Feelings about antenatal screening looking back

People who had chosen to continue with a pregnancy after discovering their baby would have a disability or health problem generally felt glad they had found out before birth.

One parent whose baby was born with congenital heart defects said, in some ways, she would rather not have known at all.

Discovering her baby had a heart condition made the pregnancy traumatic. She would rather not…

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Everybody agreed it was shocking news at the time, and affected how they felt about the rest of the pregnancy, but most felt the advantages of finding out outweighed the disadvantages.

At one extreme, people felt antenatal diagnosis had saved their baby’s life by alerting them to the need to give birth in a specialist centre with skilled surgeons and intensive care facilities. Alternatively, it gave one couple the chance to allow their baby to die peacefully and with dignity.

Finding out their son had Patau’s syndrome meant they could ensure he was treated with dignity…

Age at interview 39

Gender Female

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Although it was horrible at the time, having her son’s heart condition diagnosed before birth…

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Finding out before birth that her son had a serious heart condition probably saved his life.

Age at interview 41

Gender Female

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Even in less immediately life-threatening cases, one mother said it was helpful to have had a diagnosis before birth, as otherwise her daughter’s condition might not have been picked up until adulthood. The additional anxiety in pregnancy and childhood was worth it to know her long term future was safer. Some people commented on the value of being able to make practical preparations, such as organising therapy.

If her daughter’s heart condition had not been found through antenatal screening, it might not…

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Knowing before birth that their son would have special needs enabled them to make practical…

Age at interview 28

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Being able to prepare mentally and emotionally was a very important benefit from antenatal diagnosis, though many commented that nothing can prepare you fully for the reality. One father felt they were lucky to have found out very early, so they had a lot of time to get used to the idea. He felt they would make the same decisions again, although another time he might press for more information during screening.

They felt lucky their son’s heart condition was detected early, and would make the same screening…

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Some people prefer to have a diagnosis later in pregnancy, so they have less time to spend worrying.

She was glad they discovered their son’s heart condition late in pregnancy, so they had less time…

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However, one mother whose baby was found at 8 months to have hydrocephalus and a partially developed brain would have liked longer to adjust to what was going to happen. In her case, the baby’s problems were discovered by chance at a late scan to check if she was breech.

If she had discovered her daughter’s condition earlier in pregnancy, she would at least have had…

Age at interview 28

Gender Female

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This experience had undermined the mother’s faith in the effectiveness of screening earlier in pregnancy and made her feel there ought to be more opportunities for screening throughout pregnancy. She felt no one had ever explained why her baby’s condition had not been detected earlier. (Brain conditions are difficult to detect at 20 week scans because the brain is not fully formed at this stage).

She felt screening was not effective in her case. She would have screening again another time but…

Age at interview 28

Gender Female

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One mother found after birth that her son’s heart condition was worse than expected and he had several other problems not picked up through screening, but she still felt screening was valuable. Most of the parents we talked to had not yet experienced another pregnancy or had decided they did not want another baby now, but this mother was pregnant again when we interviewed her.

Her son’s heart condition turned out to be more serious than expected but she still felt…

Age at interview 37

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She, too, had originally thought she would not want another baby. Now that she was pregnant again, she would definitely want to know if this baby had similar problems and was having additional heart scans as well as routine screening. She was not sure if she would make the same decision again, because it has been so difficult to watch her son suffering.

In her next pregnancy she had screening again. She would not want to see another baby suffer like…

Age at interview 37

Gender Female

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Making a decision to end the pregnancy

Many people described the decision to end a much-wanted pregnancy after being told their baby had a particular condition or disability as one of the...