Re: CF carrier testing

From: Dr. Ainsworth (ainsron@sbcglobal.net)
Wed Sep 3 03:54:49 2003


That is one of the problems caused by expensive testing for a disease that we can identify genetically, but has very minimal benefit to most pregnant patients that I see. I do offer the testing to all of my new OB patients, give them the ACOG booklet to read and discuss it at the time of their next visit. I get very few takers because of the cost of testing. The time this test should be offered to couples is at a preconceptual visit, when it might indeed make a difference in whether or not they would want to risk a pregnancy together or elect donor insemination, adoption, etc. If the information is to benefit a couple, it would be in their planning stage, not during pregnancy. If you are like me, you see very few preconceptual patients and most pregnancies are unplanned "accidents," and that is speaking from personal and professional experience. Unless a couple has a previously affected child with CF, I see very little chance that they would abort a fetus because of the diagnosis of a disease such as CF. Has anyone had a different experience?

>Got my first positive CF carrier test. Hadn't thought that far ahead,
>but dad is now asking how strongly I recommend he get tested. IPA paid
>for mom's test because she has a card, but dad does not. $349 test. I
>told dad he and mom will have to discuss it and make the decision since
>he has no insurance. Another one of the hazards of teen sex that he
>obviously hadn't considered.
>
>Just curious, what kind of reactions have y'all encountered to positive
>tests when dad is uninsured and faced with shelling out big bucks on
>this one?
>
>--
> Anna Meenan, MD
>





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