Abstract:

Problem: Perinatal morbidity and mortality due to congenital anomalies are constantly growing and are of great socio-medical importance. Accurate prenatal diagnosis in many cases gives prospective parents a choice as the end of pregnancy. The aim of this work is to provide expert evaluation and discussion of the results of the questionnaire study based on the analysis of relationships expectant mothers to prenatal diagnostic process and their informed behavior in the diagnosis of chromosomal abnormalities and/or fatal structural defect in the fetus. It was carried out a transversal epidemiological study of 109 pregnant women aged 17-40 years, were divided into two groups: 11-14 weeks of pregnancy and 16-20 weeks. Used sociological (questionnaire) and statistical methods. The results show that it is possible to give a positive assessment of the social position and readiness of the majority of the studied pregnant women to participate in prenatal screening for structural and chromosomal abnormalities in their fetus. When you have a choice, pregnant women prefer to carry out prenatal screening in the first and not in the second trimester of pregnancy. Then, in the diagnosis of severe structural or chromosomal abnormalities in the fetus, most pregnant women usually abort for medical reasons. Thus, we can conclude that the obtained results provide a reliable base for the implementation of regional and national strategies and programmes in the field of prenatal screening for chromosomal and structural fetal anomalies with a maximum coverage of pregnant women.

Keywords: informed behavior, structural and chromosomal anomalies, 16-20 weeks of pregnancy, 11-14 weeks of pregnancy, biochemical screening of serum, prenatal diagnostics, pregnancy