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Decisional conflict and regret: shared decision-making about pregnancy affected by β-thalassemia major in Southeast of Iran

Abstract

To study the effect of shared decision-making (SDM) on decisional conflict (DC) scores immediately after consultation and to assess the decisional regret (DR) scores in the first 3 months following women’s decision regarding termination of pregnancy. This quasi-experimental study was conducted during August 3rd–February 20th, 2016. We included 80 women whose fetuses were diagnosed with β-thalassemia major (β-TM) through chorionic villi sampling and were referred to the only prenatal diagnosis center at Ali-Asghar Hospital, Zahedan, Iran. While the control group went through the routine procedures, the intervention group received a 90-min counseling session based on SDM. The demographic characteristics form and DC scale were filled out immediately after the consultation session. After 3 months, the women were contacted via telephone call to collect data on their level of DR. The mean DC score was significantly (P = < 0.0025) lower in the intervention group (8.47 ± 4.63) compared with the control group (44.10 ± 14.5). Moreover, the mean score of DR was significantly (P = 0.004) lower in the intervention group (9.37 ± 15.44) compared with the control group (24.37 ± 23.42). SDM consultation can help women experience significantly lower levels of DC and DR.

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Acknowledgements

We would like to acknowledge all women and their families for their participation in the present study. We would also like to thank the staff of the Ali-asghar Hospital and staffs of prenatal diagnosis (PND) ward for their support to accomplish this study.

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Correspondence to Zahra Moudi.

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The authors declare no competing interest in this study.

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Moudi, Z., Phanodi, Z., Ansari, H. et al. Decisional conflict and regret: shared decision-making about pregnancy affected by β-thalassemia major in Southeast of Iran. J Hum Genet 63, 309–317 (2018). https://doi.org/10.1038/s10038-017-0379-6

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