Navigation Links
Is clinicians' decision making affected by 'precious baby' phenomenon?
Date:11/4/2013

Parents who conceive through assisted reproductive technologies (ART) are likely to receive different medical advice in relation to prenatal testing than those who conceive naturally, academics have suggested.

An international study has revealed that almost 45% of clinicians would immediately recommend a 37-year-old mother undergo amniocentesis an invasive prenatal test which screens for Down's syndrome if she had conceived naturally. However, just 19% of doctors would recommend the procedure for a mother whose baby had been conceived through assisted technologies.

Previous research papers have suggested parents who conceive through ART may be more likely to opt for birth by Caesarean section, rather than a natural birth, in an attempt to minimise any perceived risk to their baby. But the academics, in a paper published in the Human Reproduction scientific journal, suggest there may now be evidence that doctors are also affected by the so-called 'precious baby' phenomenon.

Dr Yaniv Hanoch, Associate Professor in Psychology at Plymouth University, co-wrote the study. He said: "Some pregnancies are deemed by parents to be more valuable than others, particularly if conception has taken several courses of assisted reproductive treatment to achieve. But you might expect clinical recommendations regarding pregnancies to remain consistent, particularly when it comes to tests for serious medical conditions. However, this study demonstrates there may be a tendency for clinicians to be affected by the nature of the pregnancy before determining the parents' wishes."

The study was undertaken by Dr Hanoch alongside Dr Naama Srebnik and Dr Avi Tsafrir, from the Department of Obstetrics and Gynecology at Hebrew University, Jerusalem; Dr Talya Miron-Shatz from the Center for Medical Decision Making, Ono Academic College, and Dr Jonathan J Rolison, from the School of Psychology at Queen's University, Belfast.

It used answers from around 160 obstetricians and gynaecologists, who completed an anonymous questionnaire based around a hypothetical scenario, with around half told the expectant mother had conceived naturally and the other half told ART had been employed.

In total, almost a third (31.9%) immediately recommended amniocentesis, while a further 31.3% recommended the procedure having sought further clarification about the apparent high risk to mother and baby. However, this figure differed when the nature of the pregnancy was taken into account.

The clinicians' breadth of experience and use of the procedure were also taken into account, with results showing longer service in the medical profession to have some correlation with their willingness to offer amniocentesis.

The researchers added: "Even without a medical indication, more clinicians would recommend amniocentesis to a woman with normal screening test results in a spontaneous pregnancy than to one who had undergone ART. Thus far, researchers have provided only indirect evidence to support the claim of differential management of ART pregnancies, but our findings show they do not appear to be immune to the 'precious baby' phenomenon."


'/>"/>

Contact: Alan Williams
alan.williams@plymouth.ac.uk
01-752-588-004
University of Plymouth
Source:Eurekalert

Related medicine news :

1. Astronaut Story Musgrave, MD, to Deliver a Keynote Address at Pri-Med East Conference & Exhibition for Primary Care Clinicians
2. Nineteen Clinicians Receive Advanced Certifications at BenchMark Physical Therapy
3. Clinicians often wait for red flags before discussing elderly driving
4. AGA honors distinguished clinicians, researchers and educators with prestigious recognition awards
5. AMD Global Telemedicine Increases Data Sharing Capabilities for Clinicians and Physicians with AGNES 3.1.0
6. Survey of clinicians: User satisfaction with electronic health records has decreased since 2010
7. When clinicians and researchers look outside the box
8. New tool for clinicians proves effective predictor of lung cancer risk
9. Disorders of consciousness: How should clinicians respond to new therapeutic interventions?
10. New study suggests clinicians overlook alcohol problems if patients are not intoxicated
11. Zane Benefits Publishes New Information on the ACA Penalty vs. Premium Decision
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/27/2016)... ... 2016 , ... A revolution is underway. Brooklyn-based company, ... for the millions of people who require these medical transport services annually. ... the use of technology. Now, SmartEMS has put forth an industry-changing app that ...
(Date:6/26/2016)... ... June 26, 2016 , ... On June 10-11, 2016, A Forever Recovery, a ... and World’s Longest Breakfast Table in Battle Creek, MI, where the rehabilitation facility is ... to some of the world’s leading providers of cereal and other breakfast foods. Its ...
(Date:6/26/2016)... ... ... Kasmer, a legally blind and certified personal trainer is helping to develop a weight loss ... plans to fix the two major problems leading the fitness industry today:, ... , They don’t eliminate all the reasons people quit their exercise program ...
(Date:6/25/2016)... ... 2016 , ... Austin residents seeking Mohs surgery services, can now turn to ... Dr. Russell Peckham for medical and surgical dermatology. , Dr. Dorsey brings specialization to ... fellowship in Mohs Micrographic Surgery completed by Dr. Dorsey was under the direction of ...
(Date:6/25/2016)... (PRWEB) , ... June 25, 2016 , ... First ... United States, named Dr. Sesan Ogunleye, as the Medical Director of its new Mesquite-Samuell ... facility Medical Director of our new Mesquite location,” said Dr. James M. Muzzarelli, Executive ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... CAMBRIDGE, Mass. , June 24, 2016 /PRNewswire/ ... the Spaulding Rehabilitation Network,s Dean Center for ... of Physical Medicine and Rehabilitation, MIT Hacking Medicine, ... Center for Innovation, today announced the five finalists ... Hackathon for Lyme disease.  More than 100 scientists, ...
(Date:6/24/2016)... , June 24, 2016 The Academy of ... recommendations that would allow biopharmaceutical companies to ... entities that make formulary and coverage decisions, a move ... of new medicines. The recommendations address restrictions ... appear on the drug label, a prohibition that hinders ...
(Date:6/24/2016)... 24, 2016 Research and Markets has ... Companion Diagnostic Tests" report to their offering. ... Diagnostics The World Market for Companion Diagnostics ... diagnostics. Market analysis in the report includes the following: ... Vitro Diagnostic Kits) by Region (N. America, EU, ROW), 2015-2020 ...
Breaking Medicine Technology: