Sınıfı Eğitim Kitabı. Ankara: Sağlık Bakanlığı Yayınları; 2014. 39-40 p.
  • 29. Dolanbay M, Kutuk MS, Terzioglu A, Ozgun MT, Subasioglu A. "Factors influencing the acceptance of prenatal testing by pregnant women". Kuwait Medical Journal. 2020;52(2):138-42.
  • 30. Gitsels-van der Wal JT, Verhoeven PS, Manniën J, Martin L, Reinders HS, Spelten E, et al. "Factors affecting the uptake of prenatal screening tests for congenital anomalies; a multicentre prospective cohort study". BMC pregnancy and childbirth. 2014;14:1-12.https://doi.org/10.1186/1471-2393-14-264.
  • 31. Dicke JM, Van Duyne L, Bradshaw R. "The utilization and choices of aneuploidy screening in a midwestern population". Journal of Genetic Counseling. 2014;23(5):874-80.https://doi.org/10.1007/s10897-014-9711-x.
  • 32. Sahin E, İnciser Paşalak Ş, Seven M. "Consanguineous marriage and its effect on reproductive behavior and uptake of prenatal screening". Journal of Genetic Counseling. 2020;29(5):849-56.https://doi.org/10.1002/jgc4.1214.
  • 33. Sharma SK, Kalam MA, Ghosh S, Roy S. "Prevalence and determinants of consanguineous marriage and its types in India: Evidence from the National Family Health Survey, 2015–2016". Journal of Biosocial Science. 2021;53(4):566-76.https://doi.org/10.1017/S0021932020000383.
  • 34. Beulen L, Grutters JP, Faas BH, Feenstra I, Groenewoud H, van Vugt JM, et al. "Women's and healthcare professionals' preferences for prenatal testing: a discrete choice experiment". Prenatal diagnosis. 2015;35(6):549-57.https://doi.org/10.1002/pd.4571.
  • 35. Sher C, Romano‐Zelekha O, Green MS, Shohat T. "Factors affecting performance of prenatal genetic testing by Israeli Jewish women". American Journal of Medical Genetics Part A. 2003;120(3):418-22.https://doi.org/10.1002/ajmg.a.20047.
  • 36. Seror V, Ville Y. "Prenatal screening for Down syndrome: women's involvement in decision‐making and their attitudes to screening". Prenatal Diagnosis: Published in Affiliation With the International Society for Prenatal Diagnosis. 2009;29(2):120-8.https://doi.org/10.1002/pd.2183.
  • 37. Usta IM, Nassar AH, Abu‐Musa AA, Hannoun A. "Effect of religion on the attitude of primiparous women toward genetic testing". Prenatal Diagnosis: Published in Affiliation With the International Society for Prenatal Diagnosis. 2010;30(3):241-6.https://doi.org/10.1002/pd.2447.
  • 38. Morgan T, Tan CD, Della-Torre M, Jackson-Bey T, DiGiovanni L, Enakpene CA. "Determinant of Prenatal Diagnostic Testing among Women with Increased Risk of Fetal Aneuploidy and Genetic Disorders". American journal of perinatology. 2021;41(4):470-7.https://doi.org/10.1055/a-1692-0309
Toplam 38 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Bebek ve Çocuk Sağlığı, Kadın Hastalıkları ve Doğum, Toplum Çocuk Sağlığı
Bölüm Makaleler
Yazarlar

Cansu Özbaş 0000-0001-7349-8063

Rabia Aygür 0009-0008-9348-9488

Seçil Özkan 0000-0003-1572-8777

Sefer Aycan 0000-0003-4140-3431

Proje Numarası -
Yayımlanma Tarihi 26 Haziran 2025
Gönderilme Tarihi 26 Aralık 2024
Kabul Tarihi 23 Mayıs 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 14 Sayı: 2

Kaynak Göster

APA Özbaş, C., Aygür, R., Özkan, S., Aycan, S. (2025). Exploring Acceptance and Influencing Factors of Prenatal Tests Among Women of Reproductive Age. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 14(2), 485-497. https://doi.org/10.37989/gumussagbil.1607651
AMA Özbaş C, Aygür R, Özkan S, Aycan S. Exploring Acceptance and Influencing Factors of Prenatal Tests Among Women of Reproductive Age. Gümüşhane Sağlık Bilimleri Dergisi. Haziran 2025;14(2):485-497. doi:10.37989/gumussagbil.1607651
Chicago Özbaş, Cansu, Rabia Aygür, Seçil Özkan, ve Sefer Aycan. “Exploring Acceptance and Influencing Factors of Prenatal Tests Among Women of Reproductive Age”. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi 14, sy. 2 (Haziran 2025): 485-97. https://doi.org/10.37989/gumussagbil.1607651.
EndNote Özbaş C, Aygür R, Özkan S, Aycan S (01 Haziran 2025) Exploring Acceptance and Influencing Factors of Prenatal Tests Among Women of Reproductive Age. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi 14 2 485–497.
IEEE C. Özbaş, R. Aygür, S. Özkan, ve S. Aycan, “Exploring Acceptance and Influencing Factors of Prenatal Tests Among Women of Reproductive Age”, Gümüşhane Sağlık Bilimleri Dergisi, c. 14, sy. 2, ss. 485–497, 2025, doi: 10.37989/gumussagbil.1607651.
ISNAD Özbaş, Cansu vd. “Exploring Acceptance and Influencing Factors of Prenatal Tests Among Women of Reproductive Age”. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi 14/2 (Haziran 2025), 485-497. https://doi.org/10.37989/gumussagbil.1607651.
JAMA Özbaş C, Aygür R, Özkan S, Aycan S. Exploring Acceptance and Influencing Factors of Prenatal Tests Among Women of Reproductive Age. Gümüşhane Sağlık Bilimleri Dergisi. 2025;14:485–497.
MLA Özbaş, Cansu vd. “Exploring Acceptance and Influencing Factors of Prenatal Tests Among Women of Reproductive Age”. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, c. 14, sy. 2, 2025, ss. 485-97, doi:10.37989/gumussagbil.1607651.
Vancouver Özbaş C, Aygür R, Özkan S, Aycan S. Exploring Acceptance and Influencing Factors of Prenatal Tests Among Women of Reproductive Age. Gümüşhane Sağlık Bilimleri Dergisi. 2025;14(2):485-97.