Journal of Genetic Counseling

, Volume 19, Issue 3, pp 247–254

Genetic Counseling for Fetal Abnormalities in a South African Community

  • Caryn Todd
  • Tabitha Haw
  • Jennifer Kromberg
  • Arnold Christianson
Original Research

DOI: 10.1007/s10897-010-9278-0

Cite this article as:
Todd, C., Haw, T., Kromberg, J. et al. J Genet Counsel (2010) 19: 247. doi:10.1007/s10897-010-9278-0

Abstract

Fetal abnormalities are congenital abnormalities identified prenatally. Women who have a fetal abnormality detected often have to make difficult decisions regarding continuation or termination of the pregnancy. The aims of this research project were: to investigate some of the factors that influenced the decision to terminate a pregnancy in which fetal abnormalities were diagnosed; and to determine the implications for genetic counseling practice in South Africa. The study was retrospective and file-based. A total of 171 women counseled for fetal abnormalities, between 2002 and 2006, were identified and relevant data were collected from their records. Altogether 116/170 (68.2%) women were offered termination of pregnancy, and 73/113 (65%) requested the procedure. Early gestation, gestation at the time termination was offered, and ethnicity of the patient, were significantly associated with a termination request. Black patients were less likely to request termination, but more likely to receive a late diagnosis than other patients. Genetic counselors need to adopt an advocacy and educational role to improve this situation. Furthermore, a better understanding of the cultural and ethnicity-related issues is required.

Keywords

Genetic counselingFetal abnormalitiesTermination of pregnancySouth Africa

Copyright information

© National Society of Genetic Counselors, Inc. 2010

Authors and Affiliations

  • Caryn Todd
    • 1
  • Tabitha Haw
    • 1
  • Jennifer Kromberg
    • 1
  • Arnold Christianson
    • 1
  1. 1.Human Genetics DivisionUniversity of the Witwatersrand and National Health Laboratory ServiceJohannesburgSouth Africa