Acceptance towards giving birth to a child with beta-thalassemia major - A prospective study

Taiwan J Obstet Gynecol. 2017 Oct;56(5):618-621. doi: 10.1016/j.tjog.2017.08.007.

Abstract

Objective: To explore the acceptance of pregnant Chinese women on giving birth to a child with beta-thalassemia major.

Materials and methods: Women's acceptance on having a child with beta thalassemia major was assessed using standard gamble metrics during an interviewer-administered survey on 309 women recruited in the antenatal clinic. Utility scores were determined and the association with sociodemographic factors was assessed.

Results: The median utility score for having a child with beta-thalassemia major was 0.5 (0-0.65). Women having either higher educational level or family income had significantly higher utility scores (P < 0.05) corresponding to a higher acceptance. During the interview 59.9% participants indicated that they would elect to undergo a termination of pregnancy if their fetus was diagnosed with beta-thalassemia major but 26.5% participants were unable to decide what action they would take.

Conclusion: Many Chinese pregnant women are ambivalent about giving birth to a baby with beta-thalassemia major. Women with higher educational level or higher family income had a higher acceptance towards the condition.

Keywords: Acceptance; Beta; Prenatal diagnosis; Thalassemia.

Publication types

  • Observational Study

MeSH terms

  • Adult
  • Attitude to Health*
  • Female
  • Hong Kong
  • Humans
  • Parturition / psychology*
  • Pregnancy
  • Pregnant Women / psychology*
  • Prenatal Diagnosis / psychology*
  • Prospective Studies
  • Surveys and Questionnaires
  • beta-Thalassemia / diagnosis
  • beta-Thalassemia / psychology*