| Genetic counseling for fetal abnormalities in a South African community. | |
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MedLine Citation:
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PMID: 20135211 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Fetal abnormalities are congenital abnormalities identified prenatally. Women who have a fetal abnormality detected often have to make difficult decisions regarding continuation or termination of the pregnancy. The aims of this research project were: to investigate some of the factors that influenced the decision to terminate a pregnancy in which fetal abnormalities were diagnosed; and to determine the implications for genetic counseling practice in South Africa. The study was retrospective and file-based. A total of 171 women counseled for fetal abnormalities, between 2002 and 2006, were identified and relevant data were collected from their records. Altogether 116/170 (68.2%) women were offered termination of pregnancy, and 73/113 (65%) requested the procedure. Early gestation, gestation at the time termination was offered, and ethnicity of the patient, were significantly associated with a termination request. Black patients were less likely to request termination, but more likely to receive a late diagnosis than other patients. Genetic counselors need to adopt an advocacy and educational role to improve this situation. Furthermore, a better understanding of the cultural and ethnicity-related issues is required. |
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Authors:
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Caryn Todd; Tabitha Haw; Jennifer Kromberg; Arnold Christianson |
Publication Detail:
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Type: Comparative Study; Journal Article; Research Support, Non-U.S. Gov't Date: 2010-02-05 |
Journal Detail:
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Title: Journal of genetic counseling Volume: 19 ISSN: 1573-3599 ISO Abbreviation: J Genet Couns Publication Date: 2010 Jun |
Date Detail:
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Created Date: 2010-05-24 Completed Date: 2010-09-02 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9206865 Medline TA: J Genet Couns Country: United States |
Other Details:
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Languages: eng Pagination: 247-54 Citation Subset: IM |
Affiliation:
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Human Genetics Division, University of the Witwatersrand and National Health Laboratory Service, PO Box 1038, Johannesburg, South Africa. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Abortion, Eugenic
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psychology Adolescent Adult African Continental Ancestry Group / genetics, psychology* Congenital Abnormalities / diagnosis, genetics* Cross-Cultural Comparison* Decision Making European Continental Ancestry Group / genetics, psychology* Female Genetic Counseling / psychology* Gestational Age Humans Middle Aged Pregnancy Retrospective Studies South Africa Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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