{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T10:08:05Z","timestamp":1789034885793,"version":"build-2803163510"},"reference-count":27,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T00:00:00Z","timestamp":1788998400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T00:00:00Z","timestamp":1788998400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Genetic Counseling"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    Stillbirth affects approximately 1 in 175 pregnancies annually in the United States. Although the American College of Obstetricians and Gynecologists recommends genetic testing as part of the stillbirth evaluation, families often face barriers to obtaining a complete evaluation. Expansion of the diagnostic evaluation of stillbirth is expected to include exome\/genome sequencing, with preliminary studies demonstrating its diagnostic utility. Consequently, genetic counselors (GCs) are expected to play an expanding role in post\u2010stillbirth care. This study explored current genetic counseling practices for stillbirth and GCs' preparedness to support patients in this setting. A cross\u2010sectional survey was distributed across four channels. Eligible participants included GCs in the United States and Canada with at least 1\u2009year of prenatal experience. The survey assessed GC frequency and timing in stillbirth counseling, genetic testing practices, comfort addressing psychosocial needs, and perceived barriers to care. Responses were analyzed using descriptive statistics. Group comparisons were performed using Chi\u2010square and Fisher's exact tests. Open\u2010ended responses were coded for themes. Seventy\u2010one responses were analyzed. Approximately half of respondents (49.3%,\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u200936) reported \u201cnever\/very rarely\/rarely\u201d counseling patients postpartum, despite this being the optimal time to offer genetic testing. Delivering providers (46.5%,\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u200933) were often responsible for informing patients about testing and obtaining consent, compared to GCs (11.3%,\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u20098). Although chromosomal microarray (CMA) is recommended as the standard of care (SOC), 12.7% (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u20099) of GCs reported not offering CMA for anomalous and non\u2010anomalous stillbirths. Perceived barriers to SOC testing included reported lack of obstetrician awareness (91.5%,\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u200965) and challenges coordinating specimen collection (90.1%,\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u200964). These findings highlight barriers to SOC genetic evaluation and underscore the need to strengthen institutional protocols, enhance provider education, and develop stillbirth\u2010specific genetic counseling guidelines. GC involvement in these efforts will be essential to promoting equitable access to comprehensive post\u2010stillbirth care as sequencing becomes integrated into practice.\n                  <\/jats:p>","DOI":"10.1002\/jgc4.70267","type":"journal-article","created":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T09:18:59Z","timestamp":1789031939000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Are we Prepared? Genetic Counseling for Stillbirth in the Sequencing Era"],"prefix":"10.1002","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-9874-7453","authenticated-orcid":false,"given":"Hector","family":"Marin","sequence":"first","affiliation":[{"name":"Genetic Counseling Graduate Program, Vagelos College of Physicians and Surgeons Columbia University  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"Florido","sequence":"additional","affiliation":[{"name":"Genetic Counseling Graduate Program, Vagelos College of Physicians and Surgeons Columbia University  New York New York USA"},{"name":"Department of Genetics &amp; Development, Vagelos College of Physicians and Surgeons Columbia University  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carina","family":"Bertolini","sequence":"additional","affiliation":[{"name":"Genetic Counseling Graduate Program, Vagelos College of Physicians and Surgeons Columbia University  New York New York USA"},{"name":"Department of Obstetrics and Gynecology, Vagelos College of Physicians and Surgeons Columbia University  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Olivia","family":"Schulist","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Vagelos College of Physicians and Surgeons Columbia University  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shai","family":"Bejarano","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Vagelos College of Physicians and Surgeons Columbia University  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5112-1599","authenticated-orcid":false,"given":"Priyanka","family":"Ahimaz","sequence":"additional","affiliation":[{"name":"Genetic Counseling Graduate Program, Vagelos College of Physicians and Surgeons Columbia University  New York New York USA"},{"name":"Department of Pediatrics, Division of Clinical Genetics Columbia University Irving Medical Center  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2265-0691","authenticated-orcid":false,"given":"Jessica","family":"Giordano","sequence":"additional","affiliation":[{"name":"Genetic Counseling Graduate Program, Vagelos College of Physicians and Surgeons Columbia University  New York New York USA"},{"name":"Department of Obstetrics and Gynecology, Vagelos College of Physicians and Surgeons Columbia University  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexandra","family":"Demers","sequence":"additional","affiliation":[{"name":"Genetic Counseling Graduate Program, Vagelos College of Physicians and Surgeons Columbia University  New York New York USA"},{"name":"Department of Obstetrics and Gynecology, Vagelos College of Physicians and Surgeons Columbia University  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,10]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"crossref","DOI":"10.1007\/978-3-319-69909-7_3470-2","volume-title":"Thematic Analysis: A Practical Guide","author":"Braun 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Working Group of the Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) Council.2023.\u201cWorking to Address the Tragedy of Stillbirth.\u201d"},{"key":"e_1_2_14_26_1","doi-asserted-by":"publisher","DOI":"10.1097\/gim.0b013e3181ab22aa"},{"key":"e_1_2_14_27_1","doi-asserted-by":"publisher","DOI":"10.1002\/pd.6157"},{"key":"e_1_2_14_28_1","doi-asserted-by":"publisher","DOI":"10.14423\/SMJ.0000000000001471"}],"container-title":["Journal of Genetic 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