Evidence map›Paper›PMID 35484937›Full record

ArticlePrenatal diagnosis2022

Postpartum women's attitudes to disclosure of adult-onset conditions in pregnancy.

Vitalia Libman, Michal Macarov, Yechiel Friedlander, Sidra Goldman-Mellor, Salomon Israel, Drorith Hochner-Celnikier, Yishai Sompolinsky, Uri Pinchas Dior, Michael Osovsky, Lina Basel-Salmon and 6 more

Abstract read
In one paragraph

Article in Prenatal diagnosis, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Vitalia LibmanBraun School of Public Health, Hebrew University of Jerusalem, Jerusalem, Israel.
Michal MacarovDepartment of Genetics, Hadassah Medical Center, Jerusalem, Israel.
Yechiel FriedlanderBraun School of Public Health, Hebrew University of Jerusalem, Jerusalem, Israel.
Sidra Goldman-MellorDepartment of Public Health, University of California Merced, Merced, California, USA.
Salomon IsraelPsychology Department, Hebrew University of Jerusalem, Jerusalem, Israel.
Drorith Hochner-CelnikierDepartment of Obstetrics and Gynecology, Hadassah Medical Organization and Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.
Yishai SompolinskyDepartment of Obstetrics and Gynecology, Hadassah Medical Organization and Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.
Uri Pinchas DiorDepartment of Obstetrics and Gynecology, Hadassah Medical Organization and Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.
Michael OsovskyDepartment of Neonatology, Rabin Medical Center, Beilinson Hospital, Petah Tikava, Israel.
Lina Basel-SalmonThe Raphael Recanati Genetics Institute, Tel Aviv, Israel.
Arnon WiznitzerSackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
Yehuda NeumarkBraun School of Public Health, Hebrew University of Jerusalem, Jerusalem, Israel.
Vardiella MeinerDepartment of Genetics, Hadassah Medical Center, Jerusalem, Israel.
Ayala FrumkinDepartment of Genetics, Hadassah Medical Center, Jerusalem, Israel.
Shiri Shkedi-RafidDepartment of Genetics, Hadassah Medical Center, Jerusalem, Israel.
Hagit HochnerBraun School of Public Health, Hebrew University of Jerusalem, Jerusalem, Israel.ORCID 0000-0002-8853-2276

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAdvanced prenatal genomic technologies can identify risks for adult-onset (AO) conditions in the fetus, challenging the traditional purpose of prenatal testing. Professional guidelines commonly support disclosure of high-penetrance AO actionable conditions, yet attitudes of women/parents to these findings and factors affecting their attitudes are understudied.

methodsWe explored 941 (77% response rate) postpartum women's attitudes towards receiving prenatal genetic information, and associations of sociodemographic, medical and psychological characteristics with their choices, focusing on AO conditions.

resultsWomen largely support the disclosure of actionable AO findings (58.4%), in line with professional guidelines. A third of the women also supported the disclosure of non-actionable AO conditions. Stronger religious observance (p < 0.001) and higher psychological distress (p = 0.024) were associated with decreased interest in receiving actionable AO conditions, whereas higher concern for fetal health yielded increased interest (p = 0.032). Attitudes towards disclosure were strongly associated with women's perceived benefit of such information for their own, partner's, and future child's health. Termination of pregnancy based on such information received very little support.

conclusionIn-light of the demonstrated understanding of nuanced genetic information and the observed diversity in attitudes, a culturally competent opt-in/out policy could be considered. If full-disclosure is practiced, support should be provided to those expressing higher levels of distress.

Indexed as

DisclosureHealth Knowledge, Attitudes, PracticeAdultFemaleHumansParentsPostpartum PeriodPregnancyPrenatal Care

Identifiers

PMID35484937
PMCPMC9539988

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.