Ending the pregnancy
Eva Pajkrt and Liesbeth van Leeuwen Dilatation and evacuation Worldwide, together with aspiration, dilatation and evacuation (D&E) is still the most frequently used method of termination of pregnancy. There is…
The iterative process of decision-making
Karin E.M. Diderich Diagnosis, counseling, and decision-making This is the timeframe during which couples hear the (most likely) diagnosis and have to make the decision to terminate or continue the…
The discovery
Both Lara and Iris are Dutch. In the Netherlands, couples are legally allowed to terminate a pregnancy for fetal congenital abnormalities up to 24 weeks of pregnancy. Lara : Mae…
Addressing diversity in prenatal genetic counseling
Introduction Because of their welfare and relatively economic and political stability, the postindustrial countries in the world are preferred by immigrants, which results in the increasing diversity of the population…
Dealing with uncertainty in prenatal genomics
What is uncertain in prenatal genomics? Most prospective parents enter into the screening and diagnostic process with the assumption that the information they receive will be clear-cut and straightforward. In…
A flow from screening to diagnostics
Denmark was one of the first countries in the world to introduce a universal and free-of-charge offer of combined first-trimester screening (CFTS) for chromosomal anomalies to all pregnant women. In…
Whole-exome sequencing: A changing landscape of prenatal counseling
Introduction The introduction of whole-exome sequencing (WES) in prenatal diagnostics results in an increase in resolution and diagnostic yield. This is, however, not the first time a new technique changes…
From the consulting room: personal narratives of giving prenatal information about fetal anomalies
Clinical narratives I (HW) would like to introduce you to Mrs. Liesbeth Noomen and her husband Niels, who visited the out-patient clinic of my university hospital in Rotterdam, the Netherlands….
Laparoscopic considerations in the pediatric and teen patient
Laparoscopic surgery is an important topic in pediatric and adolescent gynecology (PAG) and is becoming the mainstay of operative management for many conditions in this patient population. This chapter aims…
