Advertisement

Prenatal Screening and Diagnosis

  • Emma Ferriman
  • Dilly AnumbaEmail author
Chapter
  • 378 Downloads

Abstract

Screening is the process of identifying healthy individuals who may be at an increased risk of a disease or condition. Screening in pregnancy is offered to all eligible women to assess their risk of having a baby with Trisomy 21, 18 or 13 or their risk of a number of congenital anomalies. The screening programme will identify those women at higher risk and offer them further investigations. Women should have early access to the screening programme in order to make an informed choice regarding their options and these choices should be supported by healthcare professionals. They should be informed that the screening programme will not detect all abnormalities and be aware of the difference between screening and diagnostic tests. Once identified, high-risk patients should be managed according to an agreed protocol in a timely manner. Litigation in this field is centred around wrongful birth and as such has major cost implications as these costs may include the long-term care of affected individuals.

Keywords

Prenatal screening Fetal anomaly screening programme FASP National screening committee NSC Prenatal diagnosis Screening in pregnancy Down’s syndrome Trisomy 21 Edward’s syndrome Trisomy 18 Patau’s syndrome Trisomy 13 

References

  1. 1.
    Fetal anomaly screening programme—standards.Google Scholar
  2. 2.
    NICE clinical guideline CG62. Antenatal care for uncomplicated pregnancies. Published March 2008. Latest update January 2017.Google Scholar
  3. 3.
    NHSLA. Ten years of maternity claims. An analysis of NHS Litigation Authority Data. October 2012.Google Scholar
  4. 4.
    Royal college of Obstetricians (RCOG) green top guideline No.8. June 2010.Google Scholar
  5. 5.
    Anumba DO. Errors in prenatal diagnosis. Best Pract Res Clin Obstet Gynaecol. 2013;27(4):537–48.  https://doi.org/10.1016/j.bpobgyn.2013.04.007.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Obstetrics and GynaecologyJessop Wing, Sheffield Teaching Hospitals NHS TrustSheffieldUK

Personalised recommendations