Balancing Genetics (Science) and Counseling (Art) in Prenatal Chromosomal Microarray Testing.

Area of Science:

• Reproductive genetics
• Genetic counseling

Background:

• Highly sensitive prenatal testing, like chromosomal microarray, introduces uncertainty into pregnancy management.
• Genetic counselors may lack adequate preparation for discussing complex, uncertain prenatal results with expectant parents.

Purpose of the Study:

• To provide genetic counselors with practical skills and language for discussing uncertain prenatal testing results.
• To enhance genetic counselor training and self-care in reproductive and perinatal settings.

Main Methods:

• The study describes practice skills and communication strategies for genetic counselors.
• Recommendations are made for enhancing training and self-care among genetic counselors.

Main Results:

• Genetic counselors can improve their approach to discussing uncertain prenatal information.
• Enhanced skills and self-care can decrease counselor discomfort and compassion fatigue.

Conclusions:

• Genetic counselors require specialized approaches to manage uncertainty in prenatal genetic testing.
• Supporting counselors with skills and self-care is crucial for effective patient care in reproductive settings.