title: A prospective study on the effect of rapid aneuploidy testing (amnio-PCR) on anxiety levels and quality of life measures in women and their partners with positive Down screening result.
abstract: OBJECTIVE
  To examine the effect of rapid aneuploidy testing by amnio-PCR on anxiety levels and quality of life measures in women and their partners with positive Down screening result.
  
  
  METHODS
  In the original design, screen-positive women were to be randomized to have amnio-PCR or not. Of the first 60 women approached to join the study between April 2004 and April 2005, 4 declined amniocentesis, 14 agreed to be randomized, while the other 42 (75%) chose to pay for the amnio-PCR themselves (3 excluded: 2 because of Down syndrome and 1 dropout). The study was thus performed as a prospective observational study on the remaining 39 women of the last group. The longitudinal profile of the state-anxiety and quality of life domain scores for this cohort were studied using the Spielberger State-Trait Anxiety Inventory and WHO Quality of Life Measure--abbreviated version (Hong Kong) Questionnaire at 5 time points: (1) before amniocentesis, (2) 2 days after amniocentesis when amnio-PCR report was disclosed, (3) 3 weeks after amniocentesis when karyotyping report was disclosed, (4) 30-32 weeks' gestation, (5) 6 weeks after delivery.
  
  
  RESULTS
  In the final cohort of 39 women and 27 partners, a significant reduction in their state-anxiety scores was found when they received the normal amnio-PCR report. On the other hand, there was no significant change in their quality of life domain scores.
  
  
  CONCLUSIONS
  There is a demand from women and their partners who had a positive Down screening result for rapid aneuploidy testing (amnio-PCR) which can effectively alleviate their anxiety. A rapid aneuploidy test should be made available to women in a Down screening programme.
authors.affiliation: Department of Obstetrics and Gynaecology, Kwong Wah Hospital, Hong Kong SAR, China. leungwc65@hotmail.com
authors.forename: W C
authors.initials: WC
authors.lastname: Leung
authors.forename: E T
authors.initials: ET
authors.lastname: Lau
authors.forename: C
authors.initials: C
authors.lastname: Ngai
authors.forename: H
authors.initials: H
authors.lastname: Lam
authors.forename: K Y
authors.initials: KY
authors.lastname: Leung
authors.forename: C P
authors.initials: CP
authors.lastname: Lee
authors.forename: T T
authors.initials: TT
authors.lastname: Lao
authors.forename: M H Y
authors.initials: MH
authors.lastname: Tang