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A young woman (the proband) and her partner are referred for prenatal genetic counseling because the woman has a family history of sickle cell anemia. The proband has the sickle cell trait ( Ss ), and her partner is not a carrier and does not have sickle cell anemia ( SS ). Prenatal testing indicates that the fetus is affected with sickle cell anemia ( ss ) . The results of this and other tests indicate that the only way the fetus could have sickle cell disease is if the woman’s partner is not the father of the fetus. The couple is at the appointment seeking their test results. a. How would you handle this scenario? Should you have contacted the proband beforehand to explain the results and the implications of the results? b. Is it appropriate to keep this information from the partner because he believes he is the father of the baby? What other problems do you see with this case?

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Human Heredity: Principles and Iss...

11th Edition
Michael Cummings
Publisher: Cengage Learning
ISBN: 9781305251052

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Chapter
Section
BuyFindarrow_forward

Human Heredity: Principles and Iss...

11th Edition
Michael Cummings
Publisher: Cengage Learning
ISBN: 9781305251052
Chapter 16, Problem 18QP
Textbook Problem
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A young woman (the proband) and her partner are referred for prenatal genetic counseling because the woman has a family history of sickle cell anemia. The proband has the sickle cell trait (Ss), and her partner is not a carrier and does not have sickle cell anemia (SS). Prenatal testing indicates that the fetus is affected with sickle cell anemia (ss). The results of this and other tests indicate that the only way the fetus could have sickle cell disease is if the woman’s partner is not the father of the fetus. The couple is at the appointment seeking their test results.

  1. a. How would you handle this scenario? Should you have contacted the proband beforehand to explain the results and the implications of the results?
  2. b. Is it appropriate to keep this information from the partner because he believes he is the father of the baby? What other problems do you see with this case?

a.

Summary Introduction

To determine: The possible method to handle the scenario in which an individual should contact the proband beforehand to explain the results and the implications of the results.

Introduction: A couple has undergone a prenatal test in which the young woman (proband) is found to have the sickle cell trait (Ss), and her partner does not have the sickle cell anemia (SS). The woman’s family has a family history of sickle cell anemia. Their prenatal tests indicate that the fetus is affected with sickle cell anemia (ss) and the only way it is possible is when the woman’s partner is not the father of the fetus.

Explanation of Solution

The genetic counselor needs to weigh the benefits and harms of the nondisclosure against those of disclosure. As the test has revealed that fetus is affected with sickle cell anemia and the only way for it to be possible is when the woman’s partner is not the father of the fetus. So, the first consideration includes the relevance of the information to the patient’s situation and the consequences of the findings. The 1983 President’s Commission recommends that patients should be advised before testing that unexpected information may be revealed...

b.

Summary Introduction

To determine: Whether it is appropriate to keep the information from the partner as he believes he is the father of the baby and the other problems related to this case.

Introduction: A couple has undergone a prenatal test in which the young woman (proband) is found to have the sickle cell trait (Ss), and her partner does not have the sickle cell anemia (SS). The woman’s family has a family history of sickle cell anemia. Their prenatal tests indicate that the fetus is affected with sickle cell anemia (ss) and the only way it is possible is when the woman’s partner is not the father of the fetus.

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