Abstract

ECHEVARRIA CABRERA, Eunice; HERNANDEZ SOTO, Blanca F; NUNEZ HERNANDEZ, Dianelys  and  MENENDEZ GARCIA, Reinaldo. Behavior of programs for antenatal diagnosis in Consolacion del Sur. January 2003-February 2004. Rev Ciencias Médicas [online]. 2005, vol.9, n.2, pp.3-11. ISSN 1561-3194.

During all these years the program of Genetics has greatly contributed towards the reduction of birth mortality rate and the indicators of morbidity and wuality of life in the Community. The main protagonists are the family nurse and doctor who play a very special role. A descriptive, prospective and longitudinal study during January 1st 2003 until February 29th 2004 in both outpatients clinics belonging to Consolación del Sur Municipality was carried out.data from Genetic Consultations were processed and a survey to pregnants of the study group was applied in the consultation of Detection of Genetic Risk Factors in the Community were studied 370 pregnants that represented 100 %, genetic risk factors increased in pregnants 109 (29.5 %). Main genetic risk factors identified were pregnancy in adolescence, family history of congenital malformation, genetic diseases and late maternal age; resulting normal 18 prenatal cytogenetic diagnosis. By means of the bidimensional ultrasound 2 renal and 1 cardiovascular malformations were diagnosed at "Primero de Enero" outpatient clinic. In all cases the couple asked for therapeutic interruption of pregnancy after the genetic advice proving the diagnosis at Pathological Anatomy Department. A relationship between Alpha - fetoprotein low levels and low weight at birth was proved. prospective.

Keywords : GENETICS; CHILD MORTALITY RATE; PRENATAL; MALFORMATIONS.

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