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In the “new prenatal test” that tests the blood of pregnant women for an abnormality in the baby’s chromosome, the test is performed without sufficient counseling for pregnant women in “non-certified facilities”, medical institutions that are not certified by the society. It is being implemented one after another.
As a result of conducting a questionnaire aimed at users of smartphone applications, that the Japanese Society of Obstetrics and Gynecology sends information to pregnant women, it appears that 51% were inspected in “non-certified facilities”. it is understood.
The Ministry of Health, Labor and Social Welfare held the first meeting of a committee made up of experts on the 28th, and confirmed that it would proceed to consider the ideal form of inspection.
However, according to a survey by the Ministry of Health, Labor and Social Welfare, at least 54 “non-certified establishments” have been confirmed, which are medical institutions that perform tests without being certified, and there are many cases in which tests are performed without sufficient advice for pregnant women. I will.
For this reason, the Ministry of Health, Labor and Social Welfare held the first meeting of a committee made up of experts on the 28th, and confirmed that it would proceed with the consideration of countermeasures.
At the meeting, the Japan Society of Obstetrics and Gynecology conducted an online survey of some 890 pregnant women from last month to this month, and as a result, 75% of those who were tested in “non-certified facilities” did not they explained the test. , ▽ The explanation time was reported to be less than 15 minutes.
According to the survey, it was also found that tests for pregnant women under 35 and tests other than the three chromosomes are performed in “non-certified facilities”, which are not performed in “certified facilities” from the point of view of test accuracy. This means that.
The committee and the form of “new prenatal tests”, assistance to pregnant women, promoting cooperation for such a study of well-being measures, we decided to prepare a report to the prospect of February next year.
Half of them are inspected in “non-certified facilities” – Survey of the Japanese Society of Obstetrics and Gynecology-
As a result, it was found that more than half of the 454 people, 51%, were inspected in “non-certified facilities” that were not accredited by the Society. This is especially true in local governments that do not have “certified facilities.” Approximately 70% of those under the age of 34 were inspected in “non-certified facilities.”
Also, when asked how to explain the test results, whether it was “positive” or “pending trial”, it was verbally explained in ▽ “certified facility”, but half was mailed to ▽ “non-certified facility” . In some cases, there was no subsequent response, such as introducing facilities where you can consult, as explained by fax, email, etc.
On the other hand, the reason why pregnant women chose “non-certified establishment” is
▽ You can take an exam the day of your consultation
▽ As well as being able to perform different tests on the three chromosomes, which are not tested in “certified facilities” from the point of view of precision, etc.
▽ Low inspection cost,
▽ Review on the Internet
And so.
The current situation of “non-certified facilities” -Ministry of Health, Labor and Social Welfare Survey-
The Ministry of Health, Labor and Social Welfare conducted a research survey and reported the survey results at an expert meeting held in July.
According to him, 54 “non-certified facilities” were confirmed and there were many medical departments related to beauty, such as cosmetic surgery.
However, the number of inspections performed at “non-certified facilities” was unknown due to lack of cooperation from most facilities.
Only 9 “non-certified establishments” cooperated with the questionnaire survey, of which 4 did not provide specialized advice and 1 was provided only to those who wished it.
In “certified facilities” where sufficient advance counseling is provided, there are a number of pregnant women who decline the exam, but in these facilities few pregnant women decline.
In addition, while most of the “certified facilities” reported the results of the inspection face-to-face, the “non-certified facilities” also used mail, email, and telephone, which is not as good as the impact of the results. It means that it was a sufficient system.
Prenatal inspection history
This test is said to be more accurate than similar tests in the past, and if an abnormality is found, some pregnant women will decide to abort, so it has been said that a sufficient support system is required for its implementation. Was.
For this reason, the Japanese Society of Obstetrics and Gynecology has created guidelines and decided to implement them only in medical institutions certified by the Japanese Medical Association that meet the requirements, as a sufficiently well-established counseling system. Too many medical institutions are certified.
However, there are still few certified medical institutions and there are no legal restrictions, so there are many clinics conducting tests without being certified, and as of July, at least these medical institutions There is also a survey result of 135.
For this reason, the Japanese Society of Obstetrics and Gynecology needs to increase the number of licensed facilities and, in June, approved the revision of the guidelines so that conditions are relaxed and examinations can be carried out in smaller medical institutions.
However, the academic society has said that it will discuss with the Ministry of Health, Labor and Social Welfare whether or not the new guidelines are implemented, and so far the operation has not started.
With regard to the new prenatal test, some bioethicists are concerned about whether the support system for pregnant women is sufficiently secured, and the government should give some opinions on the new prenatal test. It was also upstairs.
Prenatal inspection What is the national vision?
Of these, the government summarized its views in 1999 on the “maternal serum marker test,” which examines the components of blood.
Among them, he points to problems such as the possibility that it is carried out in a generalized way for an unknown number of pregnant women in order to detect diseases because it is not a burden for pregnant women and fetuses and can be easily examined. I will.
Furthermore, since the specialized counseling system is not sufficient, doctors “do not need to actively inform pregnant women” about this test.
Also, when taking the test, ▼ before the test ▽ Disability is only one aspect of the child’s individuality, various growth and development ,, Possibility of mischief to confirm the test result To be able to choose whether the pregnant woman will undergo or not to the test after individually explaining orally that some “sheep water tests” should be performed.
And, ▼ Because you may feel shocked or anxious after the exam, you should provide enough support to pregnant women and their families.
According to the Ministry of Health, Labor and Welfare, since then, the government has not expressed a new vision on prenatal exams, and has taken measures such as requesting related organizations to comply with the Society’s guidelines.
