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Parental experience with an ocular genetic counseling services in Saudi Arabia
Areej Alizary1, Khabir Ahmad2, Amani Al Bakri3
1Ocular Genetic Services, King Khaled Eye Specialist Hospital, Alfaisal University, Riyadh, Saudi Arabia.
Insights
Parents of children with genetic eye disorders showed good understanding of inheritance but struggled with recurrence risks. Most were satisfied with genetic counseling and open to preimplantation genetic diagnosis (PGD).
Area of Science:
- Ophthalmology
- Genetics
- Reproductive Medicine
Background:
- Recessive genetic ocular disorders pose significant challenges for affected families.
- Understanding inheritance patterns and recurrence risks is crucial for reproductive decision-making.
- Genetic counseling plays a vital role in supporting families facing genetic conditions.
Purpose of the Study:
- To assess parental attitudes towards preimplantation genetic diagnosis (PGD).
- To evaluate parental satisfaction with genetic counseling services.
- To explore parental understanding of genetic disorders and reproductive risks in Saudi Arabia.
Main Methods:
- Cross-sectional study involving 30 parents of children with recessive genetic ocular disorders.
- Structured telephonic interviews assessed knowledge of genetic disorders, PGD attitudes, and counseling satisfaction.
- Data analysis focused on understanding, attitudes, and satisfaction levels.
Main Results:
- 80% understood recessive inheritance and consanguinity risks; 47% grasped future offspring risks.
- 67% would consider preventive measures; 73% would share genetic test results.
- 90% were satisfied with counseling; willingness to share results correlated with counselor interaction (P=0.01).
Conclusions:
- Parents possess basic genetic knowledge but find complex probabilities challenging.
- Attitudes towards PGD were not directly linked to parental knowledge.
- High satisfaction with genetic counseling was reported, though stigma concerns exist regarding result sharing.
Purpose:
This study reports parental attitudes towards preimplantation genetic diagnosis (PGD) and their satisfaction with genetic counseling services offered by a territory eye care hospital in Saudi Arabia.
Methods:
This was a cross-sectional study of 30 parents (either father or mother) of children affected by recessive genetic ocular disorders. Their basic knowledge of recessive genetic disorders, attitude toward PGD, and satisfaction with counseling services were assessed using structured telephonic interviews.
Results:
Eighty percent of the participants understood the concept of recessive inheritance patterns and the effect of consanguineous marriages on raising the likelihood of giving birth to a child with genetic disorders. Forty-seven percent of parents understood the risk of having an affected future offspring. Sixty-seven percent of them mentioned that they would consider using preventive measures when conceiving next time. Seventy-three percent of participants stated that they would share the genetic test results with family members. Ninety percent of the parents were satisfied with the genetic counselor's ability to listen to them and the way the counselor explained the genetic information. There was a statistically significant association between parental willingness to share genetic test results with relatives and being given the opportunity to share information with their genetic counselor (P = 0.01). There was no association between the parental's knowledge and their willingness to consider using preventative measures in the next pregnancy.
Conclusion:
Most parents had a basic understanding of recessive disease. However, they often struggled to comprehend the science and mathematical probabilities determining the recurrence risk in future pregnancies. This complexity makes it difficult for them to recall the information. Attitude toward PGD did not seem to be related with parent knowledge. A significant proportion of the parents expressed willingness to share their genetic test results with relatives, but some were hesitant due to fears of stigma. Most parents were satisfied with genetic counseling services.
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