Unit 2-Antenatal And Postnatal Screening Flashcards
What is the difference between antenatal and postnatal?
Antenatal is before birth and postnatal is after birth.
Why is antenatal care carried out?
To monitor the health of a pregnant woman and her developing foetus and baby.
What can antenatal screening identify?
The risk of a disorder so that further (diagnostic) tests can be carried out if necessary, and a parental diagnosis can be given.
What are screening tests used for?
To detect signs and symptoms associated with a condition or disorder.
Assesses risk but does not confirm.
What do screening tests require for more definite answers?
Diagnostic testing.
What is diagnostic testing?
Definite tests establishing whether a person is suffering from a specific condition or disorder.
What are the types of antenatal screening?
Ultrasound, blood and urine tests.
How many ultrasound scans is a pregnant woman given during pregnancy?
A minimum of 2.
What are the two routine ultrasound scans given during pregnancy?
A dating scan and an anomaly scan.
At what time of pregnancy is a dating scan carried out and what does this determine?
8-14 weeks.
Determines the stage of pregnancy and due date
(also use marker chemicals that vary normally during pregnancy)
At what time of pregnancy are anomaly scans carried out and what for?
18-20 weeks.
May detect any serious physical abnormalities.
Why are routine blood and urine tests carried out throughout pregnancy?
Monitor the concentrations of marker chemicals which could indicate conditions such as pre-eclampsia and Down’s syndrome.
To check the blood type of baby and woman so that Rhesus disease does not occur.
When are diagnostic tests carried out?
Routine screening has indicated a risk of a condition
or
for individuals already in high-risk categories
or
if there is a family history of a harmful genetic disorder.
What are the 2 main procedures used in diagnostic testing?
Amniocentesis
and
chorionic villus sampling (CVS).
What is the process of amniocentesis and when can it be carried out?
Carried out between 14-16 weeks.
Amniotic fluid is withdrawn which contains fetal cells.
Cultured to obtain sufficient cells to produce a karyotype for diagnosis.
What is the process of CVS and when can it be carried out?
Carried out between 9-14 weeks where a sample of placenta cells are taken from the fetal tissue.
These cells are then cultured and used for karyotyping.
What are the differences between CVS and amniocentesis?
CVS can be carried out earlier (as early as 8 weeks compared to 14-16 weeks for amniocentesis.
CVS–>placenta cells vs amniocentesis–> amniotic fluid containing fetal cells
What are risks of amniocentesis?
Miscarriage, infection, injury from the needle, inadequate results, rhesus sensitisation and club foot.
What are the risks of CVS?
Miscarriage, infection, inadequate results and rhesus sensation.
What is an advantage of using CVS rather than amniocentesis?
CVS can be carried out earlier in pregnancy than amniocentesis.
What diagnostic test carries the highest risk of miscarriage - amniocentesis or CVS?
CVS
Why are cells from CVS and amniocentesis cultured?
To obtain sufficient cells to produce a karyotype to diagnose a range of conditions.
What does a karyotype show?
The full chromosomal complement of an individual.
What is one of the first parts of postnatal screening?
Heel prick test.
Blood tested for several rare conditions including phenylketonuria (PKU).