Parental Hopes and Understandings of the Value of Prenatal Diagnostic Genomic Sequencing: A Qualitative Analysis

Objective: To provide qualitative empirical data on parental expectations of diagnostic prenatal genomic sequencing and the value of the results to families.Methods: We interviewed 15 families—mothers and/or fathers—who had had prenatal genomic sequencing about their expectations and their respectiv...

Full description

Bibliographic Details
Main Authors: Simon M. Outram, Julia E. H. Brown, Astrid N. Zamora, Nuriye Sahin-Hodoglugil, Sara L. Ackerman
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-07-01
Series:Frontiers in Genetics
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fgene.2022.883225/full
_version_ 1811217733828739072
author Simon M. Outram
Julia E. H. Brown
Astrid N. Zamora
Nuriye Sahin-Hodoglugil
Sara L. Ackerman
author_facet Simon M. Outram
Julia E. H. Brown
Astrid N. Zamora
Nuriye Sahin-Hodoglugil
Sara L. Ackerman
author_sort Simon M. Outram
collection DOAJ
description Objective: To provide qualitative empirical data on parental expectations of diagnostic prenatal genomic sequencing and the value of the results to families.Methods: We interviewed 15 families—mothers and/or fathers—who had had prenatal genomic sequencing about their expectations and their respective evaluations of the benefits of genomic sequencing.Results: Families’ hopes for genetic sequencing clustered around three themes: hoping to identify the cause of the fetal anomaly in a terminated pregnancy; hopes for guidance as to the likely outcome of current pregnancy; and hopes for information to support future family planning. In addition, hopes were discussed in terms of the potential for results to be beneficial in acquiring greater knowledge, while at the same time recognizing that new knowledge may raise more questions. Assessment of the value of sequencing largely mirrored these expectations when positive results seen. Negative results can also be seen as valuable in ruling out a genetic cause and in providing certainty that families had done everything that they could to know about the cause of fetal demise.Conclusion: It would appear that with guidance from genetic counsellors, families were largely able to navigate the many uncertainties of prenatal genomic sequencing and thus see themselves as benefitting from sequencing. However, support structures are essential to guide them through their expectations and interpretations of results to minimize possible harms. Engaging in the process of genomic sequencing was seen as beneficial in of itself to families who would otherwise be left without any options to seek diagnostic answers.
first_indexed 2024-04-12T07:00:47Z
format Article
id doaj.art-cc774e024e01493aa39bbd49f0afa8c1
institution Directory Open Access Journal
issn 1664-8021
language English
last_indexed 2024-04-12T07:00:47Z
publishDate 2022-07-01
publisher Frontiers Media S.A.
record_format Article
series Frontiers in Genetics
spelling doaj.art-cc774e024e01493aa39bbd49f0afa8c12022-12-22T03:43:02ZengFrontiers Media S.A.Frontiers in Genetics1664-80212022-07-011310.3389/fgene.2022.883225883225Parental Hopes and Understandings of the Value of Prenatal Diagnostic Genomic Sequencing: A Qualitative AnalysisSimon M. OutramJulia E. H. BrownAstrid N. ZamoraNuriye Sahin-HodoglugilSara L. AckermanObjective: To provide qualitative empirical data on parental expectations of diagnostic prenatal genomic sequencing and the value of the results to families.Methods: We interviewed 15 families—mothers and/or fathers—who had had prenatal genomic sequencing about their expectations and their respective evaluations of the benefits of genomic sequencing.Results: Families’ hopes for genetic sequencing clustered around three themes: hoping to identify the cause of the fetal anomaly in a terminated pregnancy; hopes for guidance as to the likely outcome of current pregnancy; and hopes for information to support future family planning. In addition, hopes were discussed in terms of the potential for results to be beneficial in acquiring greater knowledge, while at the same time recognizing that new knowledge may raise more questions. Assessment of the value of sequencing largely mirrored these expectations when positive results seen. Negative results can also be seen as valuable in ruling out a genetic cause and in providing certainty that families had done everything that they could to know about the cause of fetal demise.Conclusion: It would appear that with guidance from genetic counsellors, families were largely able to navigate the many uncertainties of prenatal genomic sequencing and thus see themselves as benefitting from sequencing. However, support structures are essential to guide them through their expectations and interpretations of results to minimize possible harms. Engaging in the process of genomic sequencing was seen as beneficial in of itself to families who would otherwise be left without any options to seek diagnostic answers.https://www.frontiersin.org/articles/10.3389/fgene.2022.883225/fullprenatalgenomicssequencinginterviews (qualitative)empowerment
spellingShingle Simon M. Outram
Julia E. H. Brown
Astrid N. Zamora
Nuriye Sahin-Hodoglugil
Sara L. Ackerman
Parental Hopes and Understandings of the Value of Prenatal Diagnostic Genomic Sequencing: A Qualitative Analysis
Frontiers in Genetics
prenatal
genomics
sequencing
interviews (qualitative)
empowerment
title Parental Hopes and Understandings of the Value of Prenatal Diagnostic Genomic Sequencing: A Qualitative Analysis
title_full Parental Hopes and Understandings of the Value of Prenatal Diagnostic Genomic Sequencing: A Qualitative Analysis
title_fullStr Parental Hopes and Understandings of the Value of Prenatal Diagnostic Genomic Sequencing: A Qualitative Analysis
title_full_unstemmed Parental Hopes and Understandings of the Value of Prenatal Diagnostic Genomic Sequencing: A Qualitative Analysis
title_short Parental Hopes and Understandings of the Value of Prenatal Diagnostic Genomic Sequencing: A Qualitative Analysis
title_sort parental hopes and understandings of the value of prenatal diagnostic genomic sequencing a qualitative analysis
topic prenatal
genomics
sequencing
interviews (qualitative)
empowerment
url https://www.frontiersin.org/articles/10.3389/fgene.2022.883225/full
work_keys_str_mv AT simonmoutram parentalhopesandunderstandingsofthevalueofprenataldiagnosticgenomicsequencingaqualitativeanalysis
AT juliaehbrown parentalhopesandunderstandingsofthevalueofprenataldiagnosticgenomicsequencingaqualitativeanalysis
AT astridnzamora parentalhopesandunderstandingsofthevalueofprenataldiagnosticgenomicsequencingaqualitativeanalysis
AT nuriyesahinhodoglugil parentalhopesandunderstandingsofthevalueofprenataldiagnosticgenomicsequencingaqualitativeanalysis
AT saralackerman parentalhopesandunderstandingsofthevalueofprenataldiagnosticgenomicsequencingaqualitativeanalysis