 O tanara de 34 de ani si partenerul ei testarea genetica in timpul sarcinii deoarece doresc sa mai aiba un copil. Cuplul are o fetita de 4 ani cu Fibroza.

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Presentation transcript:

 O tanara de 34 de ani si partenerul ei testarea genetica in timpul sarcinii deoarece doresc sa mai aiba un copil. Cuplul are o fetita de 4 ani cu Fibroza Chistica.  Ce lucruri anticipati ca doresc sa discute?  Cum ati incepe consultatia?  Ce lucruri ati dori sa abordati?

 O tanara de 23 de ani, aflata la prima sarcina si insarcinata in 14 saptamani, a solicitat o consultatie pentru a discuta riscul de a avea un copil cu sindromul Down. In urma unei ecografii a fost semnalata transulcenta nucala si li s-a comunicat un risc estimat de 1 la 50. Cuplul este nehotarat in privinta testarii invazive.  Cum ati incepe consultatia?  Ce ati avea nevoie sa stiti pentru a intelege mai bine situatia cu care se confrunta?  Cum puteti interveni pentru a le facilita decizia?

 A 15 year old is referred by their GP because the teenager is asking questions about the ‘family pattern’. His family are known to the department. He has never had a chromosome test himself, but his fathers report reads as follows:  45, XY, der (13;14)(q10;q10)

 A couple were investigated after suffering 3 early miscarriages. The reports show the following results:  Women: 46XX  Man: 46, XY, t (12;14)(q22:q22)

 26 year old woman with a 4 year old son with developmental delay who has recently had diagnosis of Fragile X. Genetic testing has shown:  Full mutation in son  Pre-mutation in mother

Thirty year old woman and her partner. Second child born 3 months ago with Down syndrome. They had Down syndrome serum screening test in pregnancy and it indicated a 1 in 1000 chance of DS, and they therefore did not have invasive testing. You are asked to see them to help them understand screening tests.

Couple whose first child was born with isolated non-syndromic cleft lip and palate. They want to know chance of recurrence.

45 year old man with family history of BrCa1 attends to discuss the risks to his 17 year old daughter. His mother died of breast cancer age 34, and recently his sister age 38 has been found to carry the BrCa1 mutation identified in other members of their mother’s family.