Patient-centered prenatal counseling: aligning obstetric healthcare professionals with needs of pregnant women

Women & Health
Ruth M FarrellPatricia K Agatisa

Abstract

The first trimester aneuploidy screen (FTS) continues to be a leading approach to identify the risk of fetal aneuploidy. This study evaluated how obstetric (OB) professionals counsel women about FTS as one of a growing number of options to assess fetal health. A survey was completed by OB professionals (board-certified obstetrician/gynecologists and certified nurse midwives) between February and March 2011: (1) to identify knowledge and practice patterns with regard to FTS, and (2) to compare pregnant women's educational needs and decision-making preferences with clinicians' perceptions of these factors. A total of 216 surveys (11 percent) were completed by OB professionals and analyzed. Several barriers to effective patient counseling were identified, including gaps in obstetric professionals' mastery of the screening test characteristics and variable approaches to discuss concepts of aneuploidy risk. OB participants reported limited confidence in discussing patient-valued topics, specifically post-screen options and pregnancy termination. Discordance was identified between OB professionals' perceptions of pregnant women's educational needs and decision-making preferences specific to FTS and historical data recently collected ...Continue Reading

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Citations

Jan 1, 2016·Seminars in Perinatology·Jill Fonda AllenBarbara A Bernhardt
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Nov 28, 2019·International Journal for Equity in Health·Jessica U RamlakhanAnna R Gagliardi

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