Analysis of indications for referral to a multidisciplinary medical genetics clinic: Implications for training programs in obstetrics and gynecology

Bombard, Allan T.; Rigdon, David T.; Flanagan, Judith

doi:10.1016/0002-9378(90)90810-t

Cited by 3 publications

(1 citation statement)

References 8 publications

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“…As a result, advanced maternal age is the primary motivation for prenatal diagnosis in the ma jority of patients undergoing genetic amnio centesis [5][6][7], However, the procedure has its risks; recently cited procedural-related mis carriages are 'less than 1/200' [1], beyond a naturally occurring spontaneous abortion rate of approximately 6/200.…”

Section: Introductionmentioning

confidence: 99%

Current Maternal Age Recommendations for Prenatal Diagnosis: A Reappraisal Using the Expected Utility Theory

1995

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The expected utility theory suggests eliminating an age-specific criterion for recommending prenatal diagnosis to patients. We isolate the factors which patients and physicians need to consider intelligently in prenatal diagnosis, and show that the sole use of a threshold age as a screening device is inadequate. Such a threshold fails to consider adequately patients’ attitudes regarding many of the possible outcomes of prenatal diagnosis; in particular, the birth of a chromosomally abnormal child and procedural related miscarriages. It also precludes testing younger women and encourages testing in patients who do not necessarily require or desire it. All pregnant women should be informed about their prenatal diagnosis options, screening techniques, and diagnostic procedures, including their respective limitations, risks, and benefits.

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Section: Introductionmentioning

confidence: 99%

Current Maternal Age Recommendations for Prenatal Diagnosis: A Reappraisal Using the Expected Utility Theory

1995

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How do Obstetric Providers Discuss Referrals for Prenatal Genetic Counseling?

Haunstetter¹,

Roter²,

Geller

2005

Journal of Genetic Counseling

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To investigate referrals of pregnant women to genetic counseling, we analysed transcripts from audiotaped first prenatal visits of 104 patients (72 actual patient visits and 32 simulated patient visits) with 32 providers (obstetricians and nurse-midwives). All patients had at least one indication for referral. Only 10% of visits with actual patients included a genetic counseling referral. When genetic counseling was discussed, it was only briefly described, primarily as an information session. This study shows that the majority of pregnant women with an indication for referral for genetic counseling are not referred. In addition, obstetric providers' inadequate descriptions of prenatal genetic counseling may result in women being poorly prepared for genetic counseling sessions.

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Reproductive Genetics for Couples Older Than 40 Years of Age

Bombard

Naef²

1993

Obstetrics and Gynecology Clinics of North America

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Analysis of indications for referral to a multidisciplinary medical genetics clinic: Implications for training programs in obstetrics and gynecology

Cited by 3 publications

References 8 publications

Current Maternal Age Recommendations for Prenatal Diagnosis: A Reappraisal Using the Expected Utility Theory

Current Maternal Age Recommendations for Prenatal Diagnosis: A Reappraisal Using the Expected Utility Theory

How do Obstetric Providers Discuss Referrals for Prenatal Genetic Counseling?

Reproductive Genetics for Couples Older Than 40 Years of Age

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