Location of Repository

Attitudes toward prenatal diagnosis and termination of pregnancy in Saudi Arabia

By Ayman Alsulaiman


INTRODUCTION: \ud \ud Advances in molecular biology will soon make it possible to offer parents prenatal testing for a large number of different genetic disorders. The tests that have been offered to date are available because of technology, not because of the burden or prevalence of the condition. Parents' attitudes to different genetic disorders need to be evaluated, because little is known about how\ud people's attitudes to testing for one disorder relate to their views on testing for other disorders.\ud \ud AIMS: \ud \ud To assess the attitudes of Saudi parents with and without an affected child, towards prenatal diagnosis and termination of pregnancy for a range of different genetic disorders, and the factors that affect their attitudes.\ud \ud METHODS: \ud \ud The study was conducted using structured questionnaires and semi-structured interviews. 400 Saudi parents with and without affected children completed a structured questionnaire and forty of these were then interviewed. The questionnaires were designed to assess parents' attitudes towards prenatal diagnosis and termination of the pregnancy, for thirty different conditions. The interviews were designed to explore the factors that affect parents' attitudes.\ud \ud FINDINGS: \ud \ud Parents had different attitudes to different conditions. Overall, there was an unexpectedly high level of acceptance of prenatal diagnosis and termination of pregnancy for a range of different conditions in this Muslim sample. It was also found that parents with an affected child held more\ud favourable attitudes towards termination of the pregnancy than parents without an affected child. Fathers without an affected child held the least favourable attitudes towards termination of pregnancy.\ud \ud DISCUSSION: \ud \ud The evidence suggests that parents perceive genetic conditions differently according to their individual experience. Islam is not the main factor that influences\ud Muslim parents toward prenatal diagnosis and termination of the pregnancy. New technologies provide parents with more reproductive choices but also present them with more dilemmas. Further investigation about factors associated with testing and termination choices is recommended

Publisher: School of Medicine (Leeds)
Year: 2004
OAI identifier: oai:etheses.whiterose.ac.uk:536

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  1. (1997). (d)). Prenatal genetic screening: paradigms and perspective
  2. (1997). [Continuation of pregnancy in infest fetal prognosis]. "
  3. (2002). [Patients' and professionals' opinions on third trimester termination of pregnancy]. "
  4. (1990). [Women's experience of chorionic villi biopsy and its significance for the course of pregnancy. A qualitative study]. "
  5. (1995). A comparison of public and professional's attitudes towards genetic development. Public Understanding. "
  6. (1998). A survey of attitudes about maternal serum screening for fetal chromosome abnormalities in women 35 years of age and older. "
  7. (1972). Abortion and Islam. "
  8. (1987). Abortion of defective fetuses: attitudes of mothers of congenitally impaired children. "
  9. (1997). Acceptability of prenatal diagnosis of sickle cell anemia by a sample of the Nigerian population. "
  10. (1997). Acceptance of first-trimester prenatal diagnosis for the haemoglobinopathy in Lebanon. "
  11. (1997). Acceptance of genetic testing in a general population: age, education and gender differences. " Patient education and counseling
  12. (1999). Acceptance of Prenatal Diagnosis for Genetic Disorders in Lebanon. "
  13. (1995). Adolescents' opinions about genetic risk information, prenatal diagnosis, and pregnancy termination. "
  14. (1959). Al-Fatwa. General Culture Administration at AI-Azhar.
  15. (1995). An integrated model for care control of blood genetic disorders. In:
  16. (1983). An investigation of grief and adaptation in parents whose children have died from cancer. "
  17. (1998). Annual health report. Riyadh, Saudi Arabia: Dar Al Helal.
