#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

Methods of screening for the most common congenital structural and chromosomal fetal defects


Authors: Veronika Frisová
Authors‘ workplace: Porodnicko-gynekologická klinika LF UP a FN Olomouc ;  Profema – centrum fetální medicíny s. r. o., Praha
Published in: Prakt Gyn 2015; 19(2): 116-122
Category: Fetomaternal Medicine: Review Article

Overview

Congenital anomalies affect an estimated 3 % of infants and result in approximately 270 000 newborn’s death during the first 28 days of life every year in the world. Following current recommendation of the Czech Society of Gynaecology and Obstetrics for the care for low-risk pregnancies every pregnant woman should be offered the screening for the most common congenital fetal defects in the first trimester. She should be also informed about the methods of screening, including their cost and providers. First trimester screening by combined test should be recommended the most, although its cost cannot be covered by the health insurance yet.

The aim of this article is to provide an overview about the methods of screening for congenital fetal defects with comparison of their performance. This summary should help clinicians with counselling the pregnant woman about the screening options for congenital defects in the pregnancy.

Key words:
congenital fetal defects – chromosomal defects – morphological defects – genetic syndromes – methodes – screening


Sources

1. Unzeitig V, Měchurová A, Ľubušký M. Zásady dispenzární péče ve fyziologickém těhotenství. Čes Gynek 2012; 77(3): 265–266.

2. Spencer K. Aneuploidy screening in the first trimester. Am J Med Genet C Semin Med Genet, 2007; 145C(1): 18–32.

3. Hills A, Donaghue C, Waters Jet al. QF-PCR as a stand-alone test for prenatal samples: the first 2 years' experience in the London region. Prenat Diagn 2010; 30(6): 509–517.

4. Nicolaides KH. Screening for fetal aneuploidies at 11 to 13 weeks. Prenat Diagn 2011; 31(1): 7–15.

5. Garne E, Loane M, Dolk H et al., Prenatal diagnosis of severe structural congenital malformations in Europe. Ultrasound Obstet Gynecol 2005; 25(1): 6–11.

6. Loane M, Dolk H, Morris JK. EUROCAT Working Group. Maternal age-specific risk of non-chromosomal anomalies. BJOG 2009; 116(8): 1111–1119.

7. Katz DL. Clinical epidemiology & evidence-based medicine: Fundamental principles of clinical reasoning & research. SAGE Publications: Thousand Oaks (California) 2001. ISBN 978–0761919384.

8. Tabor A, Vestergaard CH, O. Lidegaard O. Fetal loss rate after chorionic villus sampling and amniocentesis: an 11-year national registry study. Ultrasound Obstet Gynecol 2009; 34(1): 19–24.

9. Breathnach FM, Malone FD. Screening for aneuploidy in first and second trimesters: is there an optimal paradigm? Curr Opin Obstet Gynecol 2007; 19(2): 176–182.

10. Kagan KO, Staboulidou I, Cruz J et al. Two-stage first-trimester screening for trisomy 21 by ultrasound assessment and biochemical testing. Ultrasound Obstet Gynecol 2010; 36(5): 542–547.

11. Aagaard-Tillery KM, Malone FD, Nyberg DA et al. Role of second-trimester genetic sonography after Down syndrome screening. Obstet Gynecol 2009; 114(6): 1189–1196.

12. Dar P, Curnow KJ, Gross SJ et al. Clinical experience and follow-up with large scale single-nucleotide polymorphism-based noninvasive prenatal aneuploidy testing. Am J Obstet Gynecol 2014; 211(5): 527. e1–527. e17. Dostupné z DOI: <http://doi: 10.1016/j.ajog.2014.08.006>.

13. Nicolaides KH, Syngelaki A, Ashoor G et al. Noninvasive prenatal testing for fetal trisomies in a routinely screened first-trimester population. Am J Obstet Gynecol 2012; 207(5): 374, e1-e6. Dostupné z DOI: <http://doi: 10.1016/j.ajog.2012.08.033>.

