Improving the effectiveness of screening for haemoglobinopathies in primary and community care in Lambeth: antenatal findings
In. United Medical and Dental Schools of Guy's & St. Thomas' Hospitals; King's College School of Medicine & Dentistry of King's College, London; University of the West Indies. Center for Caribbean Medicine. Research day and poster display. s.l, s.n, Jun. 30, 1997. p.1.
Não convencional
em Inglês
| MedCarib
| ID: med-791
Biblioteca responsável:
JM3.1
Localização: JM3.1; R855.5.C72C46 1997
ABSTRACT
An antenatal screening programme for haemoglobinopathies aims to allow couples to make informed choices about reproductive options. Screening must be carried out early in pregnancy and must be supported with accurate information and a genetic counselling service. An audit in 1990 at St. Thomas' found that couples were referred for genetic counselling late in pregnancy or not at all. The aim of the study was to icrease the uptake of screening and counselling in the antenatal clinic by improving midwives knowledge of the condition and available counselling services. A research worker was employed to evaluate the intervention. METHODS:
Knowledge of haemoglobionpathies, genetic risk and available services was assessed by means of a questionnaire. An audit of ante-natal screening was undertaken before and after the introduction of specific guidelines and a porforma by reviewing over 1400 antenatal notes of those recieving community or shared care. Laboratory data on the number of tests requested for both the women and their partners was obtained for the year of the first audit.RESULTS:
23/44 midwives completed the questionnaire (65 percent). Analysis of the responses indicated that hospital midwives were better informed on every question. There was a significant difference (p<<0.001 in the proportion of questions answered correctly by hospital midwives compared to community midwives (77 percent of 45 percent, 95 percent CI 17-45 percent). (AU)
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Coleções:
Bases de dados internacionais
Contexto em Saúde:
ODS3 - Meta 3.8 Atingir a cobertura universal de saúde
/
ODS3 - Meta 3.1 Reduzir a Mortalidade Materna
Problema de saúde:
Arranjos de Entrega
/
Cuidado Materno
Base de dados:
MedCarib
Assunto principal:
Cuidado Pré-Natal
/
Hemoglobinopatias
Tipo de estudo:
Estudo diagnóstico
/
Guia de prática clínica
/
Pesquisa qualitativa
/
Estudo de rastreamento
Limite:
Feminino
/
Humanos
/
Gravidez
Idioma:
Inglês
Ano de publicação:
1997
Tipo de documento:
Não convencional