Serious birth defects, often genetically determined, complicateand threaten the lives of 3 percent of newborn infants1. Thesedisorders account for 20 percent of deaths during the newbornperiod and an even higher percentage of serious morbidity ininfancy and childhood2. The cost of neonatal intensive careis staggering. Higher still are the costs of rehabilitationprograms for the severely handicapped. The family tragedy isimmeasurable. With the growing recognition of the frequencyand importance of congenital disorders and with current socialtrends toward smaller families and delays in childbearing, prenataldiagnosis has an important role in the . . . [Full Text of this Article]
Indications for Prenatal Diagnosis
General Risk Factors
Specific Risk Factors
Ethnic and Racial Risk Factors
Procedures
Amniocentesis
Chorionic-Villus Sampling
Early Amniocentesis
Percutaneous Umbilical Blood Sampling
Fetal Biopsy
Ultrasonography
Efficacy
The Future
Source Information
From the Department of Obstetrics and Gynecology, Tufts University School of Medicine, Boston.
Address reprint requests to Dr. D'Alton at the Department of Obstetrics and Gynecology, New England Medical Center, 750 Washington St., Box 324, Boston, MA 02111.
References
Related Letters:
Prenatal Diagnosis
Reynolds T.M., Penney M.D., Feudtner C., Minnick M. A., Fletcher J. C., Wertz D. C., D'Alton M. E., DeCherney A. H.
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Full Text
N Engl J Med 1993;
328:1710-1712, Jun 10, 1993.
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