TY  - CHAP
M1  - Book, Section
TI  - Principles of Genetic Counseling
A1  - Hogge, W. Allen
A1  - Rajkovic, Aleksandar
Y1  - 2015
N1  - 
T2  - Practical Genetics for the Ob-Gyn
AB  - Although  there  have  been  many  attempts  to  define  what  it  means  to  provide  genetic  counseling,  the  provision  of  genetic  counseling  is  a  process  that  needs  to  vary  depending  on  the  specific  clinical  circumstances.  In  the  case  of  a  patient  seeking  genetic  counseling  because  of  a  cousin  with  cystic  fibrosis,  the  components  of  the  session  likely  will  include  a  discussion  of  the  natural  history  of  cystic  fibrosis,  an  explanation  of  autosomal  recessive  inheritance,  the  risk  the  patient  and  her  partner  are  carriers  of  the  gene,  and  finally  a  summary  of  available  testing  to  determine  their  exact  carrier  status.  Prior  to  providing  them  in  depth  information,  a  complete  medical,  family,  and  social  history  would  be  obtained  to  determine  if  there  are  other  factors  that  could  impact  a  future  pregnancy.1  Counseling  in  this  circumstance  should  be  nondirective;  that  is,  the  counselor  provides  the  information  necessary  for  the  individual  or  couple  to  make  informed  decisions.  This  type  of  counseling  is  important,  especially  in  a  circumstance  where  both  members  of  the  couple  are  subsequently  found  to  be  carriers  of  the  cystic  fibrosis  gene.  The  reproductive  options  available  to  them  should  be  explained  to  them  fully,  and  without  bias.  These  options  will  range  from  not  having  children  to  preimplantation  genetic  diagnosis.  The  role  of  the  counselor  (whether  that  is  a  trained  genetics  professional  or  a  general  obstetrician-gynecologist)  is  to  provide  an  explanation  of  each  option,  including  the  risks  and  benefits  of  each  approach.  There  is  no  place  for  the  provision  of  “recommendation.”  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/20
UR  - obgyn.mhmedical.com/content.aspx?aid=1115992932
ER  -