  18. (1995). Antenatal screening for carriers of cystic fibrosis: randomised trial of stepwise v couple screening. " BMJ
  19. (1996). Antenatal screening for cystic fibrosis. "
  20. (1988). Assessment of reproductive risks and intentions by mothers of children with hemophilia. "
  21. (1987). At risk persons' attitudes toward presymptomatic and prenatal testing of Huntington disease in Michigan. "
  22. (2002). Attitude of at-risk subjects towards preimplantation genetic diagnosis of alpha- and beta-thalassaemia in Hong Kong. "
  23. (2001). Attitude of Saudi families affected with haemoglobinopathy towards prenatal screening and abortion and the influence of religious ruling (Fatwa). "
  24. (1991). Attitudes about abortion of women who undergo prenatal diagnosis. "
  25. (1998). Attitudes about genetic risk of couples undergoing in-vitro fertilization. "
  26. (1998). Attitudes of Deaf Adults toward Genetic Testing for Hereditary Deafness. "
  27. (1986). Attitudes of mothers of children with Down syndrome concerning amniocentesis, abortion, and prenatal genetic counseling techniques. "
  28. (1996). Attitudes to predictive DNA testing in familial adenomatous polyposis. "
  29. (2000). Attitudes to prenatal and preimplantation genetic diagnosis. Clinical Genetics.
  30. (1995). Attitudes to prenatal screening, diagnosis and research among pregnant women who accept or decline an alpha-fetoprotein test. "
  31. (1991). Attitudes toward abortion among parents of children with cystic fibrosis. "
  32. (1993). Attitudes toward abortion for fetal anomaly in the second vs. the third trimester: a survey of Parisian obstetricians. "
  33. (1993). Attitudes toward abortion in Finland.
  34. (1997). Attitudes toward genetic carrier screening for cystic fibrosis among pregnant women: the role of health beliefs and avoidant coping style. "
  35. (1996). Attitudes towards bipolar disorder and predictive genetic testing among patients and providers. "
  36. (1995). Attitudes towards Down's syndrome: follow up of a cohort of 280 cases. "
  37. (1997). Attitudes towards genetic counselling and testing among medical students and newly qualified doctors. "
  38. (2002). Attitudes towards prenatal diagnosis and termination of pregnancy among health professionals in Lebanon. "
  39. (2001). Attitudes towards reproductive issues and carrier testing among adult patients and parents of children with cystic 269 fibrosis (CF). " Prenatal Diagnosis.
  40. (1996). Attitudes towards termination for fetal abnormality: Comparisons in three European countries. "
  41. (2000). Attitudes towards termination of pregnancy in subjects who underwent presymptomatic testing for the BRCA1/BRCA2 gene mutation in The Netherlands. "
  42. (1988). Attitudes, Personality, and Behavior.
  43. (1998). Awareness and use of prenatal diagnosis among Greek women. "
  44. (1997). Awareness of inborn errors of metabolism among parents
  45. (1992). b). "Genetic Diseases in Arabia-A Model for National Awareness and Care Programme. "
  46. (1999). Because of the risks': how US pregnant women account for refusing prenatal screening. " Soc Sci Med .
  47. (2002). Being deaf and being other things: young Asian people negotiating identities. "
  48. (2002). Beyond easy answers: the plastic surgeon and prenatal diagnosis. "
  49. (1996). BRCA1 Testing in families with hereditary breast-ovarian cancer. A prospective study of patient decision making and outcomes. "
  50. (1997). Carrier screening for cystic fibrosis: test acceptance and one year follow-up. "
  51. (1993). Chances and choices: Psychosocial consequences of maternal serum screening: A report from The Netherlands. "
  52. (1997). China's genetic services providers' attitudes towards several ethical issues: a cross-cultural survey. "
  53. (1998). Choices and Rights: eugenics, genetics and disability equality. "
  54. (1985). Chorionic villi sampling: women's attitudes. "
  55. (1989). Chronic disease and its impact. "
  56. (1998). Clinical genetics in nursing practice.
  57. (1989). Community attitudes to cystic fibrosis carrier testing in England: a pilot study. "
  58. (1993). Community attitudes towards prenatal testing for congenital handicap. "
  59. (1995). Consanguinity among the Saudi Arabian population. "
  60. (1998). Continuation of pregnancy following the diagnosis of fetal sex chromosome abnormalities: a study of parents' counseling needs and experiences. "
  61. (1999). Contraceptive use and pregnancy decision making among women with HIV. "
  62. (1992). Coping With an Affected Birth: Genetic Counseling in Saudi Arabia. ; 7: S6972. "
  63. (1984). Cultural forces in the formation of the Saudi medical role. "
  64. (1996). Curriculum Action Research.
