怀孕期间家族状况的遗传咨询:1989-2004年间发表的文献综述。

C M Aalfs, E M A Smets, N J Leschot
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引用次数: 5

摘要

背景:妊娠期家族遗传病的遗传咨询可能存在时间压力和诱发担忧等弊端。然而,人们对选择这个时间进行遗传咨询的原因和后果知之甚少。目的:本研究的目的是概述旨在研究被咨询者在怀孕期间寻求遗传咨询的原因及其医疗技术和程序后果的研究。方法:检索Medline和PsycINFO数据库,检索1989年至2004年6月发表的主要研究论文、综述和病例报告。结果:未检索到明确论述我们研究问题的论文。然而,在总共399篇论文中,有34篇论文涉及了与我们的研究问题相关的问题。对遗传学的有限知识和警惕性以及怀孕期间遗传问题的更大明显相关性似乎至少部分地解释了怀孕期间转诊的时间。关于这个时间对遗传咨询过程质量的影响的文献似乎很少。因此,这些后果仍不清楚。结论:在文献中,很少有人注意到在怀孕期间对家族状况进行遗传咨询的各个方面。为了改善对孕妇及其子女的护理,对这一问题进行更多的研究是很重要的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Genetic counselling for familial conditions during pregnancy: a review of the literature published during the years 1989-2004.

Background: Genetic counselling for familial conditions during pregnancy may have some disadvantages, such as time pressure and induced worry. However, little is known about the reasons for and consequences of this timing of genetic counselling.

Objective: The objective of this study was to provide an overview of research aimed at the counselee's reasons for seeking genetic counselling during pregnancy and the medical-technical and procedural consequences thereof.

Methods: We searched the databases Medline and PsycINFO for primary research papers, reviews and case reports, published from 1989 to June 2004.

Results: No papers could be retrieved which explicitly addressed our research questions. However, 34 papers, out of a total of 399 papers, covered issues with some relevance to our research questions. Limited knowledge and alertness towards genetics and a greater apparent relevance of genetic issues during pregnancy seemed to explain, at least partly, the timing of referral during pregnancy. Literature on the consequences of this timing for the quality of the genetic counselling process appeared to be scarce. These consequences, therefore, remain unclear.

Conclusion: In the literature, little attention is paid to the various aspects of the timing of genetic counselling for familial conditions during pregnancy. More research on this issue is important, with a view to improving the care of pregnant women and their children.

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