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Patient preference for self-collected cultures for group B streptococcus in pregnancy
M C Taylor1, B M Mercer, K F Engelhardt
1Department of Obstetrics and Gynecology, University of Tennessee, Memphis, USA.
Journal of Nurse-Midwifery
|November 14, 1997
Summary
Pregnant women prefer self-collection for group B Streptococcus testing, finding it accurate and desirable. Most women want the choice for future self-culture screenings, valuing active participation in their healthcare.
Area of Science:
- Obstetrics and Gynecology
- Medical Microbiology
- Patient-Centered Care
Background:
- Group B Streptococcus (GBS) screening is crucial during pregnancy.
- Current GBS screening often involves invasive, nurse-collected samples.
- Patient preference and active participation in healthcare are increasingly recognized.
Purpose of the Study:
- To assess pregnant women's preference for self-culture techniques for GBS screening.
- To evaluate women's receptiveness, ability, and desire for choice in self-collected GBS cultures.
- To compare patient-collected samples with nurse-collected samples for GBS detection accuracy.
Main Methods:
- Interviewed 251 pregnant women (24-42 weeks gestation) using the Patient Preference Tool.
- Women performed self-collected vaginal and rectal cultures for GBS.
- Assessed patient receptiveness, ability, and desire for future choice in self-collection.
Main Results:
- 77% of women described self-culture positively.
- 57% preferred self-culture over nurse-collected sampling.
- Patient samples showed high correlation with nurse-collected samples for accuracy.
- 79% desired a choice in future self-collection testing.
Conclusions:
- Pregnant women demonstrate a strong preference for self-culture techniques for GBS screening.
- Self-collection is a viable, accurate, and preferred method for GBS testing.
- Empowering women with choices in their healthcare, including self-collection, enhances participation.