A clinical audit of combined first trimester screening and non‐invasive prenatal testing offered to pregnant women in a regional Australian hospital

Abdalla, Orit; Woods, Cindy; Costa, Caroline de

doi:10.1111/ajo.12842

Cited by 3 publications

(3 citation statements)

References 13 publications

(24 reference statements)

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“…NIPT is taken up more widely by the 30% of pregnant people who receive private obstetric care; approximately 50-75% of people in this group are thought to choose NIPT (usually as a first-tier test), compared with 25% in the public system (53). Those who access NIPT tend to be older and to live in metropolitan areas and areas of greater socioeconomic advantage (2,70).…”

Section: Australiamentioning

confidence: 99%

The Emergence and Global Spread of Noninvasive Prenatal Testing

Ravitsky

Roy

Haidar

et al. 2021

Annu. Rev. Genom. Hum. Genet.

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Since its introduction in 2011, noninvasive prenatal testing (NIPT) has spread rapidly around the world. It carries numerous benefits but also raises challenges, often related to sociocultural, legal, and economic contexts. This article describes the implementation of NIPT in nine countries, each with its own unique characteristics: Australia, Canada, China and Hong Kong, India, Israel, Lebanon, the Netherlands, the United Kingdom, and the United States. Themes covered for each country include the structure of the healthcare system, how NIPT is offered, counseling needs and resources, and cultural and legal context regarding disability and pregnancy termination. Some common issues emerge, including cost as a barrier to equitable access, the complexity of decision-making about public funding, and a shortage of appropriate resources that promote informed choice. Conversely, sociocultural values that underlie the use of NIPT vary greatly among countries. The issues described will become even more challenging as NIPT evolves from a second-tier to a first-tier screening test with expanded use. Expected final online publication date for the Annual Review of Genomics and Human Genetics Volume 22 is August 2021. Please see http://www.annualreviews.org/page/journal/pubdates for revised estimates.

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Section: Australiamentioning

confidence: 99%

The Emergence and Global Spread of Noninvasive Prenatal Testing

Ravitsky

Roy

Haidar

et al. 2021

Annu. Rev. Genom. Hum. Genet.

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“…Also, the test is not reimbursable through private health insurance. Previous studies in this country show that women who opt for NIPT tend to live in metropolitan areas and areas of greater socioeconomic advantage, 44,45 justifying concerns of inequity by sociodemographic background. In Canada, variability exists in NIPT funding models within the country 2 .…”

Section: Discussionmentioning

confidence: 98%

Factors involved in the decision to decline prenatal screening with noninvasive prenatal testing (NIPT)

et al. 2022

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Objective: To investigate factors involved in the decision to decline prenatal screening with noninvasive prenatal testing (NIPT).Method: A questionnaire study was conducted among 219 pregnant women in the Netherlands who had declined prenatal screening with NIPT (TRIDENT-2 study).Respondents were selectively recruited from three hospitals and 19 midwifery practices, primarily located in or near socioeconomically disadvantaged neighborhoods. 44.3% of the respondents were of non-Western ethnic origin and 64.4% were religious.Results: Most respondents (77.2%) found the decision to decline NIPT easy to make, and 59.8% had already made the decision before information about NIPT was offered.These respondents were more often religious, multigravida, and had adequate health literacy. The main reasons to decline NIPT were "I would never terminate my Lisanne van Prooyen Schuurman and Karuna van der Meij contributed equally to this work.

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“…In 2018, we found that 54% of women in Far North Queensland (FNQ) giving birth in Cairns Hospital had not been offered prenatal screening, findings consistent with several other studies of women in rural areas. [2][3][4] We therefore undertook a study of FNQ general practitioners (GPs) and private obstetricians (POs), to investigate this apparent under-screening.…”

Section: Barriers and Potential Solutions To Improve Access And Equity In Prenatal Screening For Rural Womenmentioning

confidence: 99%

Barriers and potential solutions to improve access and equity in prenatal screening for rural women

Abdalla

Woods

2021

Aust NZ J Obst Gynaeco

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A clinical audit of combined first trimester screening and non‐invasive prenatal testing offered to pregnant women in a regional Australian hospital

Cited by 3 publications

References 13 publications

The Emergence and Global Spread of Noninvasive Prenatal Testing

The Emergence and Global Spread of Noninvasive Prenatal Testing

Factors involved in the decision to decline prenatal screening with noninvasive prenatal testing (NIPT)

Barriers and potential solutions to improve access and equity in prenatal screening for rural women

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