The quadruple test for Down syndrome screening in pregnant women of advanced maternal age.

Abstract:

PURPOSE:The purpose of the current study was to determine whether or not the quadruple test for screening Down syndrome is an effective method to replace direct amniocentesis in pregnant women ≥ 35 years of age. METHODS:This study analyzed the screening performance of the quadruple test according to maternal age at delivery among subjects who had a quadruple screening test at 1 of 4 hospitals during a 5-year period and for whom data on fetal chromosomal abnormalities were available. RESULTS:The study population of 9,435 pregnant women was divided into 3 groups according to maternal age: 6,922 women were < 35 years of age; 2,284 were 35-39 years of age; and 229 women ≥ 40 years of age. The detection and false-positive rates of the quadruple screening test for Down or Edward syndrome in the 3 groups of women were 80 and 6.6%, 200 and 15.8%, and 100 and 35.3%, respectively. CONCLUSIONS:Under conditions in which first trimester screening test is not available, the quadruple screening test is a better choice than direct amniocentesis for pregnancies complicated by advanced maternal age. When providing genetic counseling, we need to explain the accurate detection and false-positive rates of the screening test according to maternal age.

journal_name

Arch Gynecol Obstet

authors

Kwon JY,Park IY,Kwon SM,Kim CJ,Shin JC

doi

10.1007/s00404-011-2052-1

subject

Has Abstract

pub_date

2012-03-01 00:00:00

pages

629-33

issue

3

eissn

0932-0067

issn

1432-0711

journal_volume

285

pub_type

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