The impact of rapid aneuploidy detection (RAD) in addition to karyotyping versus karyotyping on maternal quality of life

被引:6
作者
Boormans, E. M. A. [1 ]
Birnie, E. [2 ]
Oepkes, D. [3 ]
Bilardo, C. M. [4 ]
Wildschut, H. I. J. [5 ]
Creemers, J. [6 ]
Bonsel, G. J. [5 ]
van Lith, J. M. M. [3 ]
机构
[1] Acad Med Ctr, Dept Obstet & Gynecol, NL-1100 DD Amsterdam, Netherlands
[2] Erasmus Univ, Inst Hlth Policy & Management, Rotterdam, Netherlands
[3] Leiden Univ, Med Ctr, Dept Obstet & Fetal Med, Leiden, Netherlands
[4] Acad Med Ctr, Dept Obstet & Prenatal Diag, NL-1100 DD Amsterdam, Netherlands
[5] Erasmus Univ, Med Ctr, Dept Obstet & Gynecol, Rotterdam, Netherlands
[6] Radboud Univ Nijmegen, Med Ctr, Dept Obstet & Gynecol, NL-6525 ED Nijmegen, Netherlands
关键词
prenatal diagnosis; rapid aneuploidy detection; karyotype; quality of life; PERSONAL CONTROL PPC; PRENATAL-DIAGNOSIS; PSYCHOLOGICAL RESPONSE; AMNIOCENTESIS; WOMEN; RISK; VALIDATION; PREGNANCY; DISEASE; VERSION;
D O I
10.1002/pd.2486
中图分类号
Q3 [遗传学];
学科分类号
071007 ; 090102 ;
摘要
Objective To assess the impact of rapid aneuploidy detection (RAD) combined with fetal karyotyping versus karyotyping only on maternal anxiety and health-related quality of life. Methods Women choosing to undergo amniocentesis were selected into group 1, i.e. receiving a karyotype result only (n = 132) or to group 2, i.e. receiving both the result of RAD and karyotyping (n = 181). Results There were no systematic differences in time of RAD combined with karyotyping versus karyotyping only in terms of anxiety (P = 0.91), generic physical health (P = 0.76, P = 0.46), generic mental health (P = 0.52, P = 0.72), personal perceived control (P = 0.91) and stress (P = 0.13). RAD combined with karyotyping reduced anxiety and stress two weeks earlier compared to karyotyping only. Conclusion RAD as add-on to karyotyping reduces anxiety and stress in the short term but it does not influence overall anxiety, stress, personal perceived control, and generic mental and physical health when compared to a karyotype-only strategy. Copyright (C) 2010 John Wiley & Sons, Ltd.
引用
收藏
页码:425 / 433
页数:9
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