Prenatal diagnostic tests

 

  1. Types of prenatal diagnostic tests include:
  2. Chorionic villus sampling (CVS)
  3. Amniocentesis
  4. Ultrasound

 

Important considerations about prenatal diagnostic tests

  1. CVS and amniocentesis testing require invasive sampling procedures to obtain cells for chromosome analysis or specific genetic tests.
  2. It is not possible to detect or diagnose every possible condition a child might have using prenatal diagnosis.
  3. Both CVS and amniocentesis have a risk of miscarriage. The risk is operator dependent, so tests should be performed by an experienced operator.
  4. Indications for offering diagnostic testing include:
  5. Advanced maternal age (≥37 yr in Victoria, ≥35 yr elsewhere)
  6. A previous pregnancy with a chromosome abnormality
  7. The presence of soft signs of chromosome abnormality during ultrasound examination
  8. A parent carrying a chromosome translocation (5% of Down syndrome is caused by an unbalanced translocation involving chromosome 21 that was inherited from a parent with a balanced form of the translocation, see Chromosomal conditions)
  9. An increased risk result on a screening test
  10. An increased risk of having a baby with a genetic condition – usually when there is a family history of an inherited genetic condition
  11. Prior to testing, there should be a full discussion of the advantages and disadvantages of the procedures, the implications of the possible test results and subsequent management options, including methods of termination of pregnancy and the available supports.