Document Detail


Data from an alpha-fetoprotein pilot screening program in Maine.
MedLine Citation:
PMID:  6194484     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In Maine, maternal serum alpha-fetoprotein (AFP) values equaled 2 or more multiples of the median in 4.8% of screened women. Between 2.0 and 2.9 multiples of the median repeat maternal serum AFP testing and sonography were comparable as the next diagnostic step; at 3 multiples of the median or higher sonography was superior. Sonography moved dates back in only ten singleton viable pregnancies with maternal serum AFP elevations; three of these had open fetal defects. Among singletons, all five anencephaly cases, one of two open spina bifida lesions, and all three open ventral wall defects were identified. Three closed singleton neural tube defects and two open spina bifida defects in twins were not detected. Nineteen of 36 multiple gestations had maternal serum AFP 2 or higher multiples of the median. In singletons, maternal serum AFP of 3 or higher multiples of the median indicated a thirtyfold increased risk for fetal death and a sevenfold increased risk for birth weight under 2500 g.
Authors:
J E Haddow; E M Kloza; D E Smith; G J Knight
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  62     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  1983 Nov 
Date Detail:
Created Date:  1983-11-23     Completed Date:  1983-11-23     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  556-60     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Congenital Abnormalities / diagnosis*
Female
Follow-Up Studies
Humans
Maine
Physicians, Family
Pilot Projects
Pregnancy
Pregnancy, Multiple
Prenatal Diagnosis*
Ultrasonography
alpha-Fetoproteins / analysis*
Chemical
Reg. No./Substance:
0/alpha-Fetoproteins

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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