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186040 - First trimester screening in general practice

Speciality Classification
General Practice ( GP ) / Family Medicine
1.5 hrs

This activity is designed to assist general practitioners (GPs) develop skills and strategies to facilitate discussion with women and their partners regarding first trimester screening (FTS). It is recommended by the Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG) that healthcare professionals should inform all pregnant women about FTS and provide appropriate and evidence-based information to facilitate informed choice.

Relevance to General Practice

All women are at risk of having a baby with a chromosomal condition, the most well-known of which is Down syndrome (Trisomy 21). Combined first trimester screening (FTS) is performed to assess the degree of a woman's risk of having a baby with Down syndrome. Combined FTS may also indicate risk for other chromosomal conditions such as Edward syndrome (Trisomy 18) and Patau syndrome (Trisomy 13), but does not pick up all congenital abnormalities. This can present challenges in general practice, given the timing window for screening tests, the variability in patient perceptions and understanding about risk, the implications of an increased risk result and the nature of 'informed choice'. GPs need to be aware of the scope of first trimester screening so they can provide appropriate advice to patients.

Learning outcomes
  • List three reasons why all women (and their partners) should be offered information regarding prenatal screening tests for Down syndrome (Trisomy 21)
  • Describe the components of combined first trimester screening (FTS) and non-invasive prenatal testing (NIPT)
  • List two potential advantages and two potential disadvantages of FTS
  • List two potential advantages and two potential disadvantages of NIPT
  • Explain the concept of informed choice
  • Domains of General Practice

    D1. Communication skills and the patient-doctor relationship

    D2. Applied professional knowledge and skills

    D3. Population health and the context of general practice

    D4. Professional and ethical role

    D5. Organisational and legal dimensions

    Curriculum Contextual Units
    • Children and young people health
    • Pregnancy care
    • Women's health
    • Sexual and reproductive health
    Activity sponsor

    Centre for Genetics Education

    186040 - First trimester screening in general practice
    Provider Type
    Education Provider
    1.5 hrs
    Start Date
    End Date
    CPD Points
    3 cpd
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