Beyond the Brochure: Innovations in Clinical Counseling Practices for Prenatal Genetic Testing Options. Issue 1 (January 2019)

• Record Type: Journal Article
• Authors: Knutzen, Dana; Stoll, Katie
• Is Part Of: Journal of perinatal & neonatal nursing. Volume 33:Issue 1(2019)
• Publication Date: 2019-01
• Subjects: decision making -- genetic counseling -- genetic testing -- informed consent; Maternity nursing -- Periodicals; Neonatal nursing -- Periodicals; Maternal health services -- Periodicals; Newborn infants -- Medical care -- Periodicals; 610.7362
• DOI: 10.1097/JPN.0000000000000374
• Languages: English
• ISSNs: 0893-2190

Abstract

Abstract : Remarkable advancements related to preconception and prenatal genetic screening have emerged in recent years. While technology and testing options are more numerous and complex; fundamental genetic counseling issues remain the same. It is essential that with any prenatal genetic testing, women have an opportunity to make informed and autonomous decisions that are consistent with their personal needs and values. Opportunities to discuss testing options, including potential benefits and limitations, are often limited in obstetric visits due to time constraints or lack of sufficient provider education. As genetic testing is not considered a routine component of antepartum care, review of information regarding testing options is imperative so women can decide which, if any, testing to pursue. Developing new strategies to address the growing complexity of prenatal testing while ensuring provider education is accurate is crucial in imparting evidence-based care. This article will arm providers with the knowledge needed to educate women about currently available prenatal genetic screening and diagnostic tests along with guidance on the essential elements and importance of genetic counseling.