Tips offered for management of genetic conditions in pregnancy

September 26, 2015
Tips offered for management of genetic conditions in pregnancy

(HealthDay)—Management of genetic conditions during pregnancy may require a multidisciplinary approach, according to a Committee Opinion from the American College of Obstetrics and Gynecology (ACOG) published in the October issue of Obstetrics & Gynecology.

Noting that advances in understanding of genetic conditions, reproductive technologies, and improved medical and surgical care is allowing an increased number of women to achieve normal outcome, researchers from the ACOG Committee on Genetics discuss the management of genetic conditions during pregnancy.

The authors note that management of certain genetic conditions is complex and may necessitate a from before conception through the postpartum period. A preconception evaluation with obstetrician-gynecologists, genetics specialists, maternal-fetal medicine specialists, or other appropriate subspecialists is recommended in order to optimize care for patients with certain genetic conditions, or those at risk of having a particular genetic condition. Preimplantation genetic testing with in vitro fertilization should be offered to patients with established causative mutations for a and who desire prenatal genetic testing. Once pregnant, patients should undergo initial examination early in the first trimester to allow for coordination of prenatal screening or testing and assessment of pregnancy risks.

"In treating women with genetic conditions during pregnancy, we must consider not just the health of the woman and her ability to carry and deliver a baby safely," Joseph R. Biggio Jr., M.D., chair of the College's Committee on Genetics, said in a statement. "Ob-gyns must also consider that women with these rare medical conditions may rely on medications that might have a teratogenic effect on the fetus, leading to potential complications during infancy and childhood and even into adulthood. However, in some cases, it may be medically necessary to continue medication."

Explore further: ACOG: Encourage consideration of contraceptive implants/IUDs

More information: Full Text

Related Stories

ACOG: Encourage consideration of contraceptive implants/IUDs

September 23, 2015
(HealthDay)—All women at risk of unwanted pregnancy should be counseled on all contraceptive options, including long-acting reversible contraception (LARC), according to a Committee Opinion published in the October issue ...

ACOG OKs cell free DNA prenatal testing for high-risk women

November 30, 2012
(HealthDay)—Cell free fetal DNA testing is an effective screening tool for fetal aneuploidy and should be offered to high-risk women, but should not form part of routine prenatal laboratory assessment, according to a Committee ...

ACOG: Best evidence for rx of nausea, vomiting in pregnancy

August 20, 2015
(HealthDay)—In a practice bulletin published in the September issue of Obstetrics & Gynecology, recommendations are presented for the management of nausea and vomiting of pregnancy.

ACOG issues guidelines for routine HIV testing for women

April 29, 2014
(HealthDay)—Females aged 13 to 64 years should undergo HIV testing at least once in their lifetime, with annual testing thereafter recommended based on risk factors, according to a Committee Opinion published in the May ...

Pregnant women with hypertension and their siblings face increased risk of heart disease

August 27, 2015
High blood pressure during pregnancy is a risk factor for future hypertension and cardiovascular disease, but it's not clear if this increased risk is because these women are more likely to have a family history of heart ...

Multidisciplinary plan needed to meet breastfeeding goals

August 8, 2013
(HealthDay)—The American College of Obstetricians and Gynecologists (ACOG) is calling for continuing education efforts to improve continuation of breastfeeding, particularly among underserved populations, according to a ...

Recommended for you

Study finds women with pregnancy-related nausea, vomiting use marijuana more

August 20, 2018
A Kaiser Permanente study, published today in JAMA Internal Medicine, found that women with mild and severe nausea and vomiting in pregnancy were significantly more likely to have used marijuana during pregnancy than women ...

Blood test may identify gestational diabetes risk in first trimester

August 16, 2018
A blood test conducted as early as the 10th week of pregnancy may help identify women at risk for gestational diabetes, a pregnancy-related condition that poses potentially serious health risks for mothers and infants, according ...

Artificial placenta created in the laboratory

August 14, 2018
In order to better understand important biological membranes, it is necessary to explore new methods. Researchers at Vienna University of Technology (Vienna) have succeeded in creating an artificial placental barrier on a ...

The inequalities of prenatal stress

August 14, 2018
Exposure to an acute stress in utero can have long-term consequences extending into childhood – but only among children in poor households, according to a new Stanford study that looked at the long-term impact of acute, ...

Better studies needed on effectiveness of fertility awareness-based methods for contraception

August 10, 2018
A new systematic review provides the most comprehensive assessment to date on the scientific evidence estimating the effectiveness of various fertility awareness-based methods (FABMs) for contraception. "Effectiveness of ...

Inducing labor at 39 weeks reduces likelihood of C-sections

August 8, 2018
Inducing labor in healthy first-time mothers in the 39th week of pregnancy results in lower rates of cesarean sections compared with waiting for labor to begin naturally at full term, according to a multicenter study funded ...

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.