Rapid and non Invasive Prenatal Diagnosis

Autor: P Dimcev, Svetlana Kocheva, I Maleva, E Sukarova-Stefanovska, Svetlana Madjunkova, Dijana Plaseska-Karanfilska, Sanja Kiprijanovska, M Madjunkov, K Stankova, P Noveski
Rok vydání: 2012
Předmět:
Zdroj: Balkan Journal of Medical Genetics, Vol 15, Iss Supplement, Pp 39-43 (2012)
Balkan Journal of Medical Genetics : BJMG
ISSN: 1311-0160
DOI: 10.2478/v10034-012-0017-8
Popis: Prenatal screening and diagnosis are routinely offered at antenatal care clinic visits, and are im-portant in decision making about the continuation of pregnancies affected by genetic conditions for which there are no cures, and prevention through therapeutic abortion is a reasonable option. Prenatal screening is offered to all pregnant women and include fetal ultrasonography and maternal se-rum biochemistry to select the pregnancies at-risk for chromosomal abnormalities. However, these methods have limited sensitivities (60.0-75.0%) and specificities (false positive rate of 5.0%). Even when used in combination and taking into account maternal age, the identification rate of affected fe-tuses does not exceed 90.0% [one]. Prenatal diag-nosis is usually preformed for detection of chromo-somal aneuploidies or monogenic diseases in “high risk” pregnancies. Diagnostic testing currently requires a sample of fetal cells obtained either by chorionic villus sampling (CVS) between 10 and 14 weeks gestation or by amniocentesis after 15 weeks of gestation. However, these invasive procedures carry a risk of miscarriage of around 1.0% [2].
Databáze: OpenAIRE