Title

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

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.

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