Document Detail


Does timing of biochemistry in first-trimester aneuploidy risk assessment affect the gestational age at prenatal diagnosis and pregnancy termination?
MedLine Citation:
PMID:  20931553     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
OBJECTIVE: To determine the relationship between the timing of chemistry and timing of prenatal diagnosis and pregnancy termination in pregnancies with chromosomal abnormalities.
METHOD: Singleton pregnancies with chromosomal abnormalities from 2005 to 2009 were identified. Records were reviewed to identify timing of chemistry, nuchal translucency (NT), prenatal diagnosis and pregnancy termination. Mann-Whitney U and Fisher's exact test were used for statistical analysis.
RESULTS: A total of 110 pregnancies were included. Seventy-eight had biochemistry performed at the time of NT and 32 had biochemistry a median of 9 days prior. Aneuploidy risks were similar between the two groups. Although the timing of NT was similar, those having biochemistry before NT had prenatal diagnosis and pregnancy termination at significantly earlier gestational ages. Those with early biochemistry were more likely to have chorionic villus sampling (CVS) (69% vs 37%; p = 0.003) compared to those who had biochemistry at the time of NT.
CONCLUSION: There was a strong correlation between the timing of biochemistry and prenatal diagnosis and pregnancy termination.
Authors:
Stephen T Chasen; David Krantz
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Prenatal diagnosis     Volume:  30     ISSN:  1097-0223     ISO Abbreviation:  Prenat. Diagn.     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2010-11-29     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8106540     Medline TA:  Prenat Diagn     Country:  England    
Other Details:
Languages:  eng     Pagination:  1151-4     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 John Wiley & Sons, Ltd.
Affiliation:
Department of Obstetrics and Gynecology, Weill Medical College of Cornell University, New York, NY 10065, USA. stchasen@med.cornell.edu
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