Twin gestation pregnancies: genetic counseling and testing experience
- PMID: 16642275
- PMCID: PMC2645999
- DOI: 10.1007/s10897-005-9007-2
Twin gestation pregnancies: genetic counseling and testing experience
Abstract
We report on the prenatal genetic counseling and testing experience in 343 pregnancies with twin or higher multiple gestations. By self-report, 8% (27/343) parents of these pregnancies reported meeting with a genetic counselor, and 23% (79/343) elected prenatal genetic testing. The most common testing procedures elected were maternal serum analyte screening and amniocentesis to identify fetuses with aneuploidy or neural tube defects. Use of prenatal genetic testing was correlated with advanced maternal age. No association was found between use of genetic testing and use of OI/ART or the length of time needed to conceive. Forty percent (11/27) of those who met with a genetic counselor opted to decline prenatal testing/screening. These data suggest that although clients with multiple gestation pregnancies would likely benefit from genetic counseling, many are not availing themselves of this service. Implications of these data for the genetic counseling profession are discussed.
Figures
Similar articles
-
Attitudes Toward and Uptake of Prenatal Genetic Screening and Testing in Twin Pregnancies.J Genet Couns. 2018 Sep;27(5):1238-1247. doi: 10.1007/s10897-018-0246-4. Epub 2018 Mar 10. J Genet Couns. 2018. PMID: 29525932
-
[Prenatal diagnosis in twin pregnancy].Ginekol Pol. 2000 Nov;71(11):1469-75. Ginekol Pol. 2000. PMID: 11216162 Review. Polish.
-
Prenatal screening for and diagnosis of aneuploidy in twin pregnancies.J Obstet Gynaecol Can. 2011 Jul;33(7):754-67. J Obstet Gynaecol Can. 2011. PMID: 21749753
-
Twin pregnancies in the second trimester in women in an alpha-fetoprotein screening program: sonographic evaluation and outcome.AJR Am J Roentgenol. 1993 Nov;161(5):1007-13. doi: 10.2214/ajr.161.5.7506005. AJR Am J Roentgenol. 1993. PMID: 7506005
-
Prenatal diagnosis in twin gestations.Semin Perinatol. 2012 Jun;36(3):169-74. doi: 10.1053/j.semperi.2012.02.008. Semin Perinatol. 2012. PMID: 22713497 Review.
Cited by
-
Attitudes Toward and Uptake of Prenatal Genetic Screening and Testing in Twin Pregnancies.J Genet Couns. 2018 Sep;27(5):1238-1247. doi: 10.1007/s10897-018-0246-4. Epub 2018 Mar 10. J Genet Couns. 2018. PMID: 29525932
-
Attitude changes toward prenatal testing among women with twin pregnancies after the introduction of noninvasive prenatal testing: A single-center study in Japan.J Obstet Gynaecol Res. 2021 Nov;47(11):3813-3820. doi: 10.1111/jog.15010. Epub 2021 Sep 6. J Obstet Gynaecol Res. 2021. PMID: 34490692 Free PMC article.
-
Screening and Invasive Testing in Twins.J Clin Med. 2014 Jul 29;3(3):865-82. doi: 10.3390/jcm3030865. J Clin Med. 2014. PMID: 26237482 Free PMC article. Review.
References
-
- Alberman E, Huttley W, Hennessy E, McIntosh A. The use of record linkage for auditing the uptake and outcome of prenatal serum screening and prenatal diagnostic tests for Down syndrome. Prenat Diagn. 2003;23:801–806. - PubMed
-
- American College of Obstetrics Committee on Practice Bulletins—Obstetrics. ACOG Practice Bulletin. Clinical management guidelines for obstetrician-gynecologists: Prenatal diagnosis of fetal chromosomal abnormalities. Obstet Gynecol. 2001;97(5 Pt 1 Suppl 1–12) - PubMed
-
- Appelman Z, Furman B. Invasive genetic diagnosis in multiple pregnancies. Obstet Gynecol Clin N Am. 2005;32:97–103. - PubMed
-
- Bernhardt BA, Biesecker BB, Mastromarino CL. Goals, benefits, and outcomes of genetic counseling: Client and genetic counselor assessment. Am J Med Genet. 2000;94:189–197. - PubMed
-
- Bernhardt BA, Mastromarino Haunstetter C, Roter D, Geller G. How do obstetric providers discuss referrals for prenatal genetic counseling? J Genet Couns. 2005;14:109–117. - PubMed
Publication types
MeSH terms
Grants and funding
LinkOut - more resources
Full Text Sources
Medical
Miscellaneous