  65. (1996). Cystic fibrosis heterozygote screening in 5,161 pregnant women. "
  66. (1990). Cystic fibrosis screening and community genetic. "
  67. (1992). Cystic fibrosis: community knowledge and attitudes towards carrier screening and prenatal diagnosis. "
  68. (1985). Decision making: whether or not to have prenatal diagnosis and abortion for X-linked conditions. "
  69. (1999). Decisions a bout prenatal testing for chromosomal disorders: perceptions of a diverse group of pregnant women. "
  70. (1989). Decisions following the intrauterine diagnosis of sex chromosome aneuploidy. "
  71. (1995). Decruyenaere
  72. (2003). Design Issues.
  73. (1990). Determinats of parental decisions to abort for chromosome abnormalities ".
  74. (2001). Disability and difference: Balancing social and physical constructions. "
  75. (2003). Does a cleft palate justify an abortion? Curate wins right to challenge doctors.
  76. (1995). Don's syndrome (trisomy 21). IN: Scriver CR et al (Eds). The metabolic and molecular basis of inherited diseases.
  77. (2003). Effects of involuntary outpatient commitment on subjective quality of life in persons with severe mental illness. "
  78. (1995). Emery's elements of medical genetics.
  79. (1991). Essential medical genetics. Oxford, Blackwell Scientific Publication.
  80. (1992). Ethical and legal implications of the new genetics: issues for discussion. "
  81. (1987). Ethical and Legal Issues in In-vitro Fertilization, (First edition in Arabic language). Jeddah, Dar AI-Saudih.
  82. (1987). Ethical aspects of prenatal diagnosis:
  83. (2002). Ethical decision-making in prenatal diagnosis and termination of pregnancy: a qualitative survey among physicians and midwives. "
  84. (1995). Ethical vies of European and non-European genetics: results of and international survey. Paper presented at the European Society of Human genetics,
  85. (1993). Ethics and late termination of pregnancy. "
  86. (1989). Ethics and medical genetics in the United Kingdom. In Ethics and Human Genetics: A Cross-Cultural Perspective (Edited by
  87. (1994). Evaluation in patients with Alport syndrome of knowledge of the disease and attitudes toward prenatal diagnosis. "
  88. (1996). Experiences of mothers participating in maternal serum screening for Down's syndrome. "
  89. (2002). Factors affecting the decision regarding amniocentesis in women at genetic risk because of age 35 years or older. "
  90. (2000). Family care-giving and chronic illness: how parents cope with a child a sickle cell disorder or thalassaemia. " Health and Social Care in the community
  91. (1997). Few psychological consequences of presymptomatic testing for Huntington disease. "
  92. (1994). Gene therapy for cystic fibrosis: Will it affect the uptake of prenatal carrier screening ."
  93. (2002). Genetic condition in Saudi Arabia to be 40-80 times higher than in the West.
  94. (1992). Genetic counseling for deaf adults: Communication/language and cultural considerations. "
  95. (1996). Genetic counselling: some issues of theory and practice. The Troubled Helix: Social and Psychological Implications of the New Human Genetics.
  96. (1997). Genetic Disorders among Arab Populations.
  97. (1988). Genetic disorders in children and young adults- a population study. "
  98. (1995). Genetic malformation in children, its causes, and the Islamic view in preventive procedures (in Arabic language).
  99. (1993). Genetic Screening: Ethical Issues. London, Nuffield Foundation.
  100. (2002). Genetics and society an introduction. Buckingham,
  101. (1969). Genetics of common disorders. "
  102. (1999). HIV testing and prevention issues for women attending termination assessment clinics. "
  103. (1980). Identifying the Needs of Adults Learning a Foreing Language.
  104. (2002). Impact of chronic illness on the family. "
  105. (2003). In-depth Interviews.
  106. (2001). Is current practice around late termination of pregnancy eugenic and discriminatory? Maternal interests and abortion. "
  107. (1988). Is there a religious factor in health care utilization?. A review. "
  108. (1981). Islam code of medical ethics,
  109. (1997). Islamic View on Some Reproductive Issues. Genetic Disorders Among Arab Populations.
  110. (2002). Issues surrounding prenatal genetic testing for achondroplasia. "
  111. (1996). Lack of interest by Nonpermanent Couples in Populationbased Cystic Fibrosis Carrier Screening. "
  112. (1994). Lack of knowledge in health professionals: a barrier to providing more information to patients. " Quality in Health care
  113. (1998). Lethal autonomy: the malfunction of the informed consent mechanism within the context of prenatal diagnosis of genetic variants. "
  114. (1993). Life
  115. (2003). Living with achondroplasia in averagesized world: An assessment of quality of life. "
  116. (1982). Local healers of Qasim.
