Supporting patients after disclosure of abnormal first trimester screening results

Current Opinion in Obstetrics & Gynecology
Jane Fisher

Abstract

The clinical value of first trimester aneuploidy screening is well established internationally. The implementation of a more effective testing protocol has led to an increase in 'abnormal' or worrying findings that are disclosed to women relatively early in their pregnancy. It is timely, therefore, to explore the support needs of women who are told during the first trimester that their screening result has increased their risk of fetal anomaly. A Medline search uncovered numerous papers in the review period on first trimester screening regimens, and the efficacy of particular screening markers, but very little on the psychosocial sequelae for women receiving abnormal results. Therefore, this study takes what can be gleaned from the available literature, augmented by the author's experience in an independent UK charity providing nondirective support and information to parents through prenatal screening and its consequences. [Antenatal Results and Choices (ARC) was established as a UK charity in 1988. The organization provides nondirective information and specialized support to parents throughout antenatal testing and its consequences, dealing with approximately 8000 contacts a year. ARC also provides training programmes for prov...Continue Reading

References

Nov 12, 2005·The New England Journal of Medicine·Fergal D MaloneUNKNOWN First- and Second-Trimester Evaluation of Risk (FASTER) Research Consortium
Nov 18, 2005·Social Science & Medicine·Bob HeymanLaura Pitson
Oct 19, 2010·Ultrasound in Obstetrics & Gynecology : the Official Journal of the International Society of Ultrasound in Obstetrics and Gynecology·K DahlU S Kesmodel
Dec 17, 2010·Fetal Diagnosis and Therapy·Teodora ChelemenKypros H Nicolaides
Jan 7, 2011·Prenatal Diagnosis·Kypros H Nicolaides
Jan 7, 2011·Prenatal Diagnosis·Jane Fisher
Feb 5, 2011·Genetics in Medicine : Official Journal of the American College of Medical Genetics·Ruth M FarrellChristian Simon
Aug 16, 2011·European Journal of Obstetrics, Gynecology, and Reproductive Biology·Gillian M TringhamStephen W Lindow
Aug 19, 2011·Nature Reviews. Genetics·Antina de JongGuido M W R de Wert

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Citations

Sep 8, 2012·Genetics in Medicine : Official Journal of the American College of Medical Genetics·Barbara A BernhardtRonald J Wapner
Sep 1, 2012·Genetics in Medicine : Official Journal of the American College of Medical Genetics·Melissa HillStephen Morris
Feb 20, 2014·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Caroline SilcockLyn S Chitty
Aug 12, 2016·Journal of Perinatology : Official Journal of the California Perinatal Association·A L Kratovil, W A Julion
Feb 13, 2016·Current Opinion in Obstetrics & Gynecology·Melissa HillLyn S Chitty

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