Publication:

Knowledge, attitude and acceptance of Down syndrome screening among pregnant women

Background Down syndrome (DS) is the most common chromosomal disorder, characterized by intellectual disability and various congenital anomalies. With increasing access to prenatal screening and diagnostic tools, understanding pregnant women’s knowledge, attitudes, and acceptance (KAA) of DS is crucial for informed decision-making and supportive care.

Methods A cross-sectional study was conducted among 260 pregnant women. Data were collected using a structured questionnaire assessing demographic information, knowledge of DS, attitudes toward children with DS, and acceptance of prenatal screening and possible outcomes. Statistical analysis was performed to determine correlations between sociodemographic factors and participants’ responses.

Results In a cross-sectional study of 260 pregnant women, 54.2% demonstrated adequate knowledge about DS and its screening, awareness varied, with only 44.2% understanding the difference between screening and diagnostic tests. A positive attitude toward screening was observed in 53.5%, and 63.8% showed acceptance, though fewer (56.9%) were willing to undergo invasive testing. Significant associations were found between higher knowledge and factors like primigravida status, higher education, and socioeconomic class. Similarly, satisfactory overall KAA (51.5%) was linked to these variables.

Conclusions The study revealed that over half of pregnant women had satisfactory KAA regarding DS screening, particularly among primigravidae, graduates, and those from higher socioeconomic groups. While awareness of basic screening was good, gaps remained in diagnostic understanding and invasive testing acceptance, highlighting the need for targeted antenatal counseling to strengthen informed decision-making-fulfilling the study’s objectives effectively.