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Mom of a 2 yr 1 m old boy7 months ago
Q.

can u tell if anyone having sikalcell so they should conceive baby or not

1 Answer
POOJA KOTHARIMom of a 8 yr 5 m old boy7 months ago
A. Whether someone with sickle cell disease (SCD) or sickle cell trait (SCT) should conceive a baby depends on several factors, including their health, the partner's sickle cell status, and their ability to manage potential risks. Here’s a detailed explanation: 1. Understanding Sickle Cell Disease vs. Sickle Cell Trait: Sickle Cell Trait (SCT): A person carries one defective gene but does not usually have symptoms of the disease. They can pass the gene to their children. Sickle Cell Disease (SCD): A person has two defective genes, leading to symptoms like anemia, pain, and other complications. 2. Key Considerations for Conceiving: Genetic Testing for Both Partners: If one partner has SCD or SCT, genetic testing of the other partner is crucial. If both partners carry SCT, there’s a 25% chance the baby will have SCD, a 50% chance the baby will have SCT, and a 25% chance the baby will not inherit the gene. If one partner has SCD and the other has SCT, there’s a 50% chance the baby will have SCD and a 50% chance of having SCT. Health of the Person with SCD: Pregnancy can be riskier for women with SCD because of complications like anemia, preeclampsia, or preterm labor. Close medical supervision is essential. Consult a hematologist and an obstetrician experienced with high-risk pregnancies. 3. Risks to the Baby: Babies born to parents with SCD or SCT may inherit the gene, which could lead to SCD or SCT. Preimplantation genetic testing (PGT) during IVF can reduce the chance of passing SCD to the child by selecting embryos without the defective gene. 4. Medical Support and Planning: Before Pregnancy: Comprehensive checkups to assess overall health and manage complications. Discuss the risks with a healthcare provider and genetic counselor. During Pregnancy: Frequent monitoring for anemia, infections, or other complications. Folic acid supplementation is recommended to prevent birth defects. 5. Emotional and Practical Factors: Support: Family and emotional support are critical due to the challenges of managing SCD during pregnancy. Awareness: Be prepared for medical emergencies and ensure access to quality care. Final Advice: Consult with a specialist: Speak to a genetic counselor or doctor experienced in sickle cell disease. Personal Choice: The decision to conceive is personal and should be made after evaluating health risks, partner compatibility, and emotional readiness. Many individuals with SCD or SCT have successfully conceived and raised healthy children with proper planning and medical care.
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