A historical and practical review of first trimester aneuploidy screening
- PMID: 24333205
- PMCID: PMC6596981
- DOI: 10.1016/j.siny.2013.11.013
A historical and practical review of first trimester aneuploidy screening
Abstract
There have been tremendous advancements over the past three decades in prenatal screening for aneuploidy and we have changed our practice from screening by maternal age alone to 'combined' first trimester screening and circulating cell-free fetal DNA. We currently use the nuchal translucency and biochemical markers of free β-hCG and PAPP-A to determine the risk of fetal aneuploidy. The primary goal is to identify higher risk women for fetal aneuploidy early in pregnancy and give them the option to pursue invasive testing in a timely manner if desired.
Keywords: Aneuploidy; First trimester screening; Free β-human chorionic gonadotropin; Maternal serum screening tests; Nuchal translucency measurement; Pregnancy-associated plasma protein A.
Copyright © 2013 Elsevier Ltd. All rights reserved.
Conflict of interest statement
Conflict of interest statement
None declared.
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References
-
- Penrose LS. The Colchester Survey: a clinical and genetic study of 1280 cases of mental defect London: HMSO/Privy Council of Medical Research Council; 1938.
-
- Merkatz IR, Nitowsky HM, Macri JN, Johnson WE. An association between low maternal serum alpha–fetoprotein and fetal chromosomal abnormalities. Am J Obstet Gynecol 1984;148:886–94. - PubMed
-
- Cuckle HS, Wald NJ, Lindenbaum RH. Maternal serum alpha–fetoprotein measurement: a screening test for Down syndrome. Lancet 1984;323:926–9. - PubMed
-
- Macri JN, Kasturi RV, Krantz DA, Cook EJ, Moore ND, Young JA, et al. Maternal serum Down syndrome screening: free beta–protein is a more effective marker than human chorionic gonadotropin. Am J Obstet Gynecol 1990;163(4 Pt 1):1248–53. - PubMed
-
- Canick JA, Knight GJ, Palomaki GE, Haddow JE, Cuckle HS, Wald NJ. Low second trimester maternal serum unconjugated oestriol in pregnancies with Down’s syndrome. BrJ Obstet Gynaecol 1988;95:330–3. - PubMed
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