title: [Words before actions- the significance of counselling in the Praena-Test era].
abstract: Due to new offers in prenatal diagnostics pregnant women are forced to make choices. In Switzerland physicians are obliged to inform previous to prenatal tests and to obtain informed consent. Considering the complexity of this information and the consequences of a positive result, counselling is challenging, especially in an intercultural context. A questionnaire-based study compared information processing, test interpretation and emotional response of pregnant women from Switzerland and adjacent countries with Turkish women. Knowledge of the latter was significantly lower and they found counselling more unsettling, but their acceptance of prenatal tests was significantly higher. An empathetic approach and the right words are decisive, and counselling will even gain importance when considering the increase in options patients are confronted with.
authors.affiliation: Abteilung für Gynäkologische Sozialmedizin und Psychosomatik, Frauenklinik, Universitätsspital Basel.
authors.forename: Sibil
authors.initials: S
authors.lastname: Tschudin
mesh_terms: D000025:Abortion, Eugenic / Q000941:ethics / Q000523:psychology; D054242:Emigrants and Immigrants / Q000193:education / Q000523:psychology; D004992:Ethics, Medical; D005260:Female; D006771:Hospitals, Maternity; D006785:Hospitals, University; D006801:Humans; D007258:Informed Consent / Q000941:ethics / Q000523:psychology; D019458:Insurance Coverage / Q000191:economics; D009313:National Health Programs / Q000191:economics; D010353:Patient Education as Topic / Q000941:ethics; D011247:Pregnancy; D011296:Prenatal Diagnosis / Q000191:economics / Q000941:ethics / Q000523:psychology; D013557:Switzerland; D014421:Turkey / Q000208:ethnology
keywords: Entscheidungsfindung; Ersttrimestertest; Pränataldiagnostik; consentement informé; decision making; diagnostic prénatal; dépistage du premier trimestre; first trimester test; informed consent; intercultural; interculturel; interkulturell; prenatal diagnostics; prise de décision