Document Detail


Prenatally diagnosed fetal conditions in the age of fetal care: does who counsels matter?
MedLine Citation:
PMID:  22340943     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: We sought to characterize practices and attitudes of maternal-fetal medicine (MFM) and fetal care pediatric (FCP) specialists regarding fetal abnormalities.
STUDY DESIGN: This was a self-administered survey of 434 MFMs and FCPs (response rate: MFM 60.9%; FCP 54.2%).
RESULTS: For Down syndrome (DS), congenital diaphragmatic hernia (CDH), spina bifida: MFMs were more likely than FCPs to support termination (DS 52% vs 35%, P < .001; CDH 49% vs 36%, P < .001; spina bifida 54% vs 35%, P < .001), and consider offering termination options as highly important (DS 90% vs 70%, P < .001; CDH 88% vs 69%, P < .001; spina bifida 88% vs 70%, P < .001). For DS only, MFMs were less likely than FCPs to think that pediatric specialist consultation should be offered prior to a decision regarding termination (54% vs 75%, P < .001). MFMs reported report higher termination rates among patients only for DS (DS 51% vs 21%, P < .001).
CONCLUSION: MFM and FCP specialists' counseling attitudes differ for fetal abnormalities.
Authors:
Stephen D Brown; Jeffrey L Ecker; Johanna R M Ward; Elkan F Halpern; Sadath A Sayeed; Terry L Buchmiller; Christine Mitchell; Karen Donelan
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2012-02-14
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  206     ISSN:  1097-6868     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  2012 May 
Date Detail:
Created Date:  2012-04-30     Completed Date:  2012-07-27     Revised Date:  2013-03-07    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  409.e1-11     Citation Subset:  AIM; IM    
Copyright Information:
Copyright © 2012 Mosby, Inc. All rights reserved.
Affiliation:
Department of Radiology, Children's Hospital Boston, Boston, MA 02115, USA. Stephen.brown@childrens.harvard.edu
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MeSH Terms
Descriptor/Qualifier:
Abortion, Eugenic* / statistics & numerical data
Attitude of Health Personnel*
Congenital Abnormalities / diagnosis*
Directive Counseling*
Female
Health Care Surveys
Humans
Logistic Models
Male
Maternal Health Services*
Middle Aged
Pediatrics
Physician's Practice Patterns
Physicians / psychology*
Pregnancy
Prenatal Diagnosis*
Questionnaires
Comments/Corrections
Comment In:
Am J Obstet Gynecol. 2013 Feb;208(2):159   [PMID:  23149212 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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