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 language | English |
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Title of host publication | Perinatology |
Subtitle of host publication | Evidence-Based Best Practices in Perinatal Medicine |
Editors | Renato Augusto Moreira de Sá, Eduardo Borges da Fonseca |
Place of Publication | Cham Switzerland |
Publisher | Springer |
Chapter | 5 |
Pages | 45-53 |
Number of pages | 9 |
Edition | 1st |
ISBN (Electronic) | 9783030834340 |
ISBN (Print) | 9783030834333 |
DOIs | |
Publication status | Published - 2022 |
Externally published | Yes |
Keywords
- Aneuploidies
- Cell-free DNA
- Chromosomal anomalies
- Nuchal translucency
- Screening
- Trisomy 21