Title |
Has noninvasive prenatal testing impacted termination of pregnancy and live birth rates of infants with Down syndrome?
|
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Published in |
Prenatal Diagnosis, December 2017
|
DOI | 10.1002/pd.5182 |
Pubmed ID | |
Authors |
Melissa Hill, Angela Barrett, Mahesh Choolani, Celine Lewis, Jane Fisher, Lyn S. Chitty |
Abstract |
Implementation of non-invasive prenatal testing (NIPT) as a highly accurate aneuploidy screening test has raised questions around whether the high uptake may result in more terminations of pregnancies and fewer births of children with Down Syndrome (DS). Investigate the impact of NIPT on termination and live birth rates for DS. Literature reporting pregnancy outcomes following NIPT was reviewed. Termination rates were calculated for women with a high-risk NIPT result for DS. Two audits of pregnancy outcomes where NIPT indicated DS were conducted in England and Singapore. Fourteen studies, from the USA, Asia, Europe and the UK, were included in the review. Live births of children with DS were reported in eight studies. Termination rates following NIPT were unchanged or decreased when compared to termination rates prior to the introduction of NIPT. Audits found 15 of 43 women in the UK and two of six in Singapore continued pregnancies following a high-risk NIPT result. Termination rates following the detection of DS by NIPT are unchanged or decreased compared to historical termination rates. Impact on live birth rates may be minimal in settings where termination rates fall. Population-based studies are required to determine the true impact. |
X Demographics
Geographical breakdown
Country | Count | As % |
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United States | 3 | 25% |
Netherlands | 2 | 17% |
Italy | 1 | 8% |
Belgium | 1 | 8% |
Ireland | 1 | 8% |
United Kingdom | 1 | 8% |
Unknown | 3 | 25% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 10 | 83% |
Practitioners (doctors, other healthcare professionals) | 1 | 8% |
Scientists | 1 | 8% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 139 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Bachelor | 23 | 17% |
Student > Master | 21 | 15% |
Other | 12 | 9% |
Researcher | 12 | 9% |
Student > Ph. D. Student | 10 | 7% |
Other | 22 | 16% |
Unknown | 39 | 28% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 32 | 23% |
Biochemistry, Genetics and Molecular Biology | 21 | 15% |
Nursing and Health Professions | 12 | 9% |
Social Sciences | 6 | 4% |
Agricultural and Biological Sciences | 3 | 2% |
Other | 18 | 13% |
Unknown | 47 | 34% |