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Balancing Needs and Autonomy

The Involvement of Pregnant Women's Partners in Decisions About cfDNA

Bibliographic Data

ID4627136
AuthorsRuth M Farrell (0000-0002-8258-8842, Cleveland Clinic, Cleveland, Ohio, USA, corresponding author), Marybeth Mercer (0000-0002-7985-3369, Cleveland Clinic, Cleveland, Ohio, USA), Patricia K Agatisa (Cleveland Clinic, Cleveland, Ohio, USA), Marissa B Coleridge (Cleveland Clinic, Cleveland, Ohio, USA), Marissa Coleridge (0000-0003-0716-0050, Cleveland Clinic)
Year2019
Volume29
Issue2
Pages211-221
Publication date2019-01-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueQualitative Health Research (JOURNAL)
Journal identifiersISSN: 1049-7323 • E-ISSN: 1552-7557
PublisherSAGE Publications Inc (PUBLISHER)
DOI10.1177/1049732318796833
PMID30182811
OpenAlexW2889915306
LanguageEN
Citations received6
References cited36

Cell-free fetal DNA (cfDNA) screening is used to identify the presence of fetal genetic variants early in pregnancy. Patients' informed decision-making is central to the success of this new screen in clinical practice. Although research has focused on pregnant women's decision-making, little is known about partners' role and preferences as a member of the decision-making dyad. Using a grounded theory approach, this study analyzed 23 in-depth interviews to examine partners' perspectives about cfDNA screening and preferences with respect to their role in the decision-making process. Participants wished to be actively involved in testing decisions. They articulated a distinct set of needs and preferences in the decision-making process. Such involvement was hindered by several biological and logistical barriers. This study demonstrates the need to develop mechanisms that foster informed decision-making for cfDNA screening and related new reproductive genetic technologies that focus on not just the pregnant woman but also the decision-making dyad that includes her partner as well

Alternative medicine · Autonomy · Biology · Clinical decision making · Dyad · Family medicine · Grounded theory · Informed consent · MEDLINE · Patient participation · Political science · Qualitative research · Sociology · Assisted Reproductive Technology and Twin Pregnancy · Fetal and Pediatric Neurological Disorders · Medicine · Prenatal Screening and Diagnostics · Psychology · Social Psychology

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Unique citing works6
Citations per year0,86
Citation span2019 - 2026 (8)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 5

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