Case Study 5

Nancy had a routine 18-week Level II sonogram that revealed the foetus had isolated echogenic bowel. Nancy, age 27, and her spouse, Mike, age 30, were referred for genetic counseling to discuss the potential implication of this finding. The couple was understandably anxious, as this was their first pregnancy and no pregnancy complications had been noted previously.

Solution: As is standard in any genetic counseling session, a 3-generation family history is obtained. No relatives with mental retardation, birth defects, or genetic disorders were reported on either side of the family. The genetic counselor explained the ultrasound finding and informed the couple that the majority of foetuses with isolated echogenic bowel are born without ...

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