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Implications of carrier identification in newborn screening for cystic fibrosis
  1. E P Parsons1,
  2. A J Clarke1,
  3. D M Bradley2
  1. 1Institute of Medical Genetics, University of Wales College of Medicine, Heath Park, Cardiff CF14 4XN, Wales, UK
  2. 2Department of Medical Biochemistry, University Hospital of Wales, Heath Park, Cardiff CF14 4XW, Wales, UK
  1. Correspondence to:
    Dr Parsons
    SONMS, UWCM, Heath Park, Cardiff, Wales CF14 4XN, UK; parsonsepcardiff.ac.uk

Abstract

Objective: To investigate the psychosocial implications for families whose infant was identified as a cystic fibrosis carrier by newborn screening.

Design: Prospective psychosocial assessment.

Setting: Primary care.

Respondents: Study: (a) families of an affected infant identified by screening (n = 9); (b) families of a carrier infant identified by screening (n = 10). Control: group of mothers from the general population (n = 82).

Interventions: Questionnaires and semistructured interviews.

Main outcome measures: Attitude to screening, assessments of the mother/baby relationship, anxiety, wellbeing.

Results: All families were in favour of screening, with no evidence that the mother/baby relationship, anxiety or wellbeing had been adversely affected. Parents, however, did identify problems in terms of the service delivery protocol and genetic counselling practice.

Conclusion: Six months after disclosure, carrier identification was not perceived by parents to be problematic.

  • screening
  • cystic fibrosis
  • carrier detection
  • psychosocial issues

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