The decision-making process of genetically at-risk couples considering preimplantation genetic diagnosis: Initial findings from a grounded theory study

► Examines the decision-making process of 22 couples who were actively considering the use of PGD. ► Identifies four active phases of the decision-making process that are: Identify, Contemplate, Resolve, and Engage. ► Movement through the decision-making process is iterative and includes sequential decisions. ► Couples in the Oscillating decision type formulate a decision that is neither decisively for PGD nor against it.