فهرست نشریات علمی دسترسی آزاد ایران

BACKGROUND AND GOAL: Screening of fetal anomalies is assumed as a necessarymeasurement in antenatal cares. The screening plans aim at empowerment of individuals tomake the informed choice. This study was conducted in order to compare the effect of group andface‑to‑face education and decisional conflicts among the pregnant females regarding screeningof fetal abnormalities.METHODS: This study of the clinical trial was carried out on 240 pregnant women at <10‑weekpregnancy age in health care medical centers in Mashhad city in 2014. The form ofindividual‑midwifery information and informed choice questionnaire and decisional conflict scalewere used as tools for data collection. The face‑to‑face and group education course were heldin two weekly sessions for intervention groups during two consecutive weeks, and the usualcare was conducted for the control group. The rate of informed choice and decisional conflictwas measured in pregnant women before education and also at weeks 20–22 of pregnancy inthree groups. The data analysis was executed using SPSS statistical software (version 16), andstatistical tests were implemented including Chi‑square test, Kruskal–Wallis test, Wilcoxon test,Mann–Whitney U‑test, one‑way analysis of variance test, and Tukey’s range test. The P < 0.05was considered as a significant.RESULTS: The results showed that there was statically significant difference between three groupsin terms of frequency of informed choice in screening of fetal abnormalities (P = 0.001) in sucha way that at next step of intervention, 62 participants (77.5%) in face‑to‑face education group,64 members (80%) in group education class, and 20 persons (25%) in control group had the informedchoice regarding screening tests, but there was no statistically significant difference between twoindividual and group education classes. Similarly, during the postintervention phase, there was astatistically significant difference in mean score of decisional conflict scale among pregnant womenregarding screening tests in three groups (P = 0.001).DISCUSSION AND CONCLUSION: With respect to effectiveness of group and face‑to‑faceeducation methods in increasing the informed choice and reduced decisional conflict in pregnantwomen regarding screening tests, each of these education methods may be employed accordingto the clinical environment conditions and requirement to encourage the women for conducting thescreening tests.