Genetic Counseling Program

Untitled Document

Pregnancy Outcomes in Survivors of Abdominal Wall Defects.  By Brooke Rush

Background:  There are an increasing number of survivors of congenital abdominal wall defects (AWDs) reaching reproductive age.  Currently, there is no published information regarding pregnancy outcomes in this population.  The purpose of this study is to expand the current knowledge on pregnancy outcomes in patients born with an AWD.  Methods:  A survey was designed to collect information regarding demographic data, pregnancy outcomes and individual fears and concerns regarding pregnancy in a group of AWD survivors.  This survey was made available to adult, female survivors of AWDs via five on-line support groups and discussion boards.  Data was collected over a period of three months and compared across total populations as well as between types of AWD or repair types.  Results:  A total of 34 surveys were used in data analysis.  Of these, 13 women reported a total of 16 live births and 13 pregnancy losses.  Rates of Cesarean delivery were comparable to the general population.  Incidence of preterm birth was 31.3% in this population, but none of the neonates were less than 10th percentile body weight for gestational age.  Respondents with omphalocele generally reported fewer pregnancy complications.  There were no incidences of preterm labor or pregnancy complications reported in respondents with initial repair by silo.  Respondents with fewer medical complications as children tend to have fewer pregnancy complications or preterm births.  Conclusion:  Overall, pregnancy outcomes in survivors of AWD are favorable.  This study should provide guidance for physicians and genetic counselors educating patients

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  • "I chose to attend UNCG because of its shared learning environment and the access to some of the leading institutions in the country. "

  • "UNCG is a great fit for me. The program directors have extensive experience in the world of genetic counseling and provide you with opportunities to work with some of the best medical centers in the country. Our location allows us to have expert guest lecturers, many of whom you also get to work alongside or observe in your clinical rotations in your second year. We also have some really wonderful and unique opportunities as a part of this program: we observe in syndrome specific support groups and clinics, tour genetic laboratories, and are matched with a family with a genetic disease to learn what it is like to live with a genetic condition. Finally, our directors are genuinely invested in each of us, and care about our success and getting to know each of us personally."

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