Counseling parents before prenatal diagnosis: Do we need to say more about the sex chromosome aneuploidies?

Faustina Lalatta, G. Stephen Tint

Research output: Contribution to journalArticlepeer-review

Abstract

Sex chromosome trisomies (SCT), an extra X chromosome in females (triple X, XXX), males with an extra X chromosome (Klinefelter syndrome, XXY) or an extra Y chromosome (XYY) occur because of errors during meiosis and are relatively frequent in humans. Their identification has never been the goal of prenatal diagnosis (PD) but they almost never escape detection by any of the methods commonly in use. Despite recommendations and guide-lines which emphasize the importance of structured counseling before and after PD, most women remain unaware that testing for serious genetic abnormalities is more likely to uncover these trisomies. With the increasing use of PD more and more prospective parents receive a diagnosis of sex chromosome trisomies and are faced with the dilemma of whether to terminate the pregnancy or to carry it to term. Despite the dramatic and emotionally devastating consequences of having to make such a decision, they have little opportunity to consider in advance the possible outcomes of such a pregnancy and, rather than relying on their own feelings and judgements, are forced to depend on the advice of counseling professionals who may or may not themselves be fully aware of what having an extra sex chromosome can mean to the development of a child. We address here the principles of reproductive autonomy together with an analysis of the major issues that ought to be discussed with the parents before a PD is carried out in order to minimize detrimental effects caused by this unexpected finding.

Original languageEnglish
Pages (from-to)2873-2879
Number of pages7
JournalAmerican Journal of Medical Genetics, Part A
Volume161
Issue number11
DOIs
Publication statusPublished - Nov 2013

Keywords

  • Preconceptional counseling
  • Prenatal diagnosis
  • Reproductive autonomy
  • Sex chromosome trisomies

ASJC Scopus subject areas

  • Genetics(clinical)
  • Genetics

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