Views on antenatal screening and feelings in later pregnancies

Looking back, most people were glad they had found out before birth there was something wrong with their baby, and thought screening was valuable in giving people information to make choices.

With hindsight, many felt they and other parents making decisions about screening did not have enough information. At the same time, they did not want to frighten other women needlessly, as one mother explained (see also Interview 18 below).

She still feels screening is valuable, but thinks that the way it is presented to women is too…

Age at interview 38

Gender Female

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She was concerned about uneven standards of screening provision, training and equipment around the country.

The experience of discovering their baby had a particular condition or disability made some people question whether they would want to know another time. One mother and her husband disagreed about this. She considered not having any screening in her next pregnancies. Although she did eventually have screening, she now felt more aware that it cannot give definite answers and in some ways raises more questions.

She considered not having any screening in her next pregnancy. Screening is valuable but…

Age at interview 39

Gender Female

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Other parents felt more strongly than ever that they would want screening and would make the same choices. At the same time, many reflected that screening and indeed the whole of pregnancy have become a time of anxiety and tension for them, unlike other expectant parents.

She would definitely want screening again, but will always feel anxious in subsequent pregnancies…

Age at interview 26

Gender Female

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Even when screening tests come back with a low chance of the baby having a condition, several people said they would never feel really secure until they had a healthy baby in their arms. Some felt the need for frequent checks to reassure them the baby was still alive.

All the people we talked to who had had a termination had wanted another baby, and most were either pregnant again or had already had another baby. However, one mother explained how their previous experiences had made her husband doubtful about wanting another baby. He was reluctant to risk going through the same feelings of being out of control and unable to protect his wife from what was happening to her.

When pregnant again, people sometimes came across staff who were not particularly sensitive to their increased levels of anxiety, but many had found staff sympathetic and reassuring.

The consultant doing the 12-week scan in her current pregnancy recognised her anxiety and…

Age at interview 35

Gender Female

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Administrative errors could be upsetting. In their next pregnancy, one couple were given the folder with scan results from their previous pregnancy by mistake.

At the 20-week scan in their current pregnancy, they were given the folder with results from the…

Age at interview 34

Gender Female

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Some people decided that they did not want blood tests in subsequent pregnancies, but would rather rely on scans (see also Blood test screening). The need for certainty led some people to choose a diagnostic test such as CVS or amniocentesis instead of or in addition to screening tests.

For example, one woman went on to have an amniocentesis although her chance from the nuchal scan was ‘1 in 600’, which was lower than the average for other women her age. (See also Deciding whether to have further diagnostic tests).

In her next pregnancy she wanted to know for certain if anything was wrong, so she had…

Age at interview 38

Gender Female

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Another described how she and her husband disagreed about whether to have CVS, which she eventually did.

In her current pregnancy she decided to have CVS (Chorionic Villus Sampling). She found it hard…

Age at interview 36

Gender Female

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Previously having an affected pregnancy is automatically included as a factor that increases the probability of the baby having a condition. This woman and others wondered why this was the case even though genetic testing had suggested it was a one-off event, not hereditary.

In contrast, some people who had thought they would need the certainty of a diagnostic test were surprised to find they felt differently after getting a ‘low risk’ screening result.

In her next pregnancy, she thought she would want CVS (Chorionic Villus Sampling), but decided…

Age at interview 33

Gender Female

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The risk of miscarriage from invasive testing when they had already lost one baby seemed too great when their chance of having a baby with a condition was low.