Patient-Centered Obstetric Care in the Age of Cell-Free Fetal DNA Prenatal Screening Article Swipe
Patricia K. Agatisa
,
Mary Beth Mercer
,
Ariane Mitchum
,
Marissa Coleridge
,
Ruth M. Farrell
·
YOU?
·
· 2017
· Open Access
·
· DOI: https://doi.org/10.1177/2374373517720482
YOU?
·
· 2017
· Open Access
·
· DOI: https://doi.org/10.1177/2374373517720482
Purpose: The clinical introduction of innovative prenatal genetic technologies challenges patients and providers to find new ways of fostering informed decision-making in a setting characterized by complexity and uncertainty. As prenatal genetic technology advances, important questions remain about how to structure patient-centered conversations that effectively prepare pregnant patients to make informed choices about the different genetic conditions for which this new form screening may be used. Methods: Focus groups were conducted with 23 pregnant women to identify informational needs and decision-making preferences regarding emerging and anticipated applications of cell-free fetal DNA screening, the newest form of prenatal genetic screening. Results: Participants were in favor of obtaining more genetic information about the fetus than provided by conventional screens but acknowledged the challenges inherent in navigating the unique complexities of the decision-making process. The provider–patient relationship was seen as an important resource to navigate the associated uncertainties at each stage of the screening process. Participants emphasized the need for initiatives to support a personalized, accurate, and unbiased discussion about prenatal genetic risk and assessment. Conclusion: Continued advances in prenatal genetic screening call for new approaches to structure patient-centered communication to facilitate increasingly complex decisions about fetal genetic risk and assessment.
Related Topics
Concepts
Cell-free fetal DNA
Prenatal diagnosis
Prenatal care
Medicine
Obstetrics
Pregnancy
Fetus
Genetics
Biology
Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1177/2374373517720482
- https://journals.sagepub.com/doi/pdf/10.1177/2374373517720482
- OA Status
- diamond
- Cited By
- 20
- References
- 40
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W2751533227
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W2751533227Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1177/2374373517720482Digital Object Identifier
- Title
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Patient-Centered Obstetric Care in the Age of Cell-Free Fetal DNA Prenatal ScreeningWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2017Year of publication
- Publication date
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2017-08-30Full publication date if available
- Authors
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Patricia K. Agatisa, Mary Beth Mercer, Ariane Mitchum, Marissa Coleridge, Ruth M. FarrellList of authors in order
- Landing page
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https://doi.org/10.1177/2374373517720482Publisher landing page
- PDF URL
-
https://journals.sagepub.com/doi/pdf/10.1177/2374373517720482Direct link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
-
diamondOpen access status per OpenAlex
- OA URL
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https://journals.sagepub.com/doi/pdf/10.1177/2374373517720482Direct OA link when available
- Concepts
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Cell-free fetal DNA, Prenatal diagnosis, Prenatal care, Medicine, Obstetrics, Pregnancy, Fetus, Genetics, BiologyTop concepts (fields/topics) attached by OpenAlex
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20Total citation count in OpenAlex
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2025: 2, 2024: 2, 2023: 3, 2022: 3, 2021: 4Per-year citation counts (last 5 years)
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40Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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