Reproductive plans of genetic counseling clients not eligible for prenatal diagnosis
American Journal of Medical GeneticsPublished 1 October 1987
James R. Sorenson, Norman A. Scotch, Judith P. Swazey, Dorothy C. Wertz, Timothy Heeren, John M. Opitz
Citations33
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TL;DR
A prospective study of the reproductive plans of genetic counseling clients at risk for birth defects not diagnosable prenatally found a small increase in the number of pregnancies initiated and planned, and reproductive plans after counseling more closely correlated with clients' perceptions of the social, familial, and economic burdens of an affected child.
Abstract
A prospective study of the reproductive plans of 185 genetic counseling clients at risk for birth defects not diagnosable prenatally found, 6 months after counseling, 1) a small increase in the number of pregnancies initiated and planned, compared to pregnancies planned before counseling; 2) an increase in initiated and planned pregnancies among clients at both high as well as low risk; and 3) reproductive plans after counseling more closely correlated with clients' perceptions of the social, familial, and economic burdens of an affected child than with medically defined risk and specific clinical characteristics of the birth defects. In discussing the burden of a birth defect with clients, counselors are encouraged to discuss not only the medical burden, but the social, familial, and financial burdens as well.
Keywords
Medicine
New England Journal of MedicineGenetic Counseling: A Consumers' View
218 Citations1972Claire O. Leonard, Gary A. Chase +1 more
Parents of families containing children with cystic fibrosis, phenylketonuria, and Down's syndrome were asked questions designed to discover their understanding of the genetic counseling for parents of these children.
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PubMedClients' interpretation of risks provided in genetic counseling.
101 Citations1986Wertz Dc, Sorenson +1 more
Characteristics associated with clients' "pessimistic" interpretations of risk included increased numeric risk, discussion in depth during the counseling session of whether they would have a child, have a living affected child, discussion of the effects of an affected child on relationships with client's other children, and seriousness of the disorder in question.
The LancetCYSTIC FIBROSIS: PARENTS' RESPONSE TO THE GENETIC BASIS OF THE DISEASE
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44 Citations1971Maarten S. Sibinga, C. Jack Friedman
The better the understanding of a marital pair, the more intelligent the child was and the higher its behavioral score tended to be, and mothers with more complete understanding tended to have brighter sons.
BMJProspective study of genetic counselling.
43 Citations1979Alan E H Emery, J. A. Raeburn +3 more
It is suggested that follow-up after counselling should be routine, especially when the counsellor suspects that comprehension has not been good, in X-linked recessive and chromosomal disorders, and when the risks of having an affected child are considered to be high.
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37 Citations1984Dorothy C. Wertz, James R. Sorenson +2 more
The data suggest that genetic counseling will not eliminate reproductive uncertainty for many clients, because this uncertainty is related to factors mainly outside the usual scope of counseling.
UNC LibrariesClients' interpretation of risks provided in genetic counseling.
33 Citations2020Dorothy C. Wertz
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32 Citations1980Idida Abramovsky, Lynn Godmilow +2 more
A follow‐up study of 212 families for whom genetic counseling had been provided was performed to assess the effectiveness of the non‐directive genetic counseling service at the Mount Sinai Medical Center in New York City, with significant correlation between the magnitude of the occurrence or recurrence risk and the procreative decisions reached.
PubMedGenetic counseling for beta-thalassemia trait following health screening in a health maintenance organization: comparison of programmed and conventional counseling.
28 Citations1981Lawrence Fisher, Rowley Pt +1 more
V videotaped instruction can greatly reduce professional time required for genetic counseling and facilitate the incorporation of genetic screening into primary health care.
Clinical GeneticsA controlled retrospective follow‐up study of the impact of genetic counseling on parental reproduction following the birth of a Down syndrome child
24 Citations1982Lori A. Oetting, Mark W. Steele
When evaluated at least 11/2 years after the birth of the DSC or the genetic counseling, there were no significant differences between counseled and non‐counseled couples in knowledge of general genetics or recurrent risks for Down Syndrome, initiation of subsequent pregnancies, or utilization of prenatal diagnosis.
Journal of Medical GeneticsEvaluation of information-guidance genetic counselling.
24 Citations1981Andrew E. Czeizel, Júlia Métneki +1 more
The impact of information-guidance type of genetic counseling was evaluated for the family planning of 2082 consultands and the understanding of the risks, parental decision, and the number of induced and spontaneous abortions were evaluated by the use of questionnaires.
The Journal of PsychologyEffects of Genetic Counseling on Parental Self-Concepts
18 Citations1973Mary Ann Antley, Ray M. Antley +1 more
Nine pairs of parents of children with Down's syndrome were tested on self-concept items prior to and immediately following genetic counseling, finding significant improvement on five of 20 self- Concept items, with mothers improving on four items, and fathers on two items.
American Journal of Medical GeneticsFamilial cushing disease
17 Citations1981Ibrahim S. Salti, Imad S. Mufarrij +1 more
Endocrine studies, including small-and large-dose dexamethasone-suppression test confirmed the diagnosis of pituitary ACTH excess and the first patient had a sella of normal size and went into clinical and hormonal remission after external pituitaries irradiation, and she has remained well of follow-up for 9 years.
Genetic Responsibility
17 Citations1974Mack Lipkin, Peter T. Rowley
American Journal of Medical GeneticsGenetic counseling: A comparison of counselee's genetic knowledge before and after (part III)
16 Citations1981M. J. Seidenfeld, Ray M. Antley +1 more
The data show that counseling is most effective in enhancing counselees' knowledge of general genetics, ie, the origin of the extra chromosome in a child with Down syndrome, while those with more than a high school education acquired most of this information before counseling.
Choosing My Children’s Genes: Genetic Counseling
13 Citations1974Y. Edward Hsia
The process of genetic counseling aims to give relevant genetic information to families at risk so that they can appreciate the nature and extent of such risks.
Annual Review of Public HealthControl of Hereditary Disorders
10 Citations1982I H Porter
The lack of interest among those concerned with preventive medicine is probably related to the preoccupation of medical geneticists with rare disease cases and may lead to the impression by students and faculty that medical genetics is mainly concerned with developmental defects.