Prenatal screening and diagnosis of aneuploidy in multiple pregnancies.

Prenatal screening for aneuploidy has changed significantly over the last 30 years, from being age-based to maternal serum and ultrasound based techniques. Multiple pregnancies present particular challenges with regards to screening as serum-based screening techniques are influenced by all feti whil...

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Publicado en:Best Practice & Research: Clinical Obstetrics & Gynaecology Vol. 28; no. 2; pp. 285 - 295
Autores principales: Gagnon, Alain, Audibert, Francois
Formato: Journal Article
Publicado: Elsevier B.V. 2014 Feb
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Elsevier B.V.
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        atl: Prenatal screening and diagnosis of aneuploidy in multiple pregnancies.
      aug:
        au:
          Gagnon, Alain
          Audibert, Francois
        affil: University of British Columbia, Vancouver, British Columbia, Canada. Electronic address: agagnon@cw.bc.ca.
      sug:
        subj:
          Aneuploidy
          Pregnancy, Multiple
          Prenatal Diagnosis Methods
          Amniocentesis
          Chorionic Villi Sampling
          Down Syndrome Diagnosis
          Female
          Pregnancy
          Ultrasonography, Prenatal
          Female
      ab: Prenatal screening for aneuploidy has changed significantly over the last 30 years, from being age-based to maternal serum and ultrasound based techniques. Multiple pregnancies present particular challenges with regards to screening as serum-based screening techniques are influenced by all feti while ultrasound-based techniques can be fetus specific. Tests currently available tend to not perform as well in multiple compared to singleton pregnancies. Considerations must be given to these variations when discussing and performing screening for aneuploidy in this situation. Prenatal invasive diagnosis techniques in multiple pregnancies bring their own challenges from a technical and counselling point of view, in particular with regards to sampling error, mapping and assignment of results and management of abnormal results. This review addresses these particular challenges and provides information to facilitate care.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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