{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T21:00:18Z","timestamp":1791061218174,"version":"4.1.0"},"reference-count":22,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,2,8]],"date-time":"2026-02-08T00:00:00Z","timestamp":1770508800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,2,8]],"date-time":"2026-02-08T00:00:00Z","timestamp":1770508800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100009633","name":"Eunice Kennedy Shriver National Institute of Child Health and Human Development","doi-asserted-by":"publisher","award":["K12HD087023\u201011"],"award-info":[{"award-number":["K12HD087023\u201011"]}],"id":[{"id":"10.13039\/100009633","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["American J of Med Genetics Pt A"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    Genetic contributors to perinatal demise are common but frequently undiagnosed due to clinical and logistical barriers. We aimed to improve access to genetic for intrauterine fetal demise (\n                    <jats:styled-content style=\"fixed-case\">IUFD<\/jats:styled-content>\n                    ), stillbirth, and early neonatal death by developing a multidisciplinary workflow. A working group representing clinical genetics, maternal\u2010fetal medicine, neonatology, pathology, obstetrics, palliative care, laboratories, and health information technology identified barriers and designed solutions for genetic testing in perinatal demise. Tools developed included testing algorithms, specimen collection and handling guides, documentation templates, and electronic health record integration. Case reviews and stakeholder feedback informed iterative refinement. The workflow clarified team roles, timing, and coordination across specialties. Scenario\u2010specific algorithms for stillbirth, neonatal demise, and pediatric genetics consultations guided testing decisions. A specimen\u2010testing matrix linked sample types with available tests and laboratories. Implementation was supported by education and centralized resources. Representative cases demonstrated improved sample collection, diagnostic yield, and family counseling through early communication and defined responsibilities. A multidisciplinary workflow improved the feasibility and consistency of genetic evaluation in perinatal demise. This model may guide other institutions seeking to implement or enhance genetic testing processes for families affected by pregnancy loss or neonatal death.\n                  <\/jats:p>","DOI":"10.1002\/ajmga.70075","type":"journal-article","created":{"date-parts":[[2026,2,9]],"date-time":"2026-02-09T04:42:58Z","timestamp":1770612178000},"page":"1273-1285","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Facilitating Genetic Testing for Perinatal Demise: Development of a Multidisciplinary Workflow"],"prefix":"10.1002","volume":"200","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-2750-5318","authenticated-orcid":false,"given":"Mackenzie","family":"Mosera","sequence":"first","affiliation":[{"name":"Division of Medical Genetics and Genomic Medicine Vanderbilt University Medical Center  Nashville Tennessee USA"},{"name":"Department of Pediatrics Vanderbilt University Medical Center  Nashville Tennessee USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samantha","family":"Stover","sequence":"additional","affiliation":[{"name":"Division of Maternal Fetal Medicine Vanderbilt University Medical Center  Nashville Tennessee USA"},{"name":"Department of Obstetrics and Gynecology, Section of Complex Family Planning Vanderbilt University Medical Center  Nashville Tennessee USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6328-8089","authenticated-orcid":false,"given":"Elise","family":"Boos","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Section of Complex Family Planning Vanderbilt University Medical Center  Nashville Tennessee USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Molly","family":"Casey","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Vanderbilt University Medical Center  Nashville Tennessee USA"},{"name":"Division of Hospital Medicine, Section of Palliative Care Vanderbilt University Medical Center  Nashville Tennessee USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph","family":"Fanning","sequence":"additional","affiliation":[{"name":"Department of Medicine Vanderbilt University Medical Center  Nashville Tennessee USA"},{"name":"Center for Biomedical Ethics and Society Vanderbilt University Medical Center  Nashville Tennessee USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chelsea","family":"Fechter","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Vanderbilt University Medical Center  Nashville Tennessee USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Grace","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Vanderbilt University Medical Center  Nashville Tennessee USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"L. Dupree","family":"Hatch","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Vanderbilt University Medical Center  Nashville Tennessee USA"},{"name":"Mildred Stahlman Division of Neonatology Vanderbilt University Medical Center  Nashville Tennessee USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michaela","family":"Ibach","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Vanderbilt University Medical Center  Nashville Tennessee USA"},{"name":"Division of Hospital Medicine, Section of Palliative Care Vanderbilt University Medical Center  Nashville Tennessee USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carla","family":"Jackson","sequence":"additional","affiliation":[{"name":"Department of Pediatrics Vanderbilt University Medical Center  Nashville Tennessee USA"},{"name":"Department of Pediatric Social Work Vanderbilt University Medical Center  Nashville Tennessee 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