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Prenatal counseling for congenital anomaly tests: parental preferences and perceptions of midwife performance
Author(s) -
Martin L.,
Van Dulmen S.,
Spelten E.,
De Jonge A.,
De Cock P.,
Hutton E.
Publication year - 2013
Publication title -
prenatal diagnosis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.956
H-Index - 97
eISSN - 1097-0223
pISSN - 0197-3851
DOI - 10.1002/pd.4074
Subject(s) - perception , anomaly (physics) , medicine , genetic counseling , psychology , obstetrics , family medicine , pediatrics , genetics , biology , physics , neuroscience , condensed matter physics
Objective Evidence‐based instruments to evaluate the preferences and experiences of future parents regarding prenatal counseling for congenital anomaly tests are currently lacking. We developed the quality of care through clients' eyes prenatal questionnaire (QUOTE prenatal ), a client‐centered instrument, and assessed its components. Furthermore, the QUOTE prenatal was used to provide insight into (1) clients' previsit preferences and (2) clients' postvisit experience, that is, perceived care provider performance regarding the counseling they received. Method In the questionnaire survey, a principal component analysis was used to gain insight into the underlying components of the questionnaire. Regression analysis was performed to examine differences between groups. Results In 17 Dutch midwifery practices, 941 pregnant women and their partners (response rate 79%) completed the 59‐item QUOTE prenatal previsit and postvisit, measuring preferences and perceived performances, respectively. A principal component analysis revealed three counseling components: client–midwife relation, health education and decision‐making support . Reponses showed that, previsit, most clients consider the client–midwife relationship and health education to be (very) important. One third of the clients consider decision‐making support to be (very) important. Nulliparae had higher preferences for health education and decision‐making support than multiparae. Conclusion Clients perceive that their midwives perform well in building the client–midwife relationship and in giving health education. Improvement is needed in decision‐making support. © 2013 John Wiley & Sons, Ltd.