Global ETD Search
Search theses and dissertations gathered from participating repositories worldwide. Every result links back to the library that holds it. No account is needed.
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Showing 1 to 20 of 22 for “"prenatal screening"”.
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Impact of prenatal screening on future resource utilization in pregnancy
… Gynaecologists of Canada first recommended that prenatal screening for fetal aneuploidy be offered to all pregnant women. This is an important change in clinical obstetrics as previously these services had only been routinely offered to women who would be 35 or older at the time of delivery; …
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Prenatal Screening Decision-Making Facilitated Through An Online Patient Education Module
<p>As recommendations for prenatal genetic screening are expanded to include patients with pregnancies at low risk for aneuploidy, there is a need to develop accessible mechanisms to promote informed decision-making about genetic screening. The use of patient decision aids has been shown to promote …
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Non-Invasive Prenatal Screening (Nips) Testing Motivations and Informed Decision Making In The Low-Risk Population
<p>Non-Invasive Prenatal Screening (NIPS) provides a risk assessment for aneuploidies by utilizing cell-free DNA (cfDNA). Recently, it was recommended that NIPS be offered to all pregnant people regardless of a priori risk for aneuploidy. In the absence of an increased risk, alternative motives for …
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The influence of Down syndrome related information on attitudes toward selective reproduction
… persons with DS were related to decisions about prenatal screening. For decisions about prenatal testing and selective abortion, though, perceptions of parenting a child with DS mediated the relationship between attitudes and reproductive intentions. These findings suggest that women may be more …
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Anchoring and Uptake of Non-Invasive Prenatal Testing In The First and Second Trimester
<p>Non-invasive prenatal testing (NIPT) is a highly sensitive and specific screen for common aneuploidies that eliminates the risk of miscarriage that diagnostic tests carry. It is unclear how this new prenatal option will impact pregnant women’s decision making process. Women undergoing genetic …
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Obstetrician and Gynecologist Utilization of The Nipt Expanded Testing Option
<p>Noninvasive prenatal testing (NIPT) enables the detection of common fetal aneuploidies such as trisomy 21, trisomy 18, trisomy 13, and sex chromosome abnormalities via analysis of cell-free fetal DNA circulating in maternal serum. Although the accuracy of NIPT for fetal aneuploidy is expected to …
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Curbing the Epidemic: Evolving Public Health Practices and Implications of Prenatal Syphilis Screening Patterns in Ontario, Canada
… between 2018 and 2023 in Ontario, Canada. Timely prenatal syphilis screening is essential for preventing congenital syphilis. We examined the adoption and impact of universal rescreening recommendations on prenatal screening rates and described universal prenatal syphilis screening patterns and …
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Evaluating Triage to Genetic Counseling Using an Online Reproductive Genetics Module
… and Gynecologists recommends genetic screening for all pregnant women. As clinical recommendations broaden and demand for prenatal screening increases, obstetric practitioners report time constraints and lack of genetics knowledge as challenges to providing sufficient pretest …
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Patient Perception of Negative Non-Invasive Prenatal Testing Results
<p>Non-invasive prenatal testing (NIPT) uses cell-free fetal DNA to assess for fetal aneuploidy during pregnancy. NIPT has higher detection rates and positive predictive values than previous methods; however, NIPT is not diagnostic. Studies suggest patients may underestimate the limitations of …
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Understandings of Down's syndrome and their place in the prenatal testing context
… is a growing consensus that decisions about prenatal testing should a) be informed, and b) reflect the individual's attitudes and values. Most research has focused on information and attitudes in relation to the tests but there has been little attention given to these factors in relation to …
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Sexually Transmitted Infection Testing Adherence Among Pregnant Women
Prenatal screening and treatment of sexually transmitted infections (STIs) are critical components of maternal and child health, as they play a vital role in preventing adverse birth outcomes. Despite the Centers for Disease Control and Prevention (CDC) publishing regular guidelines for prenatal …
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A review of antenatally-diagnosed congenital heart disease in a Western Cape tertiary facility: outcomes and diagnostic discrepancy
… septal defect was both the commonest prenatal CHD diagnosis and most associated with DD. Conclusions: The DD rate of AVSD seen in the study carries important management implications both during pregnancy and in the immediate post-natal period, highlighting the critical importance of …
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A comparison of attitudes towards prenatal diagnosis and pre-implantation genetic diagnosis
Technological advances in prenatal screening and diagnosis mean that it is now possible to test for a wide range of congenital conditions (Hewison et al., 2007). Traditionally testing has been carried out during pregnancy (prenatal diagnosis, PND). However, advances in technology have made it …
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the Order of Genetic Counseling and Ultrasound In the Second Trimester For Patients Screen Positive Down Syndrome: Effects On Patient Knowledge, Anxiety, Decision-Making, and Satisfaction
… and Gynecologists (ACOG) recommends women whose prenatal screening results indicate an increased risk for fetal aneuploidy be offered a detailed ultrasound exam, diagnostic testing, and genetic counseling as follow-up to their positive screening result (ACOG Committee on Practice Bulletins, …
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Exploring Experiences & Expectations of Prenatal Healthcare and Genetic Counseling/Testing In Immigrant Latinas
… the relationship between acculturation, prenatal care, genetic testing experiences, and expectations for their prenatal care in an immigrant Latino population. A total of 20 Spanish-speaking, pregnant Latinas from various Latin American countries were interviewed after completing a …
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Patient Preferences for Ultrasound Soft Sign Disclosure with Prior Negative cfDNA Screening
… In the age of noninvasive cell-free DNA (cfDNA) prenatal screening, which exhibits superior sensitivity and specificity for aneuploidy compared to what can be provided by soft sign risk adjustment, the utility of these soft signs is arguably waning. Thus, this study aimed to establish patient …
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Termination Rates Following Prenatal Diagnosis For Down Syndrome: A Systematic Review
… genetic cause of intellectual disability. Two prenatal testing approaches for Down syndrome are available: screening tests and diagnostic tests. Screening tests are non-invasive but are non-diagnostic and provide an estimate of the risk of an affected pregnancy. Even with recent improvements in …
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Evaluation of the level of awareness of congenital toxoplasmosis and associated practices among pregnant women and health workers in Tanzania's Temeke District
… A structured questionnaire and review of prenatal screening forms were used to collect information during the study. The questionnaire focused on disease aetiology, signs and symptoms, modes of transmission, treatment and management, the antenatal cards/ the screening forms bearing …
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When 1 in 200 is higher than 5 in 1000: the "1 in X effect" on the perceived probability of having a Down syndrome-affected child
… when employed in risk communication of prenatal screening test results, have on prospective parents’ perceptions of the chance of having a Down syndrome-affected child. No clear evidence was found in the literature, on whether the choice of one of the equivalent ratio format that can be …
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Rhetoric, Disability, and Prenatal Testing: Down Syndrome as an Object of Discourse
… another. In particular, this project examines prenatal testing for Down syndrome as a rhetorical situation that initiates and circulates many different discourses about Down syndrome. Chapter One begins by examining a frequently cited statistic in critiques of prenatal testing—the estimated …
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