14. Malone FD, Canick JA, Ball RH et al. First-trimester or second-trimester screening, or both, for Down's syndrome. N Engl J Med 2005; 353(19): 2001–2011.

15. Bartlett LA, Berg CJ, Shulman HB et al. Risk factors for legal induced abortion-related mortality in the United States. Obstet Gynecol 2004; 103(4): 729–737.

16. Pergament E, Cuckle H, Zimmermann B et al. Single-nucleotide polymorphism-based noninvasive prenatal screening in a high-risk and low-risk cohort. Obstet Gynecol 2014; 124(2 Pt 1): 210–218.

17. Ashoor G, Syngelaki A, Poon LC et al. Fetal fraction in maternal plasma cell-free DNA at 11–13 weeks' gestation: relation to maternal and fetal characteristics. Ultrasound Obstet Gynecol 2013; 41(1): 26–32.

18. Sonek JD, Cuckle HS. What will be the role of first-trimester ultrasound if cell-free DNA screening for aneuploidy becomes routine? Ultrasound Obstet Gynecol 2014; 44(6): 621–630.

19. Takoudes T, Hamar B. Performance of non-invasive prenatal testing when fetal cell-free DNA is absent. Ultrasound Obstet Gynecol 2015; 45(1): 112. Dostupné z DOI: <http://doi: 10.1002/uog.14715>.

20. Pereira, S., et al. Contribution of fetal tricuspid regurgitation in first-trimester screening for major cardiac defects. Obstet Gynecol 2011; 117(6): 1384–1391.

21. Chaoui R, Benoit B, Heling KS et al. Prospective detection of open spina bifida at 11–13 weeks by assessing intracranial translucency and posterior brain. Ultrasound Obstet Gynecol 2011; 38(6): 722–726.

22. Poon LC, Syngelaki A, Akolekar R et al. Combined screening for preeclampsia and small for gestational age at 11–13 weeks. Fetal Diagn Ther 2013; 33(1): 16–27.

23. Ball RH, Caughey AB, Malone FD et al. First- and second-trimester evaluation of risk for Down syndrome. Obstet Gynecol 2007; 110(1): 10–17.

24. Nyberg DA, Souter VL, El-Bastawissi A et al. Isolated sonographic markers for detection of fetal Down syndrome in the second trimester of pregnancy. J Ultrasound Med 2001; 20(10): 1053–1063.

25. Agathokleous M, Chaveeva P, Poon LC et al. Meta-analysis of second-trimester markers for trisomy 21. Ultrasound Obstet Gynecol 2013; 41(3): 247–261.

26. Nyberg DA, Souter VL. Sonographic markers of fetal trisomies: second trimester. J Ultrasound Med 2001; 20(6): 655–674.

27. Nyberg D. Ultrasound as a screening test for neural tube defects (and other important anomalies). Ultrasound Obstet Gynecol 1994; 4(4): 265–268.

28. Grande M, Arigita M, Borobio V et al. First-trimester detection of structural abnormalities and the role of aneuploidy markers. Ultrasound Obstet Gynecol 2012; 39(2): 157–163.

29. Syngelaki A, Chelemen T, Dagklis T et al. Challenges in the diagnosis of fetal non-chromosomal abnormalities at 11–13 weeks. Prenat Diagn 2011; 31(1): 90–102.

30. Salomon LJ, Alfirevic Z, Bilardo CM et al. ISUOG practice guidelines: performance of first-trimester fetal ultrasound scan. Ultrasound Obstet Gynecol 2013; 41(1): 102–113.

31. Salomon LJ, Alfirevic Z, Berghella V et al. Practice guidelines for performance of the routine mid-trimester fetal ultrasound scan. Ultrasound Obstet Gynecol 2011; 37(1): 116–126.

Labels
Paediatric gynaecology Gynaecology and obstetrics Reproduction medicine

Article was published in

Practical Gynecology

Issue 2

2015 Issue 2

Most read in this issue
Login
Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account

#ADS_BOTTOM_SCRIPTS#