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Table 2 Quotes related to factors mentioned by women accepting DSS, categorised as ‘ambivalent’ or ‘evident’

From: Reasons for accepting or declining Down syndrome screening in Dutch prospective mothers within the context of national policy and healthcare system characteristics: a qualitative study

Accept

Ambivalent

 Reassurance/certainty

“I was looking for certainty, to hear that everything was OK, and I made use of every opportunity to have this certainty, so yes…that also influenced my decision (F301 Post-accept)”

 Preparation

“But I think, it is good to be prepared when expecting a child with Down syndrome, as far as possible…. (F702 Pre-accept)”

 Guidance

“she (the midwife) gave me the information leaflet and advised me to read it, as if she expected me to participate… as if she hoped or wanted me to do it… (F104 post-accept)”

 Age

“For me this (my age) does not play a role, although I find it a reassuring thought that I am still young and am not at risk regarding this (Down syndrome)… (F603 post-accept)”

Evident

 Individual reproductive choices

“For me, having a choice just feels good (F102 post-accept)”

“We(me and my partner) choose to have kids, given that we want to bring up independent human beings […] now I can make this choice, when a baby is born there is no choice (F101 post-accept)”

 Age

“… in all these information leaflets you see 36 years of age. And when you start heading towards 40, it really gets dramatic…and I am not far from 40 so… well… yes… (F601 post-accept)”

“well, I am 40, so we are thinking about… yes… what the risks are, and I think the risks increase the older you get (F306 post-accept)”