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Wiley InterScience | ||
  Journal of Nursing ScholarshipVolume 39 Issue 1, Pages 4 - 9 Published Online: 26 Feb 2007 © 2009 Sigma Theta Tau International Published with Sigma Theta Tau International, Honor Society of Nursing
Abstract | References | Full Text: HTML, PDF (Size: 102K) | Related Articles | Citation Tracking  Genomics to Health Genomics for Health in Preconception and Prenatal Periods Copyright 2007 Sigma Theta Tau International KEYWORDS
preconception
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prenatal
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screening
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genetic testing
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genomics
Journal of Nursing Scholarship, 2007; 39:1, 4-9. © 2007 Sigma Theta Tau International. ABSTRACTPurpose: To review and report changes in genomic-based knowledge and care during the preconception and prenatal periods. Design: Integrative review of relevant medical and nursing literature. Findings: Client education and counseling are needed to understand genomic information and provide guidance in interpreting this information and making decisions. The factors that influence decision-making about testing and acting on test results constitute a complex process that has not been well studied. Family history is an important tool for obtaining genomic information and can assist women and families in understanding risk preconceptionally and prenatally. Genomic research has enhanced understanding of the mechanisms of birth defects such as neural tube defect and will likely provide research opportunities to better understand complex perinatal outcomes such as preterm birth. Conclusions: Research, education, advocacy, and anticipatory guidance are needed as women and families obtain more genetic and genomic information before and during pregnancy. All nurses will be involved in helping patients use genetic and genomic information to understand risk and to develop strategies to modify risk, and in translating the expanding array of genomic information to improve birth outcomes. Accepted for publication August 9, 2006. |
