دورية أكاديمية
Genetic counseling for fetal sex prediction by NIPT: Challenges and opportunities.
| العنوان: | Genetic counseling for fetal sex prediction by NIPT: Challenges and opportunities. |
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| المؤلفون: | Stevens C; MGH Institute of Health Professions, Boston, Massachusetts, USA.; Division of Cardiovascular Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA., Llorin H; MGH Institute of Health Professions, Boston, Massachusetts, USA.; Center for Fetal Medicine and Reproductive Genetics, Brigham and Women's Hospital, Massachusetts, Boston, USA., Gabriel C; Genetische Poliklinik Universität Heidelberg, Heidelberg, Germany., Mandigo C; Department of Obstetrics and Gynecology, Massachusetts General Hospital, Boston, Massachusetts, USA., Gochyyev P; MGH Institute of Health Professions, Boston, Massachusetts, USA., Studwell C; MGH Institute of Health Professions, Boston, Massachusetts, USA.; Center for Fetal Medicine and Reproductive Genetics, Brigham and Women's Hospital, Massachusetts, Boston, USA. |
| المصدر: | Journal of genetic counseling [J Genet Couns] 2023 Oct; Vol. 32 (5), pp. 945-956. Date of Electronic Publication: 2023 Apr 27. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Wiley Country of Publication: United States NLM ID: 9206865 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1573-3599 (Electronic) Linking ISSN: 10597700 NLM ISO Abbreviation: J Genet Couns Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2019- : [Hoboken, NJ] : Wiley Original Publication: New York, N.Y. : Human Sciences Press, c1992- |
| مواضيع طبية MeSH: | Genetic Counseling* , Prenatal Diagnosis*/psychology, Pregnancy ; Female ; Humans ; Counseling ; Prenatal Care ; Aneuploidy |
| مستخلص: | Non-invasive prenatal testing (NIPT) has grown in ubiquity in the last decade and is now endorsed by Society for Maternal Fetal Medicine and American College of Obstetricians and Gynecologists as a screening tool for aneuploidy in all patients. Past studies have demonstrated a tendency among obstetrics patients to focus on the ability of NIPT to predict fetal sex chromosomes; however, data on the experiences of genetic counselors (GCs) counseling on NIPT and fetal sex prediction are limited. This mixed-methods study aimed to explore how GCs counsel about NIPT and fetal sex prediction, as well as the use of gender-inclusive language in this setting. A 36-item survey with multiple choice, Likert scale, and open-ended questions was distributed to GCs who currently offer NIPT to patients. Quantitative data were analyzed using R and qualitative data were manually analyzed and coded via inductive content analysis. A total of 147 individuals completed at least some portion of the survey. A majority of participants (68.5%) reported frequent interchangeable use of the terms 'sex' and 'gender' by patients. A majority (72.9%) of participants reported that they rarely or never discuss the difference between these terms in sessions (Spearman's rho = 0.17, p = 0.052). Seventy-five respondents (59.5%) indicated that they had taken continuing education courses on inclusive clinical practices for trans and gender-diverse (TGD) patients. Several themes arose from free responses; the most frequently identified themes were the need for thorough pretest counseling that properly describes the scope of NIPT and the challenge of discrepant pretest counseling by other healthcare providers. Results from our research identified challenges and misconceptions GCs face when offering NIPT and various tactics implemented to mitigate these. Our study highlighted the need for the standardization of pretest counseling regarding NIPT, additional guidance from professional organizations, and continuing education focused on gender-inclusive language and clinical practices. (© 2023 National Society of Genetic Counselors.) |
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| فهرسة مساهمة: | Keywords: LGBTQ+; counseling techniques; gender; genetic counseling; prenatal screening; sex; underrepresented populations |
| تواريخ الأحداث: | Date Created: 20230427 Date Completed: 20231006 Latest Revision: 20231006 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1002/jgc4.1703 |
| PMID: | 37102371 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1573-3599 |
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| DOI: | 10.1002/jgc4.1703 |