Literature DB >> 26991091

The use of noninvasive prenatal testing in obstetric care: educational resources, practice patterns, and barriers reported by a national sample of clinicians.

Ruth M Farrell1,2,3, Patricia K Agatisa2, Mary Beth Mercer2, Ariane G Mitchum2, Marissa B Coleridge3.   

Abstract

OBJECTIVE: The aim of this study was to identify how physicians develop their knowledge base and practice patterns regarding noninvasive prenatal testing (NIPT).
METHODS: A survey was used to assess physicians' informational sources and practice patterns regarding NIPT.
RESULTS: While most of the 258 participants acquire knowledge about NIPT from the medical literature or didactic educational programming, 74 (28.7%) cite commercial laboratories as an initial source and 124 (47.8%) as a way to keep current with changes in NIPT. About one-third (n = 94, 36.4%) seek information about ethical issues related to NIPT. Half of the OB/GYN respondents (n = 136, 52.7%) provide pretest counseling; fewer refer to a genetic counselor or maternal fetal medicine specialist (MFM) (n = 94, 34.6%, n = 29, 11.2%, respectively). Pretest counseling content and the comfort with which participants discuss topics pertinent to patients' utilization of NIPT varied between OB/GYNs and MFMs.
CONCLUSIONS: Advances in cff DNA technology emphasize the need for effective strategies for physicians to develop competency and practice patterns regarding NIPT. Study findings speak to the need for effective educational resources for obstetric providers, not just early adopters of NIPT but also for primary OB/GYNs as they serve in the role of the first point of contact for women considering their prenatal testing options.
© 2016 John Wiley & Sons, Ltd. © 2016 John Wiley & Sons, Ltd.

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Year:  2016        PMID: 26991091     DOI: 10.1002/pd.4812

Source DB:  PubMed          Journal:  Prenat Diagn        ISSN: 0197-3851            Impact factor:   3.050


  14 in total

1.  Implementing Group Prenatal Counseling for Expanded Noninvasive Screening Options.

Authors:  Betsy L Gammon; Laura Otto; Myra Wick; Kristy Borowski; Megan Allyse
Journal:  J Genet Couns       Date:  2017-12-15       Impact factor: 2.537

Review 2.  Prenatal diagnosis by chromosomal microarray analysis.

Authors:  Brynn Levy; Ronald Wapner
Journal:  Fertil Steril       Date:  2018-02       Impact factor: 7.329

3.  OB/GYN residents' training, attitudes, and comfort level regarding genetics.

Authors:  Anastasia Kathrens-Gallardo; Lauren Propst; Edward Linn; Rachel Pothast; Catherine Wicklund; Aishwarya Arjunan
Journal:  J Assist Reprod Genet       Date:  2021-09-13       Impact factor: 3.412

4.  Nationwide implementation of the non-invasive prenatal test: Evaluation of a blended learning program for counselors.

Authors:  Linda Martin; Janneke T Gitsels-van der Wal; Caroline J Bax; Mijntje J Pieters; Jacqueline C I Y Reijerink-Verheij; Robert-Jan Galjaard; Lidewij Henneman
Journal:  PLoS One       Date:  2022-05-02       Impact factor: 3.752

5.  Family experiences and attitudes about receiving the diagnosis of sex chromosome aneuploidy in a child.

Authors:  Kirsten A Riggan; Sharron Close; Megan A Allyse
Journal:  Am J Med Genet C Semin Med Genet       Date:  2020-03-17       Impact factor: 3.908

6.  Improving Patient Knowledge of Aneuploidy Testing Using an Educational Video: A Randomized Controlled Trial.

Authors:  Bethany M Mulla; Olivia H Chang; Anna M Modest; Michele R Hacker; Karen F Marchand; Karen E O'Brien
Journal:  Obstet Gynecol       Date:  2018-08       Impact factor: 7.661

7.  "I think we've got too many tests!": Prenatal providers' reflections on ethical and clinical challenges in the practice integration of cell-free DNA screening.

Authors:  B L Gammon; S A Kraft; M Michie; M Allyse
Journal:  Ethics Med Public Health       Date:  2016 Jul-Sep

Review 8.  The composition and capacity of the clinical genetics workforce in high-income countries: a scoping review.

Authors:  Nick Dragojlovic; Kennedy Borle; Nicola Kopac; Ursula Ellis; Patricia Birch; Shelin Adam; Jan M Friedman; Amy Nisselle; Alison M Elliott; Larry D Lynd
Journal:  Genet Med       Date:  2020-06-24       Impact factor: 8.822

9.  Obstetric professionals' perceptions of non-invasive prenatal testing for Down syndrome: clinical usefulness compared with existing tests and ethical implications.

Authors:  Olivia Miu Yung Ngan; Huso Yi; Samuel Yeung Shan Wong; Daljit Sahota; Shenaz Ahmed
Journal:  BMC Pregnancy Childbirth       Date:  2017-09-05       Impact factor: 3.007

10.  Implementing non-invasive prenatal testing into publicly funded antenatal screening services for Down syndrome and other conditions in Aotearoa New Zealand.

Authors:  Sara Filoche; Fiona Cram; Bev Lawton; Angela Beard; Peter Stone
Journal:  BMC Pregnancy Childbirth       Date:  2017-10-04       Impact factor: 3.007

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