Couple screening would be easier for many centres

BMJ 1996; 312 doi: https://doi.org/10.1136/bmj.312.7035.909 (Published 06 April 1996) Cite this as: BMJ 1996;312:909
  1. Richard A Doherty,
  2. Linda A Bradley,
  3. James E Haddow
  1. Director, genetics division Director, cystic fibrosis screening laboratory Medical director Foundation for Blood Research, Scarborough, ME 04070-0190, USA

    EDITOR,—H S Cuckle and colleagues provide further economic evidence supporting antenatal screening for cystic fibrosis.1 The couple model is estimated to cost more than the sequential model, largely because of retesting in subsequent pregnancies if the woman's partner has changed. However, the estimate takes into account neither the cost nor the complexity of counselling and other contact with the patients in the sequential model. The cost of counselling would be modest, but locating each woman who was a carrier, explaining the need for and obtaining …

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