Ethical Considerations for Genetic Testing and Counseling in Obstetrics and Gynecology

Given the increasing availability and complexity of genetic testing, it is imperative that practicing obstetrician-gynecologists and other health care professionals maintain a firm comprehension of the benefits, limitations, and risks of genetic testing offered in their practices. The use of genetic testing has the potential to improve the care of patients and their families; however, the nuances and possible implications of test results can be challenging to interpret and effectively communicate, highlighting the importance of appropriate pretest and posttest counseling as well as expert consultation, when applicable. The challenges for practicing obstetrician-gynecologists often are compounded by severe limitations in time, limited expertise with new testing or rare results, and potentially limited scientific literacy among patients. This document seeks to explore the ethical considerations obstetricians and gynecologists should consider when offering genetic testing in their practices.