By Aubrey Milunsky, Jeff M. Milunsky
Highly recommended within the Obstetrics and Gynaecology type of the 2010 BMA scientific publication pageant
Brand re-creation of the world’s top textual content on prenatal prognosis
This 6th variation of Genetic issues and the Fetus keeps it’s pre-eminence because the significant repository of proof approximately prenatal prognosis. It offers a serious research and synthesis of validated and new wisdom in response to the lengthy event of professionals of their respective fields. A huge foreign standpoint is gifted via authoritative contributions from authors in eleven nations. All chapters and guidance were up to date to mirror modern perform. New chapters were brought on:
- The use of chromosomal microarrays in prenatal analysis
- The social, felony and public coverage matters with certain connection with foreign techniques
- The vital peroxisomal and similar fatty acid oxidation problems
vast tables and transparent illustrations help in differential analysis, gene identity and diagnostic modes. the popularity of many new and unresolved demanding situations should still supply idea for novel study tasks. The information supplied and the insights and views of those authors make this quantity a helpful and quintessential source for all whose concentration is securing fetal well-being via prenatal diagnosis.
Genetic problems and the Fetus: analysis, Prevention and remedy is an important source for all engaged in prenatal genetic prognosis, specially obstetricians, maternal-fetal medication experts, clinical geneticists, genetic counsellors, and pediatricians, but additionally many different specialties.
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Additional resources for Genetic Disorders and the Fetus: Diagnosis, Prevention and Treatment (Milunsky, Genetic Disorders and the Fetus)
The unexpected finding, for example, of an XYY fetus should not be withheld from the parents, despite the inability to predict with certainty the ultimate development of an individual so affected (see Chapter 7). In the course of a prenatal diagnostic study, blood samples from both parents may be called for to elucidate a potential diagnostic dilemma. On occasion, such studies unexpectedly reveal nonpaternity. Not sharing this information with the patient’s husband may subsequently have legal CHAP T E R 1 Genetic Counseling: Preconception, Prenatal and Perinatal implications.
Selective abortion Genetic counseling as a prelude to prenatal diagnosis Prospective parents should understand their specific indication for prenatal tests and the limitations of such studies. Frequently, one or both members of a couple fail to appreciate how focused the prenatal diagnostic study will be. Either or both may have the idea that all causes of mental retardation or congenital defects will be detected or excluded. It is judicious for the physician to urge that both members of a couple come for the consultation before CVS or amniocentesis.
The first preconception visit also serves to instruct about the need for folic acid supplemen- CHAP T E R 1 Genetic Counseling: Preconception, Prenatal and Perinatal tation for the avoidance of NTDs (see Chapter 23) and about diabetic control, management of obesity, cessation of illicit drugs, medications and alcohol. g. neurologists), for tailoring medication requirements to safer and possibly less teratogenic agents, is also recommended. This is also the time for specialists caring for the same patient to confer about the planned care of their patient through pregnancy and for documentation of that exchange to be made.