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Maternal serum screening for Down syndrome: are women's perceptions changing?
M Gidiri1, J McFarlane, S Holding
1Academic Department of Obstetrics and Gynaecology, Women and Children's Hospital, Hull Royal Infirmary, Hull, UK. fmgidiri@doctors.org.uk
Summary
Serum screening for Down syndrome uptake significantly decreased from 82.6% to 41.4% between 1993 and 2005. This decline in Down syndrome screening necessitates careful planning for future programs.
Area of Science:
- Medical screening programs
- Prenatal diagnostics
- Public health interventions
Background:
- Uptake trends for serum screening for Down syndrome have not been previously documented in the UK.
- A large hospital in Northern England has provided universal Down syndrome screening since 1992.
Purpose of the Study:
- To document trends in serum screening for Down syndrome.
- To analyze the uptake rates of Down syndrome screening over time.
Main Methods:
- Retrospective review of screening uptake rates.
- Analysis of data from 47,998 women undergoing antenatal care.
- Utilized a computer database for recorded screening results.
Main Results:
- Serum screening uptake for Down syndrome declined significantly from 82.6% in 1993 to 41.4% in 2005.
- Observed a slight upward trend in the age of women undergoing screening.
- Noted a significant increase in screen-positive rates.
Conclusions:
- The observed reduction in Down syndrome screening uptake requires consideration in future program planning.
- Encourages other healthcare units to review their screening uptake rates to identify broader trends.
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