300 Longwood Avenue Boston, MA 02115 (617) 355-6000 My Child Has: When to Seek Genetic Counseling Programs that treat this condition Cardiovascular Genetics Program   Genetics Program   When to seek genetic counseling: Genetic counseling is a professional assessment of a person or couples risk factors regarding their family history and/or a pregnancy. The goal of genetic counseling is not only risk assessment, but also to explain the cause and inheritance of a disorder, the availability of testing, the prognosis, medical management and treatment. Genetic counseling sessions typically last one hour or longer, depending upon the complexity of the case. Genetic counseling can be provided by a geneticist, a physician with special training and Board Certification in genetics, or by genetic counselors. Genetic counselors have a minimum of a master's degree in genetic counseling or a related field, including extensive training in human clinical genetics and counseling. The American Board of Genetic Counseling (ABGC) offers a certification examination for this discipline every three years. The following lists reasons to seek a referral for genetic counseling and/or genetic evaluation with a genetic physician: Family history factors Previous child with, or family history of: mental retardation neural tube defects (such as spina bifida) chromosome abnormalities (such as Down syndrome) cleft lip/palate heart defects short stature single gene defects (such as cystic fibrosis or PKU) hearing or visual impairments learning disabilities psychiatric disorders cancers multiple pregnancy losses (miscarriages stillbirths or infant deaths) other disorders which could be considered genetic either parent with an autosomal dominant disorder, or any disorder seen in several generations both parents carriers for an autosomal recessive disorder, diagnosed either by the birth of an affected child or by carrier screening motheris a known or presumed carrier of an X-linked disorder such as hemophilia either parent is a known carrier of a balanced chromosome abnormality Pregnancy factors maternal age 35 years or greater at delivery maternal serum screening indicating an increased risk for neural tube defects, Down syndrome or trisomy 18 abnormal prenatal diagnostic test results or abnormal prenatal ultrasound examination maternal factors such as: schizophrenia depression seizures alcoholism diabetes thyroid disorder others in which birth defects may be associated either with the disease process or with common medications prescribed for the disease fetal or parental exposure to potentially teratogenic, mutagenic or carcinogenic agents such as drugs, chemicals, radiation or infection advanced paternal age at the time of conception infertility cases where either parent is suspected of having a chromosome abnormality couples requiring assisted reproductive techniques to achieve a pregnancy, or individuals donating eggs or sperm for those purposes Other factors persons in specific ethnic groups or geographic areas with a higher incidence of certain disorders, such as Tay Sachs disease, sickle cell disease or thalassemias extreme parental concern or fear of having a child with a birth defect in cases of consanguinity (parents are blood relatives) or incest where a pregnancy is involved premarital or preconception counseling in couples at high risk for genetic disorders based on family or personal medical history Contact Children's Hospital Boston Cardiovascular Program physicians for a second opinion. The information on this website should not be taken as medical advice, which can only be given to you by your personal health care professional. Copyright © Children's Hospital Boston. All rights reserved.