The Effect of Prenatal Genetic Counseling Service
Condition: Anxiety; Attitude
MeSH terms: Anxiety Disorders
Study type: Interventional

Summary: 
      The research is planned as a randomized controlled experimental study in order to determine
      the effect of prenatal genetic counseling service on the anxiety levels and attitudes of
      pregnant women towards prenatal diagnostic tests and the relationship between these two
      parameters.

      Hypotheses of the Research:

      Three different sets of hypotheses were established for the research. First Hypothesis Set;
      H0: Prenatal genetic counseling service; It has no effect on the anxiety levels experienced
      by pregnant women.

      H1: Prenatal genetic counseling service; have an effect on the anxiety levels experienced by
      pregnant women.

      Second Hypothesis Set; H0: Prenatal genetic counseling service; It has no effect on the
      attitudes of pregnant women towards screening and diagnostic tests.

      H1: Prenatal genetic counseling service; It has an effect on the attitudes of pregnant women
      towards screening and diagnostic tests.

      Third Hypothesis Set; H0: There is no relationship between the anxiety experienced by
      pregnant women and their attitudes towards screening and diagnostic tests.

      H1: There is a relationship between the anxiety experienced by pregnant women and their
      attitudes towards screening and diagnostic tests.
    

Detailed description: 
      In the study, it was aimed to determine the relationship between the effect of prenatal
      genetic counseling service on the anxiety levels of pregnant women and their attitudes
      towards prenatal diagnostic tests, and the anxiety levels of pregnant women and their
      attitudes towards prenatal diagnostic tests.

      Pregnant women who applied to Adana City Hospital Medical Genetics Outpatient Clinic for
      prenatal diagnosis and met the research criteria and volunteered to participate in the study
      will be randomly assigned to the study and control groups according to the block
      randomization method in order to eliminate the selection bias according to the outpatient
      clinic list and to ensure the balance in the number of individuals between the groups.

      In the study, there will be two groups, the study and the control, selected by randomization.
      Pregnant women who meet the research criteria will be informed about the research in the
      Medical Genetics outpatient clinic. Informed (voluntary) consent forms will be signed by the
      pregnant women who accept to participate in the study.

      A data collection form will be applied to all pregnant women participating in the study.
      Before prenatal genetic counseling is given to the pregnant women in the study group, a data
      collection form will be applied. Prenatal genetic counseling will then be given. In this
      consultancy, after giving information about what the diagnostic tests are and their purpose,
      specific consultancy will be given to the proposed invasive test. When she comes to get
      genetic results, the data collection form will be applied again by making an individual
      interview with the pregnant woman. The result of the diagnosis test of the pregnant and the
      decision to continue or terminate the pregnancy will be recorded in the data collection form.
      Families who are diagnosed with a disease that threatens the life of the fetus or is
      incompatible with life will be counseled to receive perinatal palliative care. During this
      period, they will be guided to communicate with health professionals who can get support and
      they will be supported to make applications for their spiritual needs. In all these stages,
      care will be provided to the pregnant with a multidisciplinary approach.

      In the study, routine clinical information will be given to the pregnant women in the control
      group by the physician. Before the clinical information and when they come to get genetic
      results, the data collection form will be applied again by making an individual interview
      with the pregnant woman.
    

Intervention name(s): prenatal genetic counselling
Intervention type(s): Genetic
Intervention description(s): Prenatal genetic counseling is a consultancy service that covers the evaluation of the risk status of the baby in the mother's womb in terms of genetic diseases, the tests and risks that can be done for the diagnosis of the disease, the test results and information about the disease in case of illness and the presentation of options.
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: Parallel Assignment Prospective, parallel, two arm, randomized controlled clinical trial
Masking: None (Open Label)
Primary purpose: Supportive Care
Keywords: prenatal genetic counselling; pregnant; anxiety; attitude; nursing