{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T13:02:34Z","timestamp":1780059754467,"version":"3.54.0"},"reference-count":29,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2022,5,9]],"date-time":"2022-05-09T00:00:00Z","timestamp":1652054400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2022,10]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>There are concerns about the capacity of healthcare providers to adequately counsel women on the implications of noninvasive prenatal screening (NIPS). Studies suggest that more resource\u2010efficient counselling methods are needed for broad adoption.<\/jats:p><\/jats:sec><jats:sec><jats:title>Aims<\/jats:title><jats:p>We prospectively examined the effectiveness of alternative methods of prenatal counselling on a patient's knowledge and understanding of prenatal testing choices, with a focus on NIPS. We also evaluated prenatal test choice and emotional well\u2010being after making this decision.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Women from a low socio\u2010economic population were offered NIPS at no additional cost along with typical prenatal screening and diagnosis. Study participants underwent prenatal counselling via a web\u2010based video consultation or a telephone consultation with a genetic counsellor. Participants were asked to complete pre\u2010counselling and post\u2010counselling questionnaires.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 1000 women enrolled, 600 completed both surveys in full and were included in the analysis. Of these, 354 (59%) underwent counselling via a telephone consultation and 246 (41%) via the web\u2010based video consultation. Both counselling methods led to a significant increase in patient knowledge (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.01). NIPS uptake was equivalent between groups. Patients expressed a high level (90%) of satisfaction with their prenatal screen choice, with no significant difference (<jats:italic>P<\/jats:italic>\u2009&gt;\u20090.10) between telephone and web participants.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Alternative methods of counselling such as a web\u2010based education portal can be highly effective and should be considered to enable informed decision\u2010making prior to undergoing prenatal screening such as NIPS. Further, web\u2010based education tools could be beneficial for those in rural areas with limited access to healthcare providers and non\u2010native speakers.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ajo.13522","type":"journal-article","created":{"date-parts":[[2022,5,9]],"date-time":"2022-05-09T08:58:17Z","timestamp":1652086697000},"page":"674-680","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Effectiveness of alternative prenatal genetic counselling methods in a cohort of pregnant women from a low socio\u2010economic population"],"prefix":"10.1111","volume":"62","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0846-8068","authenticated-orcid":false,"given":"Katie","family":"Battese Ellis","sequence":"first","affiliation":[{"name":"Genea  Deakin Australian Capital Territory Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,5,9]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.2147\/ijwh.s67124"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/pd.4637"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2015.12.018"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/uog.14791"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/pd.4127"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/pd.5325"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/pd.5053"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/pd.5328"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41436\u2010019\u20100467\u20104"},{"key":"e_1_2_7_11_1","unstructured":"The Royal Australian and New Zealand College of Obstetricians and Gynaecologists.Prenatal screening and diagnostic testing for fetal chromosomal and genetic conditions. 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