Impact of genetic counseling on primary and preventive care in obstetrics and gynecology

Authors

Gabriel M. Cohn, Baystate Medical Center
Richard C. Miller, Saint Barnabas Medical Center
Margot Gould
Charles J. Macri
Martin L. Gimovsky, Baystate Medical Center

Document Type

Journal Article

Publication Date

1-1-1999

Journal

Journal of Reproductive Medicine for the Obstetrician and Gynecologist

Volume

44

Issue

1

Keywords

Genetic counseling; Pedigree; Preventive medicine; Primary care

Abstract

OBJECTIVE: To evaluate the utility of the prenatal three-generation pedigree in assessment of the obstetric patient's primary medical risks. STUDY DESIGN: In a case series, 250 charts of patients referred for amniocentesis on the basis of advanced maternal age were reviewed for a significant genetic risk of a primary care disorder. RESULTS: A total of 40 patients (16%) were at significantly increased risk for a primary care disorder. Thirty-eight patients (15.2%) were at increased risk for medical conditions for which early screening, detection and/or intervention are established. CONCLUSION: For the advanced maternal age population, formal genetic risk assessment performed prior to amniocentesis can be beneficial in primary care risk assessment.

APA Citation

Cohn, G., Miller, R., Gould, M., Macri, C., & Gimovsky, M. (1999). Impact of genetic counseling on primary and preventive care in obstetrics and gynecology. Journal of Reproductive Medicine for the Obstetrician and Gynecologist, 44 (1). Retrieved from https://hsrc.himmelfarb.gwu.edu/smhs_obgyn_facpubs/689