Maternal Serum Screening

What is Maternal Serum Screening?

Maternal serum screening is a blood test conducted during pregnancy to assess the risk of certain genetic conditions and congenital anomalies in the fetus. Typically performed in the first or second trimester, it measures specific substances in the mother's blood, including proteins and hormones. The results help healthcare providers evaluate the likelihood of conditions such as Down syndrome or neural tube defects, enabling informed decision-making and further diagnostic testing if needed. It is a non-invasive and routine part of prenatal care.

Prenatal Accuracy

  • Certification of DELFIA Technology: DELFIA is one of the only four biochemistry analysers certified by FMF.
  • Importance of FMF Certification: As per clinical research, non-FMF-certified assays lower the detection rate and increase the false positive rate, leading to more invasive testing.
  • Validation of Multiple of Medians (MoMs): MoMs have been validated with indigenous population data.
  • Accreditation Status: CAP and NABL accredited.

Clinical Indications of Maternal Serum Screening

  • Pregnant women seeking early assessment of genetic and structural risks.
  • Individuals with a family history of aneuploidies.
  • Women of advanced maternal age.
  • Pregnancies requiring non-invasive risk calculation prior to diagnostic tests.

Specifications

  • First Trimester Screening: β-hCG, PAPP-A
  • First Trimester + Pre-eclampsia Risk: β-hCG, PAPP-A, PlGF
  • Quadruple Screening: AFP, β-hCG, uE3, Inhibin A
  • Triple Marker: AFP, hCG, uE3
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Maternal Serum Screening Offered by MedGenome

Key Highlights of MedGenome's Maternal Serum Screening

Advanced Technology

Offers Maternal Serum Screening using DELFIA® technology, approved by the Fetal Medicine Foundation (FMF - UK).

Tailored Reporting

Reports are optimised based on risk levels (low, intermediate, and high).

Proactive Monitoring

Prompt warnings by monitoring variations in Multiple of Medians (MoMs) to normalise test results.

What is Maternal Serum Screening?

Maternal serum screening (MSS) comprises a series of tests designed to assist pregnant women in assessing the likelihood of genetic disorders, birth defects, and potential pregnancy complications. These important tests can be conducted during the first trimester, specifically between 9 weeks and 13 weeks plus 6 days, as well as during the second trimester, from 15 weeks to 21 weeks plus 6 days. Early detection through MSS can provide valuable information for expectant parents, enabling them to make informed decisions regarding their pregnancy and prepare for any necessary interventions.

Types of Maternal Serum Screening

  • First Trimester Screening (11-14 weeks):
    - PAPP-A (Pregnancy-Associated Plasma Protein A)
    : Measures protein levels produced by the placenta, helping to assess chromosomal abnormalities.
    - Free ẞHCG (Human Chorionic Gonadotropin)
    : Assesses hormone levels; higher or lower levels may suggest risk for certain genetic disorders.
  • Second Trimester Screening (15-21 weeks):
    -AFP (Alpha-Fetoprotein)
    : A protein produced by the fetus; abnormal levels can indicate neural tube defects.
    -Free ẞHCG
    : Reassessed in the second trimester to monitor for chromosomal conditions.
    -Estriol
    : Measures estrogen produced by the placenta and fetus; low levels may indicate risks for certain conditions.
    -Inhibin-A
    : A hormone produced by the placenta; abnormal levels may indicate risk for chromosomal abnormalities like Down syndrome.
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What Conditions Can Be Identified Through Maternal Serum Screening?

Maternal serum screening helps detect several fetal conditions, including:

  • Down syndrome (Trisomy 21): This is a genetic condition where a baby is born with an extra copy of chromosome 21. It can lead to various physical and intellectual challenges, including a unique facial appearance and developmental delays.
  • Trisomy 18: This condition involves having an extra chromosome 18. Babies with Trisomy 18 often face severe developmental issues and typically have a shorter life expectancy.
  • Trisomy 13: Also known as Patau syndrome, this condition is characterised by an extra chromosome 13, which can cause severe intellectual disability and physical abnormalities, often leading to a significantly reduced lifespan.
  • Neural tube defects: These are serious birth defects that occur when the spine or brain does not develop properly. Conditions like spina bifida fall under this category, which can lead to physical disabilities and complications.

Who Should Undergo Maternal Serum Screening?

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How Does Maternal Serum Screening Work?

Maternal serum screening works by analysing specific proteins and hormones in the mother’s blood. These substances, produced by the placenta or the baby, can indicate potential genetic abnormalities. The levels of these markers are compared with normal levels for that stage of pregnancy to assess risk.

How is Maternal Serum Screening Done?

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What Do Maternal Serum Screening Results Mean?

The results of a maternal serum screening test provide a risk assessment rather than a definitive diagnosis. If the test indicates an increased risk for certain conditions, further diagnostic testing, such as amniocentesis or chorionic villus sampling (CVS), may be recommended.

Why Choose MedGenome for Maternal Serum Screening?

Frequently Asked Questions

  • What sample is required for maternal serum screening?

    A maternal blood sample is required for the test. Ultrasound measurements such as NT, NB, CRL and BPD, performed by a certified ultrasonographer, are also needed for accurate risk calculation.

  • How long does it take to get results from maternal serum screening?

    Most screening panels have a turnaround time of 1 working day once the sample reaches the lab. Panels that include Reflex NIPT take 1 day plus 10 days for reporting.

  • Are there risks associated with maternal serum screening?

    No. Maternal serum screening is a non-invasive blood test and poses no risk to the mother or the baby. The ultrasound assessments required are also routine and safe during pregnancy.

  • Does maternal serum screening detect neural tube defects?

    First trimester screening does not assess the risk of neural tube defects. A quadruple screening between 15 to 21 weeks is recommended for evaluating this risk.

  • Can maternal serum screening be done during IVF or multiple pregnancies?

    Yes. The test can be performed for IVF pregnancies and for multiple pregnancies up to twins. Maternal serum screening cannot be performed for pregnancies with more than two fetuses. Additional clinical details such as egg source, maternal age at retrieval, and other relevant information are required for accurate risk calculation.

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