Sunday, November 25, 2018

Non Invasive Prenatal Testing- Indian Scenario by Mala Srivasatava in BJSTR

Intellectual disability (ID) affects about 3 % of the general population. #Chromosomal and genetic disorders account for 30- 40 % of moderate to severe IDs, of which, Down syndrome is the commonest. Attempts to detect and prevent the birth of such affected children were initiated in the ‘80s but were initially limited to women in the advance maternal age. Current recommendations by the American College of Obstetrics and #Gynecologists (ACOG) Committee, are that every woman, regardless of maternal age, should be offered prenatal assessment for #aneuploidy either by screening or invasive prenatal diagnosis [1]. The incidence of Down syndrome is 1:800, so approximately 32,000 babies with Down syndrome are born every year in India (the birth rate of India is 25.6 million births annually). Though screening facilities are available in most of the cities, expertise in invasive testing is limited, thus affecting the overall utility of screening. Current screening tests have a detection rate of 95 % with a false positive rate of 5 %, when maternal age, fetal nuchal translucency (NT), nasal bone, and maternal serum markers like beta human chorionic #gonadotropin (b-hCG) and pregnancy associated plasma protein A (PAPP-A) are combined together. 

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