سر عام یہ کیا ھو رہا ھے ؟؟؟؟ وڈیو لیک ھو گی
Each individual considers their family needs, social setting, cultural background, and religious beliefs when interpreting their risk.[9] Clients must evaluate their reasoning to continue with testing at all. Counselors are present to put all the possibilities in perspective and encourage clients to take time to think about their decision. When a risk is found, counselors frequently reassure parents that they were not responsible for the result. An informed choice without pressure or coercion is made when all relevant information has been given and understood.
Prenatal genetic counseling[edit]
If an initial noninvasive screening test reveals a risk to the baby, clients are encouraged to attend genetic counseling to learn about their options. Further prenatal investigation is beneficial and provides helpful details regarding the status of the fetus, contributing to the decision-making process. Decisions made by clients are affected by factors including timing, accuracy of information provided by tests, and risk and benefits of the tests. Counselors present a summary of all the options available. Clients may accept the risk and have no future testing, proceed to diagnostic testing, or take further screening tests to refine the risk. Invasive diagnostic tests possess a small risk of miscarriage (1-2%) but provide more definitive results. While families seek direction and suggestions from the counselors, they are reassured that no right or wrong answer exists. When discussing possible choices, counselor discourse predominates and is characterized by examples of what some people might do. Discussion enables people to place the information and circumstances into the context of their own lives.[10] Clients are given a decision-making framework they can use to situate themselves. Counselors focus on the importance of individual choice based on the experiences, morals, and viewpoints of the couple/individual/family. Testing is offered to provide a definitive answer regarding the presence of a certain genetic condition or chromosomal abnormality. There is often no therapy or treatment available for these conditions, and as such parents may choose to terminate the pregnancy.
Referral[edit]
After attending prenatal counseling, women have the option of accepting the risk revealed and having no further investigations during their pregnancy. They may choose to undergo noninvasive screening (e.g. ultrasound, triple screen, cell-free fetal DNA screening) or invasive diagnostic testing (amniocentesis or chorionic villus sampling).
After counseling for other hereditary conditions, the patient may be presented with the option of having genetic testing. In some circumstances no genetic testing is indicated, other times it may be useful to begin the testing process with an affected family member. The genetic counselor also reviews the advantages and disadvantages of genetic testing with the patient.
Attitudes toward counseling[edit]
The plethora of information available can be overwhelming and counselors spend a large proportion of time clarifying details. Prenatal screening was first introduced nearly four decades ago, yet gaps still exist in public knowledge about the screening program. The general public is familiar with Down syndrome (trisomy 21), but is not aware of more uncommon conditions such as trisomy 18 (historically known as Edwards syndrome) and trisomy 13 (Patau syndrome). Clients are usually aware of diagnostic testing from friends, TV/press, or because of family history.
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