title: Anxiety levels in women undergoing prenatal maternal serum screening for Down syndrome: the effect of a fast reporting system by mobile phone short-message service.
abstract: OBJECTIVE
  To study the effect of fast reporting by mobile phone short-message service (SMS) on anxiety levels in women undergoing prenatal biochemical screening for Down syndrome.
  
  
  METHODS
  From January 2005 to December 2006, 2782 women undergoing prenatal biochemical serum screening were randomized into fast reporting by SMS (group A) or without mobile phone reporting (group B). Anxiety levels were measured with the Spielberger State-Trait Anxiety Inventory (STAI) before prenatal screen testing, before the appointed clinic (when the SMS report had already been given to group A), and 3 days after the appointed clinic (when the full screening report had been given to groups A and B).
  
  
  RESULTS
  For screen-negative women, anxiety scores did not differ between groups before prenatal screen testing and 3 days after the appointed clinic. The state-anxiety scores measured on the second occasion had declined significantly in group A. The state-anxiety scores in both groups increased over the 3-week period after being informed of positive screen results. The trait- and state-anxiety scores at all points did not differ between the two groups of screen-positive women.
  
  
  CONCLUSIONS
  The provision of a routine reporting system plus additional SMS report revealed some overall benefits in reducing anxiety among women with screen-negative result.
authors.affiliation: Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Linkou Medical Center, Taoyuan, Taiwan. pjcheng@cgmh.org.tw
authors.forename: Po-Jen
authors.initials: PJ
authors.lastname: Cheng
authors.forename: Tzong-Lin
authors.initials: TL
authors.lastname: Wu
authors.forename: Sheng-Wen
authors.initials: SW
authors.lastname: Shaw
authors.forename: Ho-Yen
authors.initials: HY
authors.lastname: Chueh
authors.forename: Cheng-Tao
authors.initials: CT
authors.lastname: Lin
authors.forename: Jenn-Jeih
authors.initials: JJ
authors.lastname: Hsu
authors.forename: T'sang-T'ang
authors.initials: TT
authors.lastname: Hsieh
authors.forename: Yung-Kuei
authors.initials: YK
authors.lastname: Soong
mesh_terms: D001007:Anxiety / Q000517:prevention & control*; D040421:Cell Phone; D004314:Down Syndrome / Q000097:blood / Q000175:diagnosis* / Q000523:psychology*; D005260:Female; D006801:Humans; D011247:Pregnancy; D011296:Prenatal Diagnosis / Q000523:psychology*; D011369:Professional-Patient Relations; D019114:Remote Consultation; D013997:Time Factors