{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T16:05:57Z","timestamp":1783699557922,"version":"3.55.0"},"reference-count":57,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2025,6,20]],"date-time":"2025-06-20T00:00:00Z","timestamp":1750377600000},"content-version":"vor","delay-in-days":19,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Prenatal Diagnosis"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The COVID\u201019 pandemic necessitated a shift from in\u2010person to telephonic genetic counselling (TGC) for advanced maternal age (AMA) patients at Groote Schuur Hospital. While prior studies suggest that telegenetics performs comparably to in\u2010person counselling, little qualitative research exists in low\u2010to\u2010middle\u2010income countries. This study explores AMA patients' experiences with TGC post\u2010pandemic.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>This qualitative study used semi\u2010structured interviews conducted in\u2010person and telephonically, analysed through thematic data analysis following a phenomenological approach.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Participants had mixed experiences with TGC, influenced by trust\u2014both in the genetic counsellor and the broader healthcare system. While most trusted their counsellor, some struggled with the lack of visual cues in the TGC session. Decision\u2010making was shaped not only by risk perception and support systems, but also by emotional readiness, financial realities, and previous healthcare experiences. Participants valued TGC's convenience but noted limitations in emotional connection and partner involvement. Information sources varied, with some relying on the TGC session, while others sought additional online resources. The referral process from Midwife Obstetric Units was inconsistent, contributing to misunderstandings and broader distrust in the public health system.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Despite some challenges, most participants found TGC informative and beneficial for decision\u2010making. Addressing structural barriers, clarifying referrals, and enhancing emotional engagement could enhance TGC services in similar settings.<\/jats:p><\/jats:sec>","DOI":"10.1002\/pd.6828","type":"journal-article","created":{"date-parts":[[2025,6,20]],"date-time":"2025-06-20T15:54:49Z","timestamp":1750434889000},"page":"896-905","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Perspectives of Women of Advanced Maternal Age on Telephonic Genetic Counselling in a South African Public Healthcare Setting"],"prefix":"10.1002","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-8217-6887","authenticated-orcid":false,"given":"Samantha","family":"Bayley","sequence":"first","affiliation":[{"name":"University of Cape Town Division of Human Genetics  Observatory South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9454-5615","authenticated-orcid":false,"given":"Malebo","family":"Malope","sequence":"additional","affiliation":[{"name":"University of Cape Town Division of Human Genetics  Observatory South Africa"},{"name":"Stellenbosch University Division of Molecular Biology and Human Genetics  Tygerberg South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nakita","family":"Laing","sequence":"additional","affiliation":[{"name":"University of Cape Town Division of Human Genetics  Observatory South Africa"},{"name":"Department of Medicine Groote Schuur Hospital  Observatory South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,6,20]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/jamia\/ocaa072"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.3389\/fonc.2016.00120"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2018.1314"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.3390\/curroncol28050301"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11886\u2010021\u201001544\u2010w"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.12927\/hcpol.2021.26576"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/jgc4.1418"},{"key":"e_1_2_11_9_1","volume-title":"Professional Status Survey (PSS) Executive Summary","year":"2020"},{"key":"e_1_2_11_10_1","volume-title":"Professional Status Survey (PSS) Executive Summary","year":"2022"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/jgc4.1325"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/jgc4.1586"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1038\/gim.2012.40"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.healthplace.2018.02.009"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889\u2010021\u201011678\u20109"},{"key":"e_1_2_11_16_1","volume-title":"Millennium Development Goals: Country Report 2013","author":"Lehohla P.","year":"2013"},{"key":"e_1_2_11_17_1","volume-title":"Smartphone Users in South Africa 2014\u20132023","author":"O\u2019Dea S.","year":"2019"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1002\/jgc4.1520"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/1357633X16674087"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2022.914423"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2023.116555"},{"issue":"1","key":"e_1_2_11_22_1","first-page":"11","article-title":"Congenital Anomalies in Black South African Liveborn Neonates at an Urban Academic Hospital","volume":"85","author":"Delport S. 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