$Unique_ID{BRK00821} $Pretitle{} $Title{What's Genetic Counseling?} $Subject{genetic counseling Pregnancy Childbirth child birth defect maternal age BLOOD tests test PARENTS FAMILY cystic fibrosis Duchenne's muscular dystrophy hemophilia Tay-Sachs AMNIOCENTESIS VILLUS chromosome abnormalities ULTRASOUND physical kidney defects spina bifida FETOSCOPY baby's sickle cell anemia cells thalassemia inherited hereditary genetic diseases ethnic affiliation} $Volume{K-0, V-0} $Log{} Copyright (c) 1991-92,1993 Tribune Media Services, Inc. What's Genetic Counseling? ------------------------------------------------------------------------------ QUESTION: My obstetrician says we'll need genetic counseling before we start our family. What's genetic counseling? ------------------------------------------------------------------------------ ANSWER: A genetic counseling session is a discussion with an expert about your risks of having a child with a birth defect. The most common factors that trigger such concern are a maternal age over 35; ethnic affiliation (more on that below); and a family history of birth defects. The counseling session is usually supplemented by tests. The most common are: - BLOOD TESTS OF PARENTS AND FAMILY MEMBERS. These can reveal such conditions as cystic fibrosis, Duchenne's muscular dystrophy, hemophilia and Tay-Sachs disease (common in Jews). - AMNIOCENTESIS AND CHORIONIC VILLUS SAMPLING. These tests sample the baby's cells indirectly and can detect chromosome abnormalities, more common when the mother is over 35. - ULTRASOUND. This picks up physical malformations such as kidney defects and spina bifida. - FETOSCOPY. The biopsy of the baby's cells can detect sickle cell anemia (common in blacks) and thalassemia (common in Orientals and in people of Mediterranean descent). When the session is over you should have some idea of the chances your baby may have of being affected by inherited diseases. ---------------- The material contained here is "FOR INFORMATION ONLY" and should not replace the counsel and advice of your personal physician. Promptly consulting your doctor is the best path to a quick and successful resolution of any medical problem.