Antenatal reproductive screening for pregnant people including preconception: Provides the best reproductive opportunity for informed consent, quality, and safety.
Best Pract Res Clin Obstet Gynaecol
; : 102520, 2024 Jun 25.
Article
en En
| MEDLINE
| ID: mdl-38991859
ABSTRACT
INTRODUCTION:
This antenatal screening review will include reproductive screening evidence and approaches for pre-conception and post-conception, using first to third trimester screening opportunities.METHODS:
Focused antenatal screening peer-reviewed publications were evaluated and summarized.RESULTS:
Evidenced-based reproductive antenatal screening elements should be offered and discussed, with the pregnancy planning or pregnant person, during Preconception (genetic carrier screening for reproductive partners, personal and family (including reproductive partner) history review for increased genetic and pregnancy morbidity risks); First Trimester (fetal dating with ultrasound; fetal aneuploidy screening plus consideration for expanded fetal morbidity criteria, if appropriate; pregnant person preeclampsia screening; early fetal anatomy screening; early fetal cardiac screening); Second Trimester for standard fetal anatomy screening (18-22 weeks) including cardiac; pregnant person placental and cord pathology screening; pregnant person preterm birth screening with cervical length measurement); Third Trimester (fetal growth surveillance; continued preterm birth risk surveillance).CONCLUSION:
Antenatal reproductive screening has multiple elements, is complex, is time-consuming, and requires the use of pre- and post-testing counselling for most screening elements. The use of preconception and trimesters 'one to three' requires clear patient understanding and buy-in. Informed consent and knowledge transfer is a main goal for antenatal reproductive screening approaches.
Antenatal screening; Family history; Fetal anomalies; First trimester screening; Genetic carrier screening; Maternal risk estimate; Medical; Non-invasive plasma cell-free DNA; Obstetrical; Placenta accreta; Post-conception; Pre-conception; Pre-eclampsia; Preterm birth; Second trimester screening; Surgical history; Ultrasound imaging
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Idioma:
En
Revista:
Best Pract Res Clin Obstet Gynaecol
Asunto de la revista:
GINECOLOGIA
/
OBSTETRICIA
Año:
2024
Tipo del documento:
Article