  117. (1998). Mandatory prenatal screening for the human immunodeficiency virus: the experience in south-eastern France of a national policy, 1992-1994. "
  118. (2001). Maternal attitude towards ultrasound screening for fetal abnormalities in a tertiary care setting. "
  119. (2003). Maternal serum screening for Down syndrome-opinions on acceptance from Swedish women. "
  120. (1993). Measuring physicians' tolerance for ambiguity and its relationship to their reported practices regarding genetic testing. "
  121. (1998). Meeting the challenge of genetic advance. "
  122. (1994). Mendelian inheritance in man.
  123. (1997). Multicultural education: Characteristics and goals. Multicultural education: Issues and perspective.
  124. (1993). Nurses' experiences of caring for ethnic minority patients. "
  125. (1995). Obstetricians' views on prenatal diagnosis and termination of pregnancy:
  126. (1994). Offering cystic fibrosis carrier screening to an HMO population: factors associated with utlization. "
  127. (1996). Pakistani Women and Maternity Care: Raising Muted Voices. "
  128. (2000). Parental Attitudes toward Genetic Testing for Pediatric Deafness. "
  129. (2002). Parental attitudes: antenatal diagnosis of cystic fibrosis. "
  130. (1988). Parental decision following prenatal diagnosis of fetal chromosome abnormality ".
  131. (1987). Parental decisions regarding termination of pregnancy following pregnatal diagnosis of sex chromosome abnormlity. "
  132. (2001). Parental knowledge and views of pediatric congenital heart disease. "
  133. (1987). Parental Perceptions of the Burden of Genetic Disease.. "
  134. (1991). Parental responses to consanguinity and genetic disease in Saudi Arabia. "
  135. (1994). Patient and parental attitudes toward genetic screening and its implications at an adult cystic fibrosis centre. "
  136. (2003). Patients' recommendation of doctor as an indicator of patient satisfaction.
  137. (1989). Physicians' acceptability of termination of pregnancy after prenatal diagnosis in southern France. "
  138. (1996). Pilot study of the acceptability of cystic fibrosis carrier testing during routine antenatal consultations in general practice.
  139. (1999). Potential usefulness of preimplantation genetic diagnosis in the control and prevention of genetic diseases. "
  140. (1993). Practical Genetic Counselling. Lancre House,
  141. (1998). Practical Genetic Counselling. Linacre House,
  142. (1990). Pregnancy and antenatal care: the attitudes and experiences of Asian women. " Child: Care,
  143. (2003). Pregnancy termination following prenatal diagnosis of serious heart disease in the fetus. "
  144. (1993). Pregnancy, birth and maternity care.
  145. (1994). Pregnancy: A Testing Time. Unpublished report of the Cambridge Prenatal Screening Study: Centre of Family Research,
  146. (1997). Preimplantation diagnosis and other reproductive options: attitudes of male and female carriers of recessive disorders. "
  147. (1993). Preimplantation diagnosis or chorionic villus biopsy? Women's attitudes and preferences. "
  148. (1991). Preimplantation diagnosis: a patient perspective. "
  149. (2002). Preimplantation genetic diagnosis: patients' experiences and attitudes. "
  150. (2004). Premarital screening in Saudi Arabia. Saudi Arabia, Channel one.
  151. (2000). Prenatal decisions following prenatal diagnosis of sex chromosome aneuploidy: a trend over time. "
  152. (2000). Prenatal diagnosis for detecting congenital malformations: acceptance among Israeli Arab women. "
  153. (2001). Prenatal diagnosis for inherited deafness-what is the potential demand? "
  154. (2000). Prenatal diagnosis of beta-thalassaemia in Pakistan: experience in a Muslim country. "
  155. (2001). Prenatal diagnosis of chromosome disorders in Tunisian population ". Annales de Genetigue.
  156. (1999). Prenatal diagnosis of cleft lip and palate: Experiences in 270 Southern California. "
  157. (2002). Prenatal diagnosis: when the clinician disagrees with the patient's decision. "
  158. (1988). Prenatal screening and discrimination attitudes about disability. Embryos, Ethics, and Women's Rights: Exploring the New Reproductive Technologies.
