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J Reprod Med. 1999 Jan;44(1):7-10.

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

Author information

1
Department of Obstetrics and Gynecology, Tufts University School of Medicine, Baystate Medical Center, Springfield, Massachusetts, USA.

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.

PMID:
9987732
[Indexed for MEDLINE]

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