If you have any one / more of the below criteria you should be recommended for a genetic counselling session:
- Advanced maternal age
- Abnormal maternal serum screening
- Abnormal USG/ abnormal fetal finding/ abnormal amniotic fluid
- Previous fetus or child with genetic disorder
- Family history of genetic disorder
- Family history of cancer or if any immediate sibs of parents or previous child
- Is affected with cancer
- Maternal disorder associated with increased risk of fetal CMF or exposure
- Exposure to teratogens
- Consanguinity
- Bad obstetric history ( RSA, unexplained IUD or still birth )
- Infertility related to chromosomal abnormality
- Embryo selection in case of IVF
Screening for community based genetic disorders:
- Alpha/ Beta – Thalasemia, Sickle Cell anemia
- Spinal Muscular Atrophy
- Cystic Fibrosis
- Achondroplasia
- Duchene Muscular Dystrophy
- Hemophilia
- Neural tube defects
- Gross chromosomal anomalies
- Aneuploidy
- Screening for chromosomal abnormality
- Major fetal malformation as indicated by USG
Premarital counselling:
- Couples counselled for
- Thalasemia
- Rh factor
- Community based genetic disorders
- Balanced chromosomal abnormalities/ translocations
- Pedigree analysis to understand any recessive diseases that might be there in both the family