Screening for chromosomal anomalies

Fabricio da Silva Costa, Conrado Savio Ragazini

Research output: Chapter in Book/Report/Conference proceedingChapter (Book)Otherpeer-review

Abstract

Screening for chromosomal anomalies has evolved much since the 1970s. Methods include history, maternal biochemistry, ultrasonographic markers, and the detection of cell-free fetal DNA (cffDNA) on maternal serum. Best results are achieved by combining multiple methods. When providing screening for these conditions, importance should be given to correct counseling, as a screen-positive pregnancy does not mean an affected fetus, thereby indicating the need for a diagnostic procedure before decisions are made. Maternal age alone should not be used for screening because of the low detection rate. Services must choose the most appropriate method for screening based on the resources available.

Original languageEnglish
Title of host publicationPerinatology
Subtitle of host publicationEvidence-Based Best Practices in Perinatal Medicine
EditorsRenato Augusto Moreira de Sá, Eduardo Borges da Fonseca
Place of PublicationCham Switzerland
PublisherSpringer
Chapter5
Pages45-53
Number of pages9
Edition1st
ISBN (Electronic)9783030834340
ISBN (Print)9783030834333
DOIs
Publication statusPublished - 2022
Externally publishedYes

Keywords

  • Aneuploidies
  • Cell-free DNA
  • Chromosomal anomalies
  • Nuchal translucency
  • Screening
  • Trisomy 21

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