Mental Health Aspects of Genetic Screening and Testing in Obstetrics and Gynecology

Availability of genetic testing and screening options has advanced significantly, and increasingly becoming included in obstetric (OB) and gynecologic practices. Advanced technologies have caused genetic screening to become more complex. Genetic screening is recommended for all pregnant patients and is routinely offered in OBs and gynecology. Genetic screening may increase emotional distress, including anxiety and depression. Patients with a negative result have a reduction in anxiety. Patients with a positive screen require additional support. Incorporating a standard practice of clear, objective, non-directive counseling pre- and post-test, with appropriate time to allow for patient decision-making reduces emotional distress.