Issues in implementing prenatal screening for cystic fibrosis: results of a working conference

Objective-To summarise a conference convened to examine how cystic fibrosis screening might appropriately be introduced into routine prenatal practice . Methods-Participant included experts from various relevant disciplines. Sys tematic reviews and data from individual trials were presented; issues were identified and discussed. Results-Judged by published criteria, prenatal cystic fibrosis screening is suitable for introduction. Screening can be performed cost effectively by identifying racial/ethnic groups at sufficient risk and then using either o f two models for delivering laboratory services. Validated educational mate rials exist. Ethical issues are not unique. Conclusions-Once adequate facilities for patient and provider education, te sting, counselling, quality control, and monitoring are in place, individua l programmes can begin prenatal screening for cystic fibrosis.