  159. (1987). Prenatal screening and pregnant women's attitudes toward the abortion of defective fetuses. "
  160. (1993). Prenatal screening for cystic fibrosis: attitudes and responses of participants. "
  161. (1998). Prenatal testing for genetic disorders among Arabs. "
  162. (2002). prenatal testing: the perceptions and experiences of Muslim women in Australia. "
  163. (1994). Prenatal testing. The human side, London, Chapman and Hall
  164. (1999). Principles and practice in medical eq netics.
  165. (1998). Principles of medical genetics.
  166. (1972). Problems of translation in cross-cultural research. ."
  167. (1976). Psychiatric assessment of the immigrant patients. "
  168. (1992). Psychological and social aspect of screening for fetal abnormality during routine antenatal care,,
  169. (1992). Psychological and social consequences of community carrier screening programme for cystic fibrosis. "
  170. (1987). Psychological aspects of genetic counseling. IV. The subjectve assessment of probability. "
  171. (1998). Psychological concerns in questionnaire research. "
  172. (1995). Psychosocial and clinical burden of thalassaemia intermediate and its implications for prenatal diagnosis. "
  173. (1997). Psychosocial and medical aspects of genetic counseling among Arabs: the example of Kuwait. Genetic Disorders among Arab populations.
  174. (2004). Psychosocial aspects of genetic screening of pregnant women and newborns: a systematic review. Submitted as health technology assessment monograph.
  175. (2002). Psychosocial aspects of genetic screening of pregnant women and newborns: Final report submitted to the NHS Executive Health Technology Assessment Programme.
  176. (1994). Qualitative data analysis: an expanded sourcebook Thousand Oaks; london,
  177. (2003). Qualitative Research Practice.
  178. (1995). Qualitative Research: Reaching the parts other methods cannot reach: an introduction to qualitative methods in health and health services research. "
  179. (1995). Qualitative Research: Rigor and qualitative research. "
  180. (1992). Quality assurance in health care: consumers' role. " Qulity
  181. (1997). Quality of life in social phobia. "
  182. (2000). Quality of life in the anxiety disorders. "
  183. (2001). Quality of life: Impact of chronic illness on the partner. "
  184. (1993). Questionnaire design and construction. "
  185. (1998). Questionnaire Design, Interviewing and Attitude Measurement.
  186. (1993). Real World Research.
  187. (2003). Reasons for trisomy 13 or 18 births despite the availability of prenatal diagnosis and pregnancy termination. "
  188. (1994). Reasons for women's nonuptake of amniocentesis. "
  189. (1993). Reluctance to undergo predictive testing: the case of Huntington disease. "
  190. (1992). Reproductive decision making of aunts and uncles of a child with cystic fibrosis: genetic risk perception and attitudes toward carrier identification and prenatal diagnosis. "
  191. (1990). Research Outcomes. Doing Educational Research in Developing Countries: Qualitative Strategies.
  192. (1994). Resources and strategies: how parents cope with the care of a disabled child. "
  193. (1983). Response to termination of pregnancy for genetic reasons. "
  194. (1997). Results and views of women populationwide pregnancy screening for trisomy 21 in east Finland. "
  195. (1998). Role of Primary Care Providers in Delivery of Genetic Servics. "
  196. (1997). Routine prenatal screening for congenital heart disease: what can be expected? A decision-analytic approach. "
  197. (1996). Ruminjo
  198. (1959). Saudi Arabia it is people it is society it is culture., Harf Press.
  199. (1998). Screening and counseling for sickle cell disorders and thalassaemia: The experience of parents and heath professionals. "
  200. (1984). Screening and genetic counseling for Beta-thalassaemia trait in a population unselected for interest: comparison of three counseling methods. "
  201. (1991). Screening for carriers of cystic fibrosis through primary health care services. "
  202. (2000). Screening for genetic disorders among Jews: How should the Tay-Sachs screening program be continued? "
  203. (1989). Second Language Research Methods.
  204. (1985). Seminar held by IOMS.
  205. (1993). Serum screening for Down's syndrome: some women's experiences. "
  206. (2000). Service support to families caring for a child with a sickle cell disorder or beta thalassaemia major: parents' perspectives.
  207. (2002). Should women view the ultrasound image before first-trimester termination of pregnancy? "
  208. (1993). Sickle cell and thalassaemia: community experiences and official response.
