Ontario Maternal Serum Screening Program: practices, knowledge and opinions of health care providers

摘要: OBJECTIVE: To determine the practices, knowledge and opinions of health care providers regarding a prenatal genetic screening program in Ontario. DESIGN: Cross-sectional self-reported survey. SETTING: PARTICIPANTS: Random sample 2000 family physicians, all 565 obstetricians 62 registered midwives province. Among subjects who were eligible (those providing antenatal or attending births) response rates 91% (778/851), 76% (273/359) 78% (46/59) respectively. MAIN OUTCOME MEASURES: Which patients offered maternal serum (MSS), how results being communicated, test9s sensitivity, likes dislikes about MSS recommendations program. RESULTS: Most (97%) respondents stated that they offering to pregnant women their practices; 88% it routinely (87% 90% 100% midwives). (92%) communicate positive personally as soon are received; 23% did so for negative results. The correctly identified initial rate but underestimated false-positive rate. About one-third not respond these questions. Of those gave feedback on program, 50% recommended be changed, 29% suggested 22% scrapped. CONCLUSIONS: Participation Ontario Maternal Serum Screening Program by has been good, although is far from ideal. Many have reservations In light concerns raised high anxiety such generate women, there need more education better understanding women9s experiences with screening.