Parental Screening for Premarital Counseling

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