1/23/2024 0 Comments Wow center of screen marker![]() 11– 13 We analyzed audio recordings of first prenatal visits at three urban clinic sites in Pittsburgh, Pennsylvania from 2011 to 2014. This cohort study is part of a larger study of patient-provider communication in prenatal care. We hypothesized that inclusion of more College-recommended counseling topics in screening discussions would increase the number of women choosing prenatal genetic screening. The purpose of this study was to use audio-recorded prenatal visits to assess how obstetric health care providers currently counsel patients about prenatal genetic screening, and how this conversation influences patients’ screening decisions. 6, 7 Furthermore, many women who do undergo testing later report being unaware of what the test was for or what the results meant. While most obstetric health care providers report routinely offering prenatal genetic screening to all their patients, prior studies suggest that many patients miss the opportunity for screening, and many health care providers are not aware of details such as the false positive or negative rate of screening tests. 2 Counseling should be nondirective, with the goal of allowing the patient to make an informed choice to pursue noninvasive screening, invasive testing, or no testing. 3 When discussing screening tests, College guidelines suggest that health care providers specifically address (1) detection and false-positive rates, (2) advantages, disadvantages and limitations of the screening tests, and (3) the option of diagnostic testing. 2 At present, the primary screening modalities for low risk patients include the first trimester screen and multiple marker screening. 1 The American College of Obstetricians and Gynecologists (the College) recommends that all pregnant women should be offered fetal aneuploidy screening in the first or second trimester. Chromosomal anomalies, most commonly Down Syndrome, complicate 1 in every 600 births in the United States.
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