Title of study is “EFFECTIVENESS OF STRUCTURED ANTENATAL GENETIC COUNSELLING IN PROMOTING INFORMED CHOICES IN PREGNANCY.”
Population: Pregnant women in their first or second trimester(below 20 weeks POG), aged 18 years or above, referred for antenatal care or genetic counseling, willing to participate and provide written informed consent, able to comprehend the counseling session and complete questionnaires
Intervention: Receives structured genetic counselling
Comparison: Receives routine genetic counselling
Outcome: Primary Objective: To assess changes in knowledge, awareness, and informed decision-making after structured counseling.
Secondary Objectives: 1. To evaluate the baseline knowledge and attitudes of pregnant women toward genetic disorders and prenatal testing. 2. To compare the effectiveness of structured counseling with routine antenatal counseling. 3. To evaluate the psychological impact (anxiety and decisional conflict) and satisfaction with structured genetic counseling.
Timeframe: After IEC clearance to December 2026
Research Question: Does structured antenatal genetic counseling increase awareness and knowledge of genetic testing and disorders and enhance confidence in making informed reproductive choice?
Aim: To assess the effectiveness of structured antenatal genetic counseling in promoting informed choices among pregnant women.
Objectives: To assess changes in knowledge, awareness, and informed decision-making after structured counsel ing to evaluate the baseline knowledge and attitudes of pregnant women toward genetic disorders and prenatal testing to compare the effectiveness of structured counseling with routine antenatal counseling to evaluate the psychological impact (anxiety and decisional conflict) and satisfaction with structured genetic counseling.
Inclusion Criteria: Pregnant women in their first or second trimester(Less than 20 weeks POG) with age 18 years or above referred for antenatal care or genetic counseling who are willing to participate and provide written informed consent and able to comprehend the counseling session and complete questionnaires.
Exclusion Criteria: High-risk pregnancies requiring immediate clinical intervention, presence of pre-existing psychiatric illness affecting communication or decision-making, women who have already received structured genetic counseling elsewhere, unwilling or unable to complete the follow-up assessments.
Detailed methodology: Study Design: Randomized Controlled Trial (RCT) Study Setting: Departments of Pediatrics and Obstetrics & Gynecology, AIIMS Jodhpur Study Duration: 2 years (2025 to 2027) Study Site: Antenatal outpatient clinic and Genetic Counseling Clinic Study Population: Pregnant women referred for antenatal care or suspected/confirmed genetic
disorders• Intervention Group: Will receive structured antenatal genetic counseling from trained experts Control Group: Will receive routine antenatal counseling as per hospital standard care
Expected Outcomes: This study focuses on the outcomes such as changes in knowledge, awareness, and informed decisionmaking after structured counseling to evaluate the baseline knowledge and attitudes of pregnant women toward genetic disorders and prenatal testing to compare the effectiveness of structured counseling with routine antenatal counseling to evaluate the psychological impact (anxiety and decisional conflict) and satisfaction with structured genetic counseling. |