Details

Autor(en) / Beteiligte

• Rose, Nancy C.
• Lagrave, Danielle
• Hafen, Brent
• Jackson, Marc

Titel

The impact of utilization of early aneuploidy screening on amniocenteses available for training in obstetrics and fetal medicine

Ist Teil von

• Prenatal diagnosis, 2013-03, Vol.33 (3), p.242-244

Ort / Verlag

England: Blackwell Publishing Ltd

Erscheinungsjahr

2013

Quelle

MEDLINE

Beschreibungen/Notizen

• ABSTRACT Objective First‐trimester aneuploidy screening has high detection rates and low false‐positive rates. Their use as well as the implementation of non‐invasive prenatal testing may affect specialty training in prenatal diagnosis procedures. Study design Descriptive study of first‐trimester aneuploidy screening and amniocentesis in an obstetric training program. Screening methods were tracked from their introduction in 2004 through 2011. The volume of amniocentesis procedures from 2000 to 2011 was evaluated. Results First‐trimester screening tests increased from 283 to 1225 between 2005 and 2011, whereas genetic amniocenteses declined from 460 to 168 during the same period. The percent of older women who chose a first‐trimester screen test rose from 12.7% to 44.2% Conclusion First‐trimester screening options reduce genetic amniocenteses available for training. Fetal medicine and general obstetrics training programs need to evaluate their clinical experience and determine whether simulation training methods are needed for education. © 2013 John Wiley & Sons, Ltd. What's already known about this topic? It is known that increasing efficiency with all forms of screening decreases the need for definitive prenatal diagnosis procedures. As non‐invasive prenatal testing improves and has increased utilization, it is likely that the volume of prenatal diagnosis procedures will continue to decrease. What does this study add? Because we have essentially 100% ascertainment of all samples in our region, we can actually define how few amniocenteses are available for obstetric training and experience. This manuscript attempts to demonstrate with data the decline in procedures to perhaps begin a dialog on changing how we train fellows for procedures.