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- W1990993048 abstract "It is our belief that pregnant women with an unexplained low mean corpuscular haemoglobin (MCH) (< 27 pg) should have DNA testing for alpha-thalassaemia. Now that DNA technology is more readily available, it is appropriate that these investigations are performed rather than ignoring the result – why bother testing them otherwise? When such cases arise, the information about the patient's ethnicity is forwarded to the reference laboratory and worked up accordingly. I believe that, in the year 2000, it is correct to identify and exclude genetic risks for the pregnancy even though the risk is extremely low. This is what I would expect for my own family and therefore for my patients. Tailoring haemoglobinopathy screening guidelines according to the local ethnic mix has major moral, political and social implications. It is up to the doctors involved to cut their cloth appropriately. I do not accept that genetic testing for haemoglobinopathy induces anxiety; a normal result gives reassurance. Furthermore, my experience of genetic testing and malignancy tells me that patients' anxieties result from ignorance and being kept in the dark rather than being given a clear and lucid explanation of the problem. If antenatal cases are not worked up as thoroughly as present technologies allow, it is inevitable that significant fetal abnormalities and, therefore, obstetric problems will occur at some point. I will not be the first to appear in court." @default.
- W1990993048 created "2016-06-24" @default.
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- W1990993048 date "2000-09-01" @default.
- W1990993048 modified "2023-09-23" @default.
- W1990993048 title "Reply to Telfer et al" @default.
- W1990993048 doi "https://doi.org/10.1046/j.1365-2141.2000.02270-3.x" @default.
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