caa a22 4500 605545111 CHVBK 20210128100934.0 cr unu---uuuuu 210128e20150401xx s 000 0 eng 10.1007/s10897-014-9765-9 doi (NATIONALLICENCE)springer-10.1007/s10897-014-9765-9 Non-Invasive Prenatal Testing: UK Genetic Counselors' Experiences and Perspectives [Elektronische Daten] [Elizabeth Alexander, Susan Kelly, Lauren Kerzin-Storrar] To date, NIPT in the UK has been predominately used in the health service for early sexing of pregnancies at known risk of sex-linked conditions. Developments in the technology are broadening its use to diagnostic testing for paternally inherited genetic conditions and for detection of aneuploidy. This study aimed to examine the experiences of UK genetic counselors with offering NIPT for sexing, and to explore their views on future uses of the technology. Twenty interviews with practicing GC's from four centres were audiotaped, transcribed, and analyzed using modified grounded theory. Participants all had experience of counseling patients around prenatal diagnosis and 18/20 had experience of offering NIPT. GCs reported initially feeling cautious about offering the test, although they saw it as a positive advance for their patients at genetic risk. Emphasis was placed on accuracy, adequate counseling provision and gatekeeping with concerns expressed about broadening its use in the routine antenatal setting. Findings indicate the genetics model for offering prenatal testing to high risk patients can incorporate NIPT and the profession may have a role in informing its implementation in wider healthcare settings. In a wider context this study highlights the challenges new technologies bring to genetic counselors' practice and service structure. National Society of Genetic Counselors, Inc., 2014 Non-invasive prenatal diagnosis nationallicence NIPT nationallicence Fetal sexing nationallicence Genetic Counselors nationallicence Service provision nationallicence New technologies nationallicence Informed consent nationallicence Test accuracy nationallicence Gatekeeping nationallicence Alexander Elizabeth Manchester Centre for Genomic Medicine, Institute of Human Development, University of Manchester and Manchester Academic Health Sciences Centre (MAHSC), Central Manchester University Hospitals NHS Foundation Trust, Level 6, St Marys Hospital, Oxford Road, M13 9WL, Manchester, UK aut Kelly Susan Department of Sociology, Philosophy and Anthropology, University of Exeter, Exeter, UK aut Kerzin-Storrar Lauren Manchester Centre for Genomic Medicine, Institute of Human Development, University of Manchester and Manchester Academic Health Sciences Centre (MAHSC), Central Manchester University Hospitals NHS Foundation Trust, Level 6, St Marys Hospital, Oxford Road, M13 9WL, Manchester, UK aut Journal of Genetic Counseling Springer US; http://www.springer-ny.com 24/2(2015-04-01), 300-311 1059-7700 24:2<300 2015 24 10897 https://doi.org/10.1007/s10897-014-9765-9 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s10897-014-9765-9 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Alexander Elizabeth Manchester Centre for Genomic Medicine, Institute of Human Development, University of Manchester and Manchester Academic Health Sciences Centre (MAHSC), Central Manchester University Hospitals NHS Foundation Trust, Level 6, St Marys Hospital, Oxford Road, M13 9WL, Manchester, UK aut NATIONALLICENCE 700 1- Kelly Susan Department of Sociology, Philosophy and Anthropology, University of Exeter, Exeter, UK aut NATIONALLICENCE 700 1- Kerzin-Storrar Lauren Manchester Centre for Genomic Medicine, Institute of Human Development, University of Manchester and Manchester Academic Health Sciences Centre (MAHSC), Central Manchester University Hospitals NHS Foundation Trust, Level 6, St Marys Hospital, Oxford Road, M13 9WL, Manchester, UK aut NATIONALLICENCE 773 0- Journal of Genetic Counseling Springer US; http://www.springer-ny.com 24/2(2015-04-01), 300-311 1059-7700 24:2<300 2015 24 10897