EFFECT OF INTRODUCING PRENATAL-DIAGNOSIS ON THE REPRODUCTIVE-BEHAVIOR OF FAMILIES AT RISK FOR CYSTIC-FIBROSIS - A COHORT STUDY

被引:16
作者
BORGO, G
FABIANO, T
PEROBELLI, S
MASTELLA, G
机构
[1] Centro Regionale Veneto Fibrosi Cisrica, Ospedale Civile Maggiore, Verona
关键词
CYSTIC FIBROSIS; REPRODUCTIVE BEHAVIOR; GENETIC RISK; PRENATAL DIAGNOSIS;
D O I
10.1002/pd.1970121008
中图分类号
Q3 [遗传学];
学科分类号
071007 ; 090102 ;
摘要
We studied 101 couples to determine how far their reproductive behaviour was affected by the diagnosis of cystic fibrosis (CF) on its first occurrence in the couple's progeny and by the availability of prenatal diagnosis (PD). The couples were all resident in the Veneto and Trentino regions and attending the Verona CF Centre. CF had been diagnosed in the first affected child, during the period 1 January 1980-1 July 1990, before the age of 1 year. Couples received a questionnaire regarding socio-demographic status, reproduction data, and awareness of PD. Reproductive history was divided into three phases: prior to diagnosis of CF in the first affected child; from this time until PD was made available; and after the couples had learned of PD. In phase 2 (awareness of the genetic risk but not of PD), 54 couples showed a marked decrease in reproduction, none of the few pregnancies that occurred being taken to term. When couples became aware of PD, some resumption of reproductive activity occurred and 11 per cent of the 101 couples had another child; PD was used in 65 per cent of pregnancies and the abortion rate decreased to 35 per cent. All couples who opted for PD had no children without CF.
引用
收藏
页码:821 / 830
页数:10
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