Tyzack Katrina, Wallace Euan M
Centre for Women's Health Research, Department of Obstetrics and Gynaecology, Monash University, Clayton, Victoria, Australia.
Aust N Z J Obstet Gynaecol. 2003 Jun;43(3):217-21. doi: 10.1046/j.0004-8666.2003.00070.x.
To assess the level of knowledge about Down syndrome screening among a sample of health professionals providing antenatal care.
A structured questionnaire-based survey.
Health professionals allied to a tertiary level maternity hospital in metropolitan Melbourne.
A self-administered questionnaire was given or posted to 166 health care providers to assess their knowledge of prenatal Down syndrome screening.
A total of 140 completed surveys were returned (83% response rate), including 70 from general practitioners, 34 from midwives, 33 from obstetricians and three from geneticists. Of these, 130 confirmed that they regularly counsel women about prenatal screening for Down syndrome. Sixteen per cent of those indicated that they only offered testing to selected 'high risk' women rather than all women. Overall, there was a high level of awareness regarding the gestations at which the commonly used screening tests are offered but a poor appreciation of the relative performances of those tests. Seventy-eight (60%) of those counselling indicated that they discussed detection and screen positive rates specific for the age of the woman. However, less than 10% were able to provide those rates.
Knowledge of Down syndrome screening was variable among those who regularly counsel women about these tests. The results of the present survey highlight the need for professional education about prenatal screening.
评估提供产前护理的卫生专业人员样本对唐氏综合征筛查的知识水平。
基于结构化问卷的调查。
墨尔本大都市一家三级妇产医院的相关卫生专业人员。
向166名医疗保健提供者发放或邮寄一份自填式问卷，以评估他们对产前唐氏综合征筛查的知识。
共收回140份完整问卷（回复率83%），其中包括70名全科医生、34名助产士、33名产科医生和3名遗传学家的问卷。其中，130人确认他们经常就唐氏综合征的产前筛查向女性提供咨询。其中16%的人表示，他们只对选定的“高危”女性进行检测，而不是对所有女性进行检测。总体而言，对于提供常用筛查测试的孕周有较高的知晓度，但对这些测试的相对性能了解不足。在提供咨询的人中，78人（60%）表示他们讨论了针对女性年龄的检测率和筛查阳性率。然而，能够提供这些比率的人不到10%。
在经常就这些测试向女性提供咨询的人中，对唐氏综合征筛查的知识存在差异。本次调查结果凸显了产前筛查专业教育的必要性。
