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Newborn biliary atresia screening with the stool colour card: a questionnaire survey of parents
Morgane Borgeat1, Simona Korff1, Barbara E Wildhaber2
1Department of Pediatrics, University Hospitals of Geneva, Geneva, Switzerland.
Insights
Parents overwhelmingly find the stool colour card (SCC) helpful for screening biliary atresia. While a small minority experience unease, the SCC is easy to use and reassures most parents, supporting its widespread implementation.
Area of Science:
- Pediatric Gastroenterology
- Neonatal Screening
- Public Health
Background:
- Biliary atresia screening is crucial for improving infant outcomes.
- The stool colour card (SCC) is a simple tool for early detection.
- Physician reluctance exists due to potential parental anxiety.
Purpose of the Study:
- To assess parental reactions to the stool colour card (SCC) screening method.
- To determine if the SCC evokes parental stress.
- To evaluate the SCC's impact on parental reassurance and emotions.
Main Methods:
- A semistructured questionnaire was administered to parents of healthy children.
- Parents were surveyed regarding their reactions to receiving and using the SCC.
- Data from returned questionnaires were analyzed to evaluate parental responses.
Main Results:
- 100% of parents found the SCC helpful, simple, and easy to use.
- 60% of parents felt reassured upon receiving the SCC; only 5% reported worry.
- 84% of parents experienced positive or neutral emotions during SCC use; 82% had neutral discussions with pediatricians.
Conclusions:
- The vast majority of parents appreciate and value the stool colour card (SCC).
- The SCC causes uneasiness in only a small minority of parents.
- Results support the regular distribution of the SCC in various infant clinics to improve early diagnosis.
Purpose:
Biliary atresia can easily be screened using a stool colour card (SCC) and has shown to significantly reduce time to diagnosis, improving children's outcome. Despite the general approval of the clinical usefulness of the SCC, physicians remain reluctant: it might unnecessarily worry parents. This study aimed to analyse the parental reaction to this screening method and if it evokes parental stress.
Methods:
A semistructured questionnaire was sent to parents with one or more healthy child to inquire about reactions on receipt and use of the SCC.
Results:
109/256 questionnaires were returned and evaluated (43%). 107/107 parents considered the SCC as helpful, a simple screening method and easy to use (100%). 26/43 were reassured when receiving the SCC (60%), 2 were worried (5%) and 9 had no particular feelings (21%). In 41/49, emotions experienced during its use were positive or neutral (84%), and 3 were worried (6%). In 41/50, the discussion with the paediatrician about stool colour-linked pathologies was neutral (82%), and 9 felt uneasy (18%).
Conclusion:
A vast majority of parents appreciate the SCC. It creates uneasiness in a minority of parents. Our results are encouraging and argue in favour of implementing the regular distribution of the SCC in antenatal, postnatal and newborn infant clinics.
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