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Who Should Have a Genetics Consultation?

Individuals and families who are concerned about a genetic disease may benefit from a genetic consultation whether or not testing is available for that condition. Many people are seeking information and coping strategies as much as test results.

Reasons for referral for a genetics consultation are often grouped by age: Preconception/Prenatal, Pediatric, and Adult. Common reasons for referral are given below, but these lists are not exhaustive.

Consult your local genetics clinic to determine whether a genetics referral is appropriate.

Common reasons for a preconception/prenatal genetics consultation:

  • Mother will be 35 years or older at delivery

  • Abnormal results from a triple marker screen or fetal ultrasound

  • Personal or family history of a known or suspected genetic disorder, birth defect, or chromosomal abnormality

  • Exposure to a known or suspected teratogen
    Mother has a medical condition known or suspected to affect fetal development

  • Two or more pregnancy losses

  • Close biological relationship of parents

  • Ethnic predisposition to certain genetic disorders

Common reasons for a pediatric genetics consultation:

  • Abnormal newborn screening results

  • One or more major malformations in any organ system

  • Abnormalities in growth

  • Mental retardation or developmental delay

  • Blindness or deafness

  • Presence of a known or suspected genetic disorder or chromosomal abnormality

  • Family history of a known or suspected genetic disorder, birth defect, or chromosomal abnormality

Common reasons for an adolescent/adult genetics consultation:

  • Mental retardation

  • Personal or family history of hereditary cancers

  • Personal or family history of a known or suspected genetic condition or chromosomal abnormality

  • Blindness or deafness

  • Development of a degenerative disease

  • Risk assessment for pregnancy planning

Reprinted with permission from GeneTests.

 

 
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