Author/Editor		Mujezinović, Faris; Prosnik, Anica; Alfirević, Žarko
Title		Different communication strategies for disclosing results of diagnostic prenatal testing
Type		članek
Source		Cochrane Database Syst Rev Online
Vol. and No.		, št. 11
Publication year		2010
Volume		str. 1-35
Language		eng
Abstract		Background. Any screening program aiming to reassure pregnant women that their unborn baby is healthy will cause anxiety while waiting for the test results. Objectives. 1) To determine if revealing amniocentesis or chorionic villous sampling (CVS) results on a fixed date alters maternal anxiety during the waiting period, compared with a policy of revealing the result when available (i.e. variable date). 2) To evaluate whether issuing early results from a rapid molecular test alters maternal anxiety during the waiting period. 3) To evaluate whether different methods of communication (telephone, fax, email, face to face) have any impact on the parents' satisfaction and anxiety levels. Search strategy. We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (31 August 2010). Selection criteria. All published and unpublished randomised trials, in which methods of issuing prenatal test results are compared. Data collection and analysis. Two review authors (Faris Mujezinovic and Zarko Alfirevic) assessed eligibility and trial quality and performed data extraction. Main results. Two studies (involving 286 women) from amniocentesis (but none from CVS) compared the impact of communicating results of rapid testing with waiting for definitive karyotype. Unfortunately, it was not possible to perform pooled analysis because one study reported only median (interquartile range) data, presumably because the data were not normally distributed. One study reported a statistically significant reduction in the average anxiety during the waiting period for women who had had a rapid test compared with those who had not (mean difference (MD) -2.30, 95% confidence intervals (CI) -3.08 to - 1.52). The other study compared median (interquartile range) for the trait- and state-anxiety scores and found no difference between the two groups. Authors' conclusions. (Abs. trunc. at 2000 ch.)
Descriptors		PREGNANCY AMNIOCENTESIS ANXIETY CHORIONIC VILLI SAMPLING COMMUNICATION