Intro to Reproductive Genetic Counseling

Question 1

List the indications for chromosomal analysis.

Answer 1

history of multiple, unexplained pregnancy loss
infertility
chromosome analysis after miscarriage indicates chromosome abnormality
family history of mental retardation or certain chromosome abnormalities

Question 2

What are some advantages to CVS?

Answer 2

can be done in first trimester (10-12 weeks)

does not pierce the amniotic sac

Question 3

What are some disadvantages to CVS?

Answer 3

more often has contribution of maternal cells

since no fluid is removed, you don’t get to analyze for AFP

Question 4

What is the burden of disease?

Answer 4

the clinical, financial, social, and emotional burden imposed upon the patient and/or family

Question 5

What factors influence reproductive decision making?

Answer 5

education, socioeconomic status, ethnocultural values, religious beliefs, and burden of disease

Question 6

What factors are associated with heightened distress in post-partum women?

Answer 6

loss of a wanted pregnancy
poorer overall physical health
gestational health
poorer quality of marital relationship
higher level of mental health difficulties prior to loss

Question 7

What is the minimum service standard for prenatal genetic testing programs?

Answer 7

at least one follow-up phone call to all prenatal diagnosis pts who lose pregnancies
assessment of psychosocial distress and need for additional services
preventive intervention

Question 8

List some therapeutic interventions for couples coping with loss of a pregnancy.

Answer 8

identify the unique personal meanings of the loss, the perception of its reproductive implications, and explore preferred coping styles
discuss differences that emerge
negotiate a mutually acceptable balance between expression and containment of feelings
negotiate a mutually acceptable decision about whether to attempt a future pregnancy