title: 'Doctor, what would you do in my position?' Health professionals and the decision-making process in pregnancy monitoring.
abstract: OBJECTIVE
  Routine prenatal screening for Down syndrome challenges professional non-directiveness and patient autonomy in daily clinical practices. This paper aims to describe how professionals negotiate their role when a pregnant woman asks them to become involved in the decision-making process implied by screening.
  
  
  METHODS
  Forty-one semi-structured interviews were conducted with gynaecologists-obstetricians (n=26) and midwives (n=15) in a large Swiss city.
  
  
  RESULTS
  Three professional profiles were constructed along a continuum that defines the relative distance or proximity towards patients' demands for professional involvement in the decision-making process. The first profile insists on enforcing patient responsibility, wherein the healthcare provider avoids any form of professional participation. A second profile defends the idea of a shared decision making between patients and professionals. The third highlights the intervening factors that justify professionals' involvement in decisions.
  
  
  CONCLUSIONS
  These results illustrate various applications of the principle of autonomy and highlight the complexity of the doctor-patient relationship amidst medical decisions today.
authors.affiliation: Department of Sociology, University of Geneva, , Geneva, Switzerland.
authors.forename: Solène Gouilhers
authors.initials: SG
authors.lastname: Hertig
authors.forename: Samuele
authors.initials: S
authors.lastname: Cavalli
authors.forename: Claudine
authors.initials: C
authors.lastname: Burton-Jeangros
authors.forename: Bernice S
authors.initials: BS
authors.lastname: Elger
mesh_terms: D001291:Attitude of Health Personnel; D003657:Decision Making / Q000941:ethics*; D037001:Directive Counseling; D004314:Down Syndrome / Q000175:diagnosis*; D004992:Ethics, Medical; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008880:Midwifery; D009774:Obstetrics / Q000941:ethics*; D026684:Personal Autonomy; D010817:Physician-Patient Relations / Q000941:ethics*; D010820:Physicians; D011247:Pregnancy; D011296:Prenatal Diagnosis / Q000941:ethics; D012941:Social Responsibility; D011795:Surveys and Questionnaires; D013557:Switzerland
keywords: Autonomy; Genetic Counselling/Prenatal Diagnosis; Sociology