  209. (2004). Social and ethnic differences in attitudes and consent to prenatal testing, End of Award Report to ESRC.
  210. (1989). Socio-economic Epidemiology of consanguineous mating in Saudi Arabian population. "
  211. (1993). South Asian Women and Health Services: A Study in Glasgow. "
  212. (1989). Strategies for Working with Culturally Diverse Communities and Clients. Bethesda: Association for the Care of Children's Health.
  213. (1993). Survey methods in social investigation .
  214. (2000). Survey of attitudes of pregnant women towards Down syndrome screening. "
  215. (1994). Teratogenic effects of antiepileptic drugs: implications for the management of epilepsy in women of childbearing age. "
  216. (1998). Termination of pregnancy following diagnosis of fetal malformation: the need for improved follow up services. "
  217. (2002). Termination of pregnancy with a prenatal diagnosis of cleft lip: 268 cultural differences and ethical analysis. "
  218. (2000). Testing women, testing the fetus.
  219. (1988). Thalassaemia heterozygote in Hawaii: ethnic attitudes toward screening and prenatal diagnosis. "
  220. (2003). The Applications of Qualitative Methods to Social Research.
  221. (2000). The Arab world handbook. Arabian Peninsula.
  222. (1994). The attitudes of midwives to maternal serum screening for Down's syndrome. "
  223. (1999). The choice to have a Disables child. "
  224. (1999). The early prenatal diagnosis of cleft lip and the decision-making process. "
  225. (2003). The experience of Disability and quality of life in social anxiety disorder. "
  226. (1998). The experimental method in psychology. Research Methods in
  227. (2003). The foundations of Qualitative Research.
  228. (1992). The genetic basis of common diseases.
  229. (1992). The introduction of cystic fibrosis carrier screening into clinical practice: policy considerations. "
  230. (1980). The language of disablement: a glossary relating to disease and its consequences. "
  231. (1995). The metabolic basis of inherited diseases.
  232. (1991). The new genetics and clinical
  233. (1968). The rationale of genetic counseling.
  234. (2004). The Thalassemias: The role of Molecular Genetics in an Evolving Global Health Problem ".
  235. (1997). The Translation of the Meanings of Sahib Al-Bukhari. Jaddah, Islamic University, Dar al Arabia.
  236. (1993). The use of florescence in situ hybridization to identify human chromosomal anomalies. Growth genetics and hormones,
  237. (1995). Towards informed decisions about prenatal testing: a review. "
  238. (2000). Translating from one language to another. "
  239. (1999). Translation of questionnaires and issues of equivalence. "
  240. (1998). Trends in prenatal screening for and diagnosis of Down's syndrome: England and Wales,
  241. (1988). Uncle-niece/ aunt-nephew marriage are not existing among Muslim Arabs. "
  242. (1996). Understanding disability: from theory to practice,
  243. (2003). Understandings of Down's syndrome and their place in the prenatal testing context. School of Psychology.
  244. (1998). Uptake and acceptability of antenatal HIV testing: randomised controlled trial of different methods of offering the test. "
  245. (1993). Uptake of cystic fibrosis carrier testing in primary care: supply push or demand pull? "
  246. (1997). Uptake of genetic testing for cancer predisposition-ethical issue. "
  247. (1989). Uptake of presomtomatic predictive testing for Huntington's disease. "
  248. (1998). Variables influencing parental perception of inherited metabolic diseases before and after genetic counselling. "
  249. (1997). Watch your tongue: issues in translation and cross-cultural research. ."
  250. (2001). What parents are told after prenatal diagnosis of a sex chromosome abnormality: interview and questionnaire study. "
  251. (1997). Why women say yes to prenatal diagnosis.
  252. (1994). Women and prenatal testing: facing the challenges of genetic technology.
  253. (2000). Women's experience of maternal serum screening. "
  254. (1996). Women's experiences of prenatal serum screening. "
  255. (1982). Women's experiences with second trimester prenatal diagnosis. "
  256. (1997). Women's opinions and the implications of first- versus second-trimester screening for fetal Down's syndrome. "
  257. (1993). Women's views of ultrasonography: a comparison of women's experiences of antenatal ultrasound screening with cerebral ultrasound of their newborn infants. "
  258. (1998). Working with Women Who Have Mental Retardation: A Genetic Counselor's Guide.

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