Abstract
To the Editor: Diana Paul has made a relevant but problematic point in her letter in the October 23 issue. As a genetic counselor coordinating a substantial amniocentesis program, it is apparent to me that the issue of "amnio before 35" is becoming a real and complex problem. Part of the problem is due to the fact that five years ago most professionals in the field of genetics never anticipated such a rise in patient load. However, current fear of malpractice (the result of some highly controversial court cases) and increased confidence in the amniocentesis procedure have led obstetricians to . . .

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