Background:
Attitudes toward disability significantly influence how individuals perceive quality of life and approach decision-making, especially in the context of invasive prenatal diagnosis. Understanding the impact of these attitudes on women’s responses to potential fetal abnormality is essential for ensuring ethical, empathetic, and well-informed prenatal counseling.

Aims and Objectives:
This study investigates the relationship between women’s attitudes toward disability and their willingness to terminate pregnancy in four hypothetical scenarios of prenatal diagnosis: a genetic syndrome, a mental disability, a motor disability, and a severe condition associated with neonatal death or significant impairment.

Method:
Forty-three women who underwent amniocentesis due to advanced maternal age or personal request participated in the study. They completed the Attitudes Toward Disabled Persons Scale (ATDP), which includes both positively and negatively worded items rated on a 7-point Likert scale. Participants also indicated whether they would consider terminating a pregnancy under the four scenarios. Data were analyzed using Pearson correlation and multiple linear regression to explore associations and predictive relationships between attitude scores and termination intentions.

Results:
Positive attitudes toward disability were significantly associated with lower willingness to terminate pregnancy in cases of genetic syndromes (r = -0.45, p = .003), mental disabilities (r = -0.47, p = .001), and severe impairments (r = -0.57, p < .001). Regression analyses confirmed that positive attitudes significantly predicted termination intentions in these scenarios (p < .01). Negative attitudes, however, did not emerge as significant predictors. No significant associations were found in the case of motor disabilities.

Conclusion:
The findings suggest that positive attitudes toward disability may serve as a protective factor against pregnancy termination following amniocentesis. These results highlight the importance of incorporating attitudinal and psychosocial dimensions into prenatal counseling to support informed and value-aligned decision-making.