DO ObGyn.com
Who to refer for genetic counseling?
Who to refer for genetic counseling?
• Advanced maternal age
• Abnormal serum marker screening results (AKA Positive AFP)
• Fetal abnormalities on prenatal ultrasound (including soft markers for aneuploidy like pelviectasis, EIF etc…)
• Personal or family history of a known or suspected genetic disorder, birth defect, or chromosome abnormality
• Family history of mental retardation of unknown etiology
• Patient with a medical condition known or suspected to affect fetal development
• Exposure to a known or suspected teratogen
• Either parent or family member with a chromosome rearrangement
• Parent a known carrier or has a family history of a disorder for which prenatal testing is available
• All jewish patients (90% of Jewish patients are Ashkenazi)
• Unexplained infertility or multiple pregnancy losses or previous stillbirths
• Absence of the vas deferens
• Premature ovarian failure
• Strong family history of breast / ovarian cancer
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