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The impact of third-trimester genetic counseling.

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eMediNexus    27 January 2018

A new study published in the Archives of Gynecology and Obstetrics evaluated the impact of genetic counseling (GC) during the third trimester by analyzing changes in pregnancy management and the correlation with postnatal findings. This retrospective study analyzed the pregnancy course and neonatal follow-up data from the records of 181 women, according to the reason for referral and implementation of recommendations. Among these, 52 women qualified for pregnancy termination under the Israeli guidelines and laws, whereas 129 did not, at the time of referral. Meanwhile, 104 women followed the physicians diagnostic recommendations completely after counseling, including amniocentesis, fetal MRI, targeted ultrasound scans, and fetal echocardiography. On the other hand, 77 declined amniocentesis. However, additional abnormalities were detected postpartum in all the groups without statistical differences. Thus, it was inferred that GC in the third trimester of pregnancy provided the couple with a sharper and more focused perception and helps them realize the importance of new, significant fetal findings, which testifies for the value of GC.

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