Knowledge, attitudes, and decision making towards prenatal testing among antenatal clinic attendees in Lagos University Teaching Hospital: an institution-based cross-sectional study

<p><b>Introduction:</b> in Africa, genetic diseases and congenital anomalies remain a significant source of morbidity and mortality. Existing data suggests a gap in the use of prenatal tests among pregnant women to better inform decision making. We examined relationships of socio-d...

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Main Authors: Ogamba, CF, Babah, OA, Roberts, AA, Nwanaji-Enwerem, JC, Nwanaji-Enwerem, P, Ikwuegbuenyi, CA, Ologunja, OJ
Format: Journal article
Language:English
Published: Pan African Medical Journal 2021
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author Ogamba, CF
Babah, OA
Roberts, AA
Nwanaji-Enwerem, JC
Nwanaji-Enwerem, P
Ikwuegbuenyi, CA
Ologunja, OJ
author_facet Ogamba, CF
Babah, OA
Roberts, AA
Nwanaji-Enwerem, JC
Nwanaji-Enwerem, P
Ikwuegbuenyi, CA
Ologunja, OJ
author_sort Ogamba, CF
collection OXFORD
description <p><b>Introduction:</b> in Africa, genetic diseases and congenital anomalies remain a significant source of morbidity and mortality. Existing data suggests a gap in the use of prenatal tests among pregnant women to better inform decision making. We examined relationships of socio-demographic factors with willingness to terminate affected pregnancies, and the use of, knowledge of, and attitudes towards prenatal screening/diagnostic tests.</p> <p><b>Methods:</b> this was a cross-sectional descriptive study of pregnant women who attended antenatal clinics at the Lagos University Teaching Hospital (N = 422) selected by convenience sampling. Responses were obtained with assisted self-administered structured questionnaires.</p> <p><b>Results:</b> mean ± S.D. age of the respondents was 32.5 ± 5.3 years. The majority of the participants (92.2%) had at least a secondary education. Ultrasound scans in the second trimester were the most frequently used test (39.1%). Only 77 (18.2%) of the respondents indicated willingness to terminate affected pregnancies. The majority of the respondents had fair knowledge and good attitude scores. Knowledge and attitude scores were significantly correlated (r = 0.25, p < 0.001). Compared to married women, being single was associated with a 2.62-point lower knowledge score (95% CI: -4.63, -0.62, p = 0.01). Compared to women who responded “no” when asked if they were willing to terminate an affected pregnancy, women who responded “maybe” had a 0.81-point lower attitude score (95% CI: -1.45, -0.17, p = 0.01).</p> <p><b>Conclusion:</b> our results suggest important socio-demographic differences in women´s knowledge/behaviours towards prenatal diagnostic tests. Further research is needed to explore these relationships and broader pregnancy-related ethical beliefs among pregnant women in Lagos.</p>
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spelling oxford-uuid:2d936fba-ff8c-46ae-8ff6-0abd9eec50282024-01-16T15:55:40ZKnowledge, attitudes, and decision making towards prenatal testing among antenatal clinic attendees in Lagos University Teaching Hospital: an institution-based cross-sectional studyJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:2d936fba-ff8c-46ae-8ff6-0abd9eec5028EnglishSymplectic ElementsPan African Medical Journal2021Ogamba, CFBabah, OARoberts, AANwanaji-Enwerem, JCNwanaji-Enwerem, PIkwuegbuenyi, CAOlogunja, OJ<p><b>Introduction:</b> in Africa, genetic diseases and congenital anomalies remain a significant source of morbidity and mortality. Existing data suggests a gap in the use of prenatal tests among pregnant women to better inform decision making. We examined relationships of socio-demographic factors with willingness to terminate affected pregnancies, and the use of, knowledge of, and attitudes towards prenatal screening/diagnostic tests.</p> <p><b>Methods:</b> this was a cross-sectional descriptive study of pregnant women who attended antenatal clinics at the Lagos University Teaching Hospital (N = 422) selected by convenience sampling. Responses were obtained with assisted self-administered structured questionnaires.</p> <p><b>Results:</b> mean ± S.D. age of the respondents was 32.5 ± 5.3 years. The majority of the participants (92.2%) had at least a secondary education. Ultrasound scans in the second trimester were the most frequently used test (39.1%). Only 77 (18.2%) of the respondents indicated willingness to terminate affected pregnancies. The majority of the respondents had fair knowledge and good attitude scores. Knowledge and attitude scores were significantly correlated (r = 0.25, p < 0.001). Compared to married women, being single was associated with a 2.62-point lower knowledge score (95% CI: -4.63, -0.62, p = 0.01). Compared to women who responded “no” when asked if they were willing to terminate an affected pregnancy, women who responded “maybe” had a 0.81-point lower attitude score (95% CI: -1.45, -0.17, p = 0.01).</p> <p><b>Conclusion:</b> our results suggest important socio-demographic differences in women´s knowledge/behaviours towards prenatal diagnostic tests. Further research is needed to explore these relationships and broader pregnancy-related ethical beliefs among pregnant women in Lagos.</p>
spellingShingle Ogamba, CF
Babah, OA
Roberts, AA
Nwanaji-Enwerem, JC
Nwanaji-Enwerem, P
Ikwuegbuenyi, CA
Ologunja, OJ
Knowledge, attitudes, and decision making towards prenatal testing among antenatal clinic attendees in Lagos University Teaching Hospital: an institution-based cross-sectional study
title Knowledge, attitudes, and decision making towards prenatal testing among antenatal clinic attendees in Lagos University Teaching Hospital: an institution-based cross-sectional study
title_full Knowledge, attitudes, and decision making towards prenatal testing among antenatal clinic attendees in Lagos University Teaching Hospital: an institution-based cross-sectional study
title_fullStr Knowledge, attitudes, and decision making towards prenatal testing among antenatal clinic attendees in Lagos University Teaching Hospital: an institution-based cross-sectional study
title_full_unstemmed Knowledge, attitudes, and decision making towards prenatal testing among antenatal clinic attendees in Lagos University Teaching Hospital: an institution-based cross-sectional study
title_short Knowledge, attitudes, and decision making towards prenatal testing among antenatal clinic attendees in Lagos University Teaching Hospital: an institution-based cross-sectional study
title_sort knowledge attitudes and decision making towards prenatal testing among antenatal clinic attendees in lagos university teaching hospital an institution based cross sectional study
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