Genetics in obstetricians' offices: a survey study.

摘要: Abstract Objective: To investigate obstetricians’ genetic knowledge base and practice trends. Methods: A questionnaire survey was sent to 1003 ACOG Fellows, 554 (55%) of whom responded. Results from the 446 respondents practicing obstetrics are reported. Results: The majority obstetricians surveyed (85.6%) reported completing standardized genetic-history forms for prenatal patients, about half (48%) performed their own invasive diagnostic procedures. Most (87%) had access counselors. For aneuploidy risks associated with advanced maternal age, up 69% provided at least some patient counseling in offices. Physician risk assessment testing areas neural tube defects very good; however, single-gene disorders such as cystic fibrosis, Tay-Sachs disease, sickle cell correct or appropriate test selection presented difficulties respondents. Respondents cited rapidity changes greatest obstacle providing information patients. Conclusion: Obstetricians’ inheritance pertaining more limited than that defects. Comparable deficits were noted patient-education efforts disorders.