Impact of genetic counseling on primary and preventive care in obstetrics and gynecology
Journal of Reproductive Medicine for the Obstetrician and Gynecologist
Genetic counseling; Pedigree; Preventive medicine; Primary care
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.
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