About 21 years ago prenatal diagnosis became part of the
physician's diagnostic armamentarium against genetic defects. My
first monograph in 1973 (The Prenatal Diagnosis of Hereditary
Disorders) critically assessed early progress and enunciated basic
principles in the systematic approach to prenatal genetic
diagnosis. Six years later and under the current title, a
subsequent volume provided the first major reference source on this
subject. The present second (effectively third) edition, which was
urged in view of the excellent reception of the two earlier
volumes, reflects the remarkable growth of this new discipline and
points to significant and exciting future developments.
Notwithstanding these advances, the use of the new tools and
techniques for the benefit of at-risk parents has taken many more
years than most anticipated. Key factors have been the lack of
teaching of human genetics in medical schools in the preceding
decades and the difficulty of educating practicing physicians in a
new scientific disci pline. Even today the teaching of genetics in
medical schools leaves much to be desired and this will further
delay the introduction of newer genetic advances to the bedside."
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