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First-trimester and second-trimester screening at a community hospital: experience from the first year of implementation.

Publication ,  Conference
Philipson, EH; Callahan, M; Jelovsek, JE
Published in: Obstet Gynecol
August 2008

OBJECTIVE: To review the first-year experience implementing a new early screening during pregnancy program for aneuploidy in a community hospital and compare this program with the screening program immediately preceding its implementation. METHODS: The electronic medical records of all pregnant patients referred from May 17, 2005, through December 31, 2006, for genetic counseling were reviewed for maternal characteristics, indication for referral, a priori and adjusted risk of aneuploidy, and patient choice for screening or testing. The new early screening program (nuchal translucency group) consisted of additional educational materials, nuchal translucency, serum biochemical analytes, quad screening, and invasive testing when indicated. This cohort was compared with the patients who received traditional genetic screening or testing (pre-nuchal translucency) immediately preceding the nuchal translucency program. RESULTS: A total of 101 patients were included in the pre-nuchal translucency group compared with 359 patients in the nuchal translucency group. The most common reason for referral was advanced maternal age; there were no differences in the maternal characteristics between the two groups. Forty-six percent of patients in the early screening program underwent an invasive procedure compared with 76% in the pre-nuchal translucency group (odds ratio 0.26, 95% confidence interval 0.15-0.42; P<.001). CONCLUSION: Early screening programs in a single community hospital are feasible and appear to result in a significant reduction in the number of invasive procedures with excellent patient satisfaction and acceptance.

Duke Scholars

Published In

Obstet Gynecol

DOI

ISSN

0029-7844

Publication Date

August 2008

Volume

112

Issue

2 Pt 1

Start / End Page

218 / 222

Location

United States

Related Subject Headings

  • Risk Assessment
  • Program Development
  • Pregnancy Trimester, Second
  • Pregnancy Trimester, First
  • Pregnancy
  • Ohio
  • Obstetrics & Reproductive Medicine
  • Nuchal Translucency Measurement
  • Maternal Age
  • Humans
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Philipson, E. H., Callahan, M., & Jelovsek, J. E. (2008). First-trimester and second-trimester screening at a community hospital: experience from the first year of implementation. In Obstet Gynecol (Vol. 112, pp. 218–222). United States. https://doi.org/10.1097/AOG.0b013e31817e7c32
Philipson, Elliot H., Michelle Callahan, and J Eric Jelovsek. “First-trimester and second-trimester screening at a community hospital: experience from the first year of implementation.” In Obstet Gynecol, 112:218–22, 2008. https://doi.org/10.1097/AOG.0b013e31817e7c32.
Philipson, Elliot H., et al. “First-trimester and second-trimester screening at a community hospital: experience from the first year of implementation.Obstet Gynecol, vol. 112, no. 2 Pt 1, 2008, pp. 218–22. Pubmed, doi:10.1097/AOG.0b013e31817e7c32.
Journal cover image

Published In

Obstet Gynecol

DOI

ISSN

0029-7844

Publication Date

August 2008

Volume

112

Issue

2 Pt 1

Start / End Page

218 / 222

Location

United States

Related Subject Headings

  • Risk Assessment
  • Program Development
  • Pregnancy Trimester, Second
  • Pregnancy Trimester, First
  • Pregnancy
  • Ohio
  • Obstetrics & Reproductive Medicine
  • Nuchal Translucency Measurement
  • Maternal Age
  • Humans