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 expertise has de manded exact services on hand in rather few educational facilities. As those new functions became extra common so have the realities of the medicolegal implications. even though the laboratory demanding situations, such a lot felony motion, at the very least within the usa, has arisen from the physician's failure to notify a sufferer concerning the dangers of a genetic illness or the oppor tunities awarded by way of prenatal prognosis. therefore an in depth thorough reex amination of the topic turns out acceptable and well timed. The regular escalation within the variety of prenatal genetic stories now being performed within the western international makes it important for the health care professional to have an intensive comprehension of the topic in its entirety. i'm, hence, fortu nate in having colleagues who as said specialists have shared their wisdom and adventure with the intention to make this quantity an important serious repository of evidence and tips approximately prenatal genetic analysis. the subject material levels from a attention of required genetic counseling during the intricacies of creating prenatal diagnoses. detailed cognizance is targeted on new advances utilizing ultrasound, a-fetoprotein, fetoscopy, and primary trimester prognosis. either moral and felony implications are mentioned intimately, as is the advance of public policy.
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Technological advances proceed to extend the variety of genetic problems that may be clinically determined in utero. usage of this new expertise has de manded particular services to be had in fairly few educational facilities. As those new purposes became extra common so have the realities of the medicolegal implications.
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Extra info for Genetic Disorders and the Fetus: Diagnosis, Prevention, and Treatment
Watt, M. , 1973, Social effects of genetic counselling, Br. Med. J. 219:724. Epstein, C. , 1973, Who should do genetic counseling, and under what circumstances? Birth Defects Orig. Art. Ser. 9:39. Fraser, F. , 1974, Genetic counseling, Am. J. Hum. Genet. 26:636. Gold, R. J. , Maag, U. , Neal, J. , 1974, The use of biochemical data in screening for mutant alleles and in genetic counselling, Ann. Hum. Genet. 37:315. , and Roseman, M. , 1977, Obstetricians' attitudes toward genetic screening, Am.
80:237. Hsia, Y. , 1974, Choosing my children's genes: Genetic counseling, in: Genetic Responsibility, On Choosing our Children's Genes (M. , and P. T. ), p. 43, Plenum, New York. Hsia, Y. , 1977, Approaches to the appraisal of genetic counseling, in: Genetic Counseling (H. A. Lubs and F. ), p. 53, Raven Press, New York. Hsia, Y. , 1971, Genetics of the Meckel syndrome (dysencephalia splanchnocystica), Pediatrics 48:237. , 1977, Retrospective and follow-up study of approximately 1000 genetic consultations, J.
A common example is the need to handle GENETIC COUNSELING 11 the usually unspoken fears, anxieties, and guilt feelings of the obligate maternal carrier of a serious sex-linked disease. 6. Efficacy of Genetic Counseling The essential goal of the communication process in genetic counseling is to achieve as complete an understanding by the counselee(s) as possible, thereby enabling the most rational decision making. Parental decisions to have additional affected progeny cannot necessarily be viewed as a failure of genetic counseling.
Genetic Disorders and the Fetus: Diagnosis, Prevention, and Treatment by Aubrey Milunsky (auth.), Aubrey Milunsky MB.B.Ch., M.R.C.P., D.C.H. (eds.)