If a woman receives a positive quadruple marker screen result, whom should she be referred to?

When a woman receives a positive quadruple marker screen result, it suggests that there is an increased risk for certain genetic abnormalities or complications in the fetus. In such cases, the most appropriate referral is to a genetics counselor or specialist. This professional can provide comprehensive assessment and counseling regarding the implications of the screening result, as well as facilitate further testing if needed.

Genetics counselors have specialized training in understanding genetic conditions and can offer support and education about the potential risks, the significance of the result, and the options available for further diagnostic testing, such as amniocentesis or chorionic villus sampling. They play a crucial role in helping the patient understand their results and guiding them in making informed decisions regarding their pregnancy.

While an obstetrician might eventually be involved in managing the pregnancy, the immediate need is for genetic counseling to address the implications of the positive screening result. A gynecologist typically focuses more on health issues unrelated to pregnancy, and a social worker is more oriented towards social resources and support rather than the medical implications of genetic testing.