WP: Down Syndrome Now Detectable In 1st Trimester
Thursday, November 10, 2005; A01
A first-trimester screening test can reliably identify fetuses likely to be born with Down syndrome, providing expectant women with that information much earlier in a pregnancy than current testing allows, according to a major study being released today.
The eagerly awaited study of more than 38,000 U.S. women -- the largest ever conducted -- found that the screening method, which combines a blood test with an ultrasound exam, can pinpoint many fetuses with the common genetic disorder 11 weeks after conception. That allows women to decide sooner whether to undergo the riskier follow-up testing needed to confirm the diagnosis.
"This is a big deal for women. It's going to have a big impact on care for women, not just in the United States but throughout the world," said Fergal D. Malone of the Royal College of Surgeons in Dublin, who led the study published in today's issue of the New England Journal of Medicine.
Screening women before the second trimester allows those who might opt to terminate a pregnancy to make that decision when doctors say an abortion is safer and less traumatic. It also gives those who want to continue the pregnancy more time to prepare emotionally for their child's condition, and provides earlier reassurance to those whose babies are healthy, avoiding weeks of anxiety, Malone and others said.
A first-trimester screening test can reliably identify fetuses likely to be born with Down syndrome, providing expectant women with that information much earlier in a pregnancy than current testing allows, according to a major study being released today.
The eagerly awaited study of more than 38,000 U.S. women -- the largest ever conducted -- found that the screening method, which combines a blood test with an ultrasound exam, can pinpoint many fetuses with the common genetic disorder 11 weeks after conception. That allows women to decide sooner whether to undergo the riskier follow-up testing needed to confirm the diagnosis.
"This is a big deal for women. It's going to have a big impact on care for women, not just in the United States but throughout the world," said Fergal D. Malone of the Royal College of Surgeons in Dublin, who led the study published in today's issue of the New England Journal of Medicine.
Screening women before the second trimester allows those who might opt to terminate a pregnancy to make that decision when doctors say an abortion is safer and less traumatic. It also gives those who want to continue the pregnancy more time to prepare emotionally for their child's condition, and provides earlier reassurance to those whose babies are healthy, avoiding weeks of anxiety, Malone and others said.
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