Fairgrieve S, Magnay D, White I, Burn J
Northern Genetic Service, Newcastle upon Tyne, UK.
Public Health. 1997 Nov;111(6):383-5. doi: 10.1038/sj.ph.1900397.
The lack of consensus regarding the implementation of maternal serum screening, has led to a widespread variation in practice. The importance of the role of midwives within the service has been recognised. All maternity units in the Northern region now have a designated 'co-ordinator' in an attempt to improve service delivery, professional liaison and training. This study was designed to obtain midwives' views about maternal serum screening in principle and to assess whether any changes had occurred since the introduction of co-ordinators. Semi-structured, postal questionnaires were sent to all midwives in one health authority for them to complete and return. Within this authority, one maternity unit offered universal screening whereas the other maintained a selective policy. Responses were obtained from 90 out of 133 (67.7%). There was almost unanimous support for the principle of screening 86 out of 90 (95.5%) and most midwives considered the offer of screening should be an NHS service, independent of age 78 out of 90 (86.7%). Half of the respondents 46 out of 90 (51.2%) reported that the introduction of a co-ordinator had been successful in improving staff education but requests for further training and updating were made by 69 out of 90 (76.6%) despite having had this organized training input: although those midwives who were regularly involved with screening made significantly fewer requests 27 out of 45 (60%). These findings confirmed our previous recommendation that ongoing responsibility for such provision would be required. The results of the study provided a useful contribution towards the review of screening policy undertaken by the health authority, as well as evidence upon which to base further development of the role of the co-ordinators in their support of midwives.
在孕产妇血清筛查的实施方面缺乏共识，导致了实践中的广泛差异。助产士在该服务中的作用的重要性已得到认可。北部地区的所有产科单位现在都有指定的“协调员”，以试图改善服务提供、专业联络和培训。本研究旨在获取助产士对孕产妇血清筛查原则的看法，并评估自引入协调员以来是否发生了任何变化。向一个卫生当局的所有助产士发送了半结构化的邮政问卷，让他们填写并返回。在这个卫生当局内，一个产科单位提供普遍筛查，而另一个则维持选择性政策。133名中有90名（67.7%）回复。几乎一致支持筛查原则，90名中有86名（95.5%），大多数助产士认为筛查服务应该是国民保健服务，与年龄无关，90名中有78名（86.7%）。一半的受访者，90名中有46名（51.2%）报告说，协调员的引入成功地改善了员工教育，但90名中有69名（76.6%）要求进一步培训和更新，尽管已经有了这种有组织的培训投入：尽管那些经常参与筛查的助产士提出的要求明显较少，45名中有27名（60%）。这些发现证实了我们之前的建议，即需要对这种提供持续负责。该研究结果为卫生当局进行的筛查政策审查做出了有益贡献，也为协调员在支持助产士方面的作用的进一步发展提供了依据。
