Vigilance in the Decision-Making Process Regarding Termination of Pregnancy Following Prenatal Diagnosis of Congenital Heart Disease—Application of the ‘Conflict Decision-Making Model’
Bibliographic Data
| ID | 15467010 |
|---|---|
| Authors | Yulia Gendler (0000-0001-9958-7777, Tel Aviv University, corresponding author), Einat Birk (Tel Aviv University), Nili Tabak (Tel Aviv University), Silvia Koton (0000-0002-9327-7505, Tel Aviv University) |
| Year | 2022 |
| Volume | 19 |
| Issue | 15 |
| Pages | 9137-9137 |
| Publication date | 2022-07-26 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | International Journal of Environmental Research and Public Health (JOURNAL) |
| Journal identifiers | ISSN: 1661-7827 • E-ISSN: 1660-4601 |
| Publisher | Multidisciplinary Digital Publishing Institute (PUBLISHER • CH) |
| DOI | 10.3390/ijerph19159137 |
| PMID | 35897499 |
| OpenAlex | W4288040885 |
| Language | EN |
| References cited | 21 |
The decision-making process regarding termination of pregnancy following prenatal diagnosis of congenital heart disease is a stressful experience for future parents. Janis and Mann’s conflict decision-making model describes seven ideal stages that comprise vigilant information-gathering as an expression of the qualitative decision-making process. In our study, we attempted to determine whether parents who face the decision regarding termination of pregnancy undertake a qualitative decision-making process. Data were collected over 2-year period using structural questionnaires. The sample consisted of two hundred forty participants; sixty-nine (28.75%) declared that their decision was to terminate the pregnancy. A significant difference in the quality of the decision-making score was noted between parents who decided to continue with the pregnancy vs. parents who opted for termination (mean score of 10.15 (5.6) vs. 18.51 (3.9), respectively, p < 0.001). Sixty-two (90%) participants within the termination of pregnancy group went through all seven stages of vigilant decision-making process and utilized additional sources for information and consultation. Parents who decided to continue with the pregnancy made swift decisions, often without considering the negative and positive outcomes; this decision-making pattern is considered non-vigilant and ineffective. Identification of future parents at risk of going through an ineffective decision-making process may help health professionals to determine the best way to provide them with information and support
Decision-making · Operations management · Pregnancy · Child and Adolescent Health · Engineering · Ethics and Legal Issues in Pediatric Healthcare · Ethics in medical practice · Medicine · Psychology
| Citation velocity | historical |
|---|---|
| Highly cited | No |