{
  "abstract": "Introduction: Pregnant women receiving a high- or intermediate-risk result on first-trimester/second-trimester aneuploidy screening often face anxiety, decisional conflict, and confusion. We evaluated whether structured prenatal counseling improves their knowledge, decision-making confidence, anxiety, and uptake of invasive diagnostic testing. Settings and Design: This was a prospective cohort study conducted at a tertiary-level fetal medicine unit in India over 18 months. Materials and Methods: Sixty-seven eligible women with singleton pregnancies (≤22 weeks) and high/intermediate risk screening results underwent a standardized 30–45 min counseling session by a fetal medicine specialist/genetic counselor. Outcomes measured pre- and postcounseling included knowledge (0–10 scale), decisional conflict (Decisional Conflict Scale, 0–100), and anxiety (STAI-State, 0–100). Diagnostic test uptake was also assessed. Statistical analysis was done by Paired t-tests with Cohen’s d effect sizes for pre-/postcomparisons. Results: Knowledge significantly improved (5.93 → 8.86, P < 0.001, d = 5.91). Decisional conflict (43.1 → 23.5, P < 0.001, d = −6.39) and anxiety (49.7 → 36.4, P < 0.001, d = −4.55) decreased substantially. Diagnostic uptake was 94%, identifying 8 aneuploidy cases in the high-risk group. Conclusions: Structured prenatal counseling significantly enhances knowledge, reduces decisional conflict and anxiety, and promotes high uptake of invasive diagnostic testing. Its effectiveness across varying educational backgrounds suggests it is a robust, equitable strategy for supporting informed decision-making in pregnant women with abnormal screening results. It is an effective, scalable intervention with potential for integration into national maternal healthcare strategies.",
  "abstract_shown": true,
  "affiliations": [],
  "article_type": null,
  "arxiv": null,
  "author_total": 5,
  "authors": [
    {
      "name": "Surg Cdr Rahul Ashok Mahajan"
    },
    {
      "name": "Surg Cdr Hrishikesh Magdum"
    },
    {
      "name": "Surg Capt Aparna Krishnamurthy"
    },
    {
      "name": "Surg Cdr Pallavi Verma"
    },
    {
      "name": "Surg Cdr Vineeth VP"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/7755rzbkycpj4.bib",
  "cited_by": 0,
  "doi": "10.4103/jmms.jmms_131_25",
  "fulltext_url": "https://www.ovid.com/jnls/jmsc/fulltext/10.4103/jmms.jmms_131_25~impact-of-structured-prenatal-counseling-on-decision-making",
  "id": "7755rzbkycpj4",
  "issns": [
    "0975-3605",
    "2589-1235"
  ],
  "landing_url": "https://doi.org/10.4103/jmms.jmms_131_25",
  "language": "en",
  "licence": "CC-BY-NC-SA",
  "licence_label": "CC BY-NC-SA",
  "licence_source": "journal",
  "licence_url": "https://creativecommons.org/licenses/by-nc-sa/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "lcc",
      "R"
    ],
    [
      "lcc",
      "V"
    ],
    [
      "openalex",
      "2735|Prenatal Screening and Diagnostics"
    ]
  ],
  "openalex": "W7154629095",
  "pdf_url": null,
  "pmcid": null,
  "pmid": null,
  "published": "2026-09-01",
  "publisher": "Wolters Kluwer Medknow Publications",
  "ris": "https://research.draconitic.com/paper/7755rzbkycpj4.ris",
  "sources": [
    {
      "first_seen": "2026-11-05T14:21:22Z",
      "native_id": "0f5d1cddff9942eabdfdda1b512b8a5c",
      "source": "doaj",
      "url": "https://doi.org/10.4103/jmms.jmms_131_25"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2735|Prenatal Screening and Diagnostics",
      "subfield": "reproductive-child"
    }
  ],
  "title": "Impact of Structured Prenatal Counseling on Decision-making and Psychological Outcomes in Indian Women with High-risk Aneuploidy Screening Results: A Prospective Cohort Study",
  "title_text": "Impact of Structured Prenatal Counseling on Decision-making and Psychological Outcomes in Indian Women with High-risk Aneuploidy Screening Results: A Prospective Cohort Study",
  "type": "peer-reviewed",
  "updated_at": "2026-11-07T14:20:36Z",
  "url": "https://research.draconitic.com/paper/7755rzbkycpj4",
  "venue": "Journal of Marine Medical Society",
  "versions": []
}