By Aubrey Milunsky (auth.), Aubrey Milunsky MB.B.Ch., M.R.C.P., D.C.H. (eds.)
Technological advances proceed to extend the variety of genetic problems that may be clinically determined in utero. usage of this new know-how has de manded particular services on hand in really few educational facilities. As those new functions became extra common so have the realities of the medicolegal implications. though the laboratory demanding situations, such a lot felony motion, a minimum of within the usa, has arisen from the physician's failure to notify a sufferer in regards to the hazards of a genetic illness or the oppor tunities provided by way of prenatal prognosis. for that reason an in depth thorough reex amination of the topic turns out applicable and well timed. The regular escalation within the variety of prenatal genetic reports now being performed within the western global makes it relevant for the surgeon to have an intensive comprehension of the topic in its entirety. i'm, consequently, fortu nate in having colleagues who as stated specialists have shared their wisdom and event so one can make this quantity an incredible severe repository of evidence and information approximately prenatal genetic analysis. the subject material levels from a attention of required genetic counseling throughout the intricacies of creating prenatal diagnoses. designated awareness is targeted on new advances utilizing ultrasound, a-fetoprotein, fetoscopy, and primary trimester analysis. either moral and felony implications are mentioned intimately, as is the improvement of public policy.
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Additional info for Genetic Disorders and the Fetus: Diagnosis, Prevention, and Treatment
Both members of a couple should understand the indications and limitations of prenatal genetic studies. It is still quite uncommon for both husband and wife to appear in the obstetrician's office for a full-length consultation prior to amniocentesis, and I have often seen difficulties emanating from a failure to insist on this arrangement. Prospective parents may have a serious misapprehension about achievable goals in prenatal diagnosis. " The maternal and fetal risks of amniocentesis require careful discussion, and physicians should be aware that their perception of risk often differs from that of their patients (Pearn, 1972).
C Parents had prenatal diagnosis. childbearing years to seek care and counsel, preferably prior to planned pregnancy. It would seem to be an anachronism that so many women attend for their first antenatal visits after fetal organ formation-and malformation-is complete. Both members of a couple should understand the indications and limitations of prenatal genetic studies. It is still quite uncommon for both husband and wife to appear in the obstetrician's office for a full-length consultation prior to amniocentesis, and I have often seen difficulties emanating from a failure to insist on this arrangement.
53:991. Carter, C. , Roberts, J. , Evans, K. , 1971, Genetic clinic: A follow-up, Lancet 1:281. , 1969, Ethnicity and acquaintance as variables in risk-taking, J. Soc. Psychol. 77:221. , 1975, Approaches to genetic counseling, Ann. N. Y. Acad. Sci. 240:132. , 1977, Attitudes of counselors in relation to prenatal sex determination simply for choice of sex, in: Genetic Counseling (H. A. Lubs and F. ), p. 109, Raven Press, New York. Clow, C. , 1973, On the application of knowledge to the patient with genetic disease, in: Progress in Medical Genetics, Vol.