Decision-making Regarding the Possibility of Medical Termination of Pregnancy

Decision-making Regarding the Possibility of Medical Termination of Pregnancy on Two Multidisciplinary Prenatal Diagnosis Centers of Maternities Level 3 in Lyon in 2019

The aim of this study is to improve professional practices by better understanding parents who face the choice of medical termination of pregnancy.

The hypothesis of the study is that the decision to continue the pregnancy with a serious fetal pathology is more based on the belief and the representations of parents than on the diagnosis or prognosis criteria of the fetus.

A better understanding of the parents' motivations on their decision making by knowing what they expect from the caregivers would allow the division of representations, a better prenatal advice and a better perinatal support.

Inclusion Criteria:

• Adults without age limit
• Couples or single mothers seen at hospital in 2019
• Couples or single mothers who have been taken care at the Antenatal Diagnosis Center
• Couples or single mothers whose file has been presented to a Multidisciplinary Prenatal Diagnosis Center (MPDC)
• MPDC's legal authorization of medical termination of pregnancy for severe fetal pathology (fetal reason)

Exclusion Criteria:

• MPDC's legal authorization of medical termination of pregnancy for maternal reason
• Parents who have requested an opinion on another MPDC (with continuation of care in another center)
• Fetal death in utero before couple's decision to continue or terminate the pregnancy
• Psychiatric pathology preceding the pregnancy
• Non-affiliation to health insurance plan
• No possible communication (language barrier)
• Participation refusal
• Adult patient protected under the terms of the law (Public Health Code)