Abstract
DNA prenatal diagnosis for cystic fibrosis (CF) has been available for parents of affected children since late 1985. Using anonymous questionnaires, we surveyed 395 parents of children with CF at 12 New England CF centers with regard to 12 maternal or family situations and 11 fetal characteristics; 271 (68%) responded. The majority supported legal abortion in the first trimester for all 23 situations; 58% would abort for severe mental retardation (MR), 40% would abort for a genetic disorder leading to death before age five years, 41% for a child bedridden for life, 35% for moderate MR, 20% for CF and 17% for a severe incurable disorder starting at age 40 years. Few would abort for a disorder starting at age 60 years, for genetic susceptibility to alcoholism or for sex selection. Variables most strongly related to abortion for CF were attitudes of spouse, respondent's siblings, and CF doctor toward abortion for CF as well as infrequent attendance at religious services. Prenatal diagnosis may not reduce substantially the number of CF births to parents of CF children because most do not accept abortion for CF.
Keywords
Empirical Approach
Genetics and Reproduction
MeSH Terms
Abortion, Eugenic/psychology
Attitude
Cystic Fibrosis/diagnosis,psychology
Humans
Parents/psychology
Prenatal Diagnosis/psychology
Sex Determination Analysis
Social Values
Socioeconomic Factors
Surveys and Questionnaires
Authors & Affiliations
4 authors, click to expand affiliations / ORCID
Wertz D C
Health Services Section, School of Public Health, Boston University, MA 02118.
Rosenfield J M
Janes S R
Erbe R W
References (23)
23 references, click to expand
-
Screening for cystic fibrosis; public policy and personal choices.
N Engl J Med. 1990 Feb 1;322(5):328-9
PMID: 2296274
-
A child with cystic fibrosis: II. Subsequent family planning decisions, reproduction and use of prenatal diagnosis.
Clin Genet. 1990 Mar;37(3):207-15
PMID: 2323090
-
The consumers' views of genetic counseling of hemophilia.
Am J Med Genet. 1984 Apr;17(4):741-52
PMID: 6720742
-
Attitudes of Haemophilia carrier to fetoscopy and amniocentesis.
Lancet. 1979 Dec 22-29;2(8156-8157):1371
PMID: 92711
-
Prenatal genetic diagnosis in 3000 amniocenteses.
N Engl J Med. 1979 Jan 25;300(4):157-63
PMID: 153471
-
Attitudes of parents of cystic fibrosis children towards neonatal screening and antenatal diagnosis.
Clin Genet. 1990 Dec;38(6):460-5
PMID: 2289319
-
Decision making in Huntington's disease and cystic fibrosis.
Birth Defects Orig Artic Ser. 1987;23(2):115-49
PMID: 2885041
-
At-risk persons' attitudes toward presymptomatic and prenatal testing of Huntington disease in Michigan.
Am J Med Genet. 1987 Feb;26(2):295-305
PMID: 2949613
-
Prenatal diagnosis of classic hemophilia (hemophilia A) by immunoradiometric assays.
Blood. 1985 Jun;65(6):1312-7
PMID: 3922454
-
Reproductive choices in hemophilic men and carriers.
Am J Med Genet. 1987 Mar;26(3):591-8
PMID: 3565475
-
Ethical problems in prenatal diagnosis: a cross-cultural survey of medical geneticists in 18 nations.
Prenat Diagn. 1989 Mar;9(3):145-57
PMID: 2710741
-
Impact of genetic counseling and prenatal diagnosis for Down syndrome and neural tube defects.
Birth Defects Orig Artic Ser. 1987;23(2):61-83
PMID: 2954594
-
Prospective prenatal diagnosis of cystic fibrosis.
Lancet. 1985 May 25;1(8439):1175-8
PMID: 2860384
-
First-trimester prenatal diagnosis of cystic fibrosis with linked DNA probes.
Lancet. 1986 Jun 21;1(8495):1402-5
PMID: 2872515
-
Attitudes of mothers of children with Down syndrome concerning amniocentesis, abortion, and prenatal genetic counseling techniques.
Obstet Gynecol. 1986 Aug;68(2):181-4
PMID: 2942810
-
Factors affecting the uptake of screening for neural tube defect.
Br J Obstet Gynaecol. 1988 Jun;95(6):560-4
PMID: 2455536
-
The centralized prenatal genetics screening program of New York City III: The first 7,000 cases.
Am J Med Genet. 1985 Feb;20(2):369-84
PMID: 2579556
-
Fatal knowledge? Prenatal diagnosis and sex selection.
Hastings Cent Rep. 1989 May-Jun;19(3):21-7
PMID: 2722481
-
Counseling needs and attitudes toward prenatal diagnosis and abortion in fragile-X families.
Clin Genet. 1988 May;33(5):349-55
PMID: 3378365
-
Prenatal diagnosis in 200 pregnancies with a 1-in-4 risk of cystic fibrosis.
Hum Genet. 1986 Nov;74(3):288-97
PMID: 3536726
-
Prenatal screening and pregnant women's attitudes toward the abortion of defective fetuses.
Am J Public Health. 1987 Mar;77(3):288-90
PMID: 3812832
-
Decision making: whether or not to have prenatal diagnosis and abortion for X-linked conditions.
Am J Med Genet. 1985 Jan;20(1):107-14
PMID: 3970063
-
Reproduction in hemophilia.
JAMA. 1983 Dec 16;250(23):3192-5
PMID: 6645009