所有孕妇的基因组测序:通过患者的反思来导航产前诊断的下一个前沿
Kristen E Kelly1,2, Stephanie Galloway1,3, Alexandra Demers1,3
1Program in Genetic Counseling, Vagelos College of Physicians and Surgeons, Columbia University, New York, New York, USA.
Prenatal diagnosis
|September 6, 2025
概括
产前基因组测序 (GS) 提供了宝贵的信息,影响了终止和未来护理等决定. 参与者希望获得全面的结果,尽管担心成本,但大多数人愿意再次使用GS.
科学领域:
- 遗传学和基因组学
- 生殖医学
- 生物伦理学
背景情况:
- 产前诊断传统上依赖于超声波和心脏造型等方法.
- 基因组测序 (GS) 在怀孕期间提供了更全面的遗传分析.
- 了解患者在产前GS的经验对于其临床整合至关重要.
研究的目的:
- 探索参与者对接受产前基因组测序 (GS) 结果的反思.
- 在没有检测到胎儿异常时,了解产前GS发现的含义.
- 为实施GS作为主要的产前诊断工具收集见解.
主要方法:
- 在怀孕30天至1年后对21名参与者 (15例怀孕) 进行半结构面试.
- 在数据分析中采用构造主义的理论方法.
- 包括分娩到期,终止怀孕和早产的参与者.
主要成果:
- 参与者通过产前GS寻求最大的遗传信息.
- 积极的GS结果导致了显著的下游行动:终止,级联测试,专家转诊和改变妊娠/新生儿护理.
- 负的GS结果为怀孕和儿童早期发育提供了保证.
结论:
- 参与者的经验强调了产前GS结果对生殖和医疗保健决策的深远影响.
- 未来在怀孕期间使用GS是可取的,但成本和可用性仍然是考虑因素.
- 患者和伴侣的观点对于建立GS作为一级产前诊断测试至关重要.
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