Antenatal Screening and Diagnostic Testing
Antenatal screening is a crucial process for identifying potential risks or abnormalities in pregnant women and their developing fetuses. This section outlines the various screening methods and diagnostic tests used during pregnancy.
Definition: Antenatal screening refers to the tests and procedures conducted during pregnancy to assess the health of the fetus and identify any potential risks or abnormalities.
Pregnant women typically undergo two ultrasound scans during their pregnancy. The first scan, known as the dating scan, is carried out between 8-14 weeks and is used to confirm the pregnancy stage and due date. The second scan, called the anomaly scan, takes place between 18-20 weeks and is used to check for any serious physical abnormalities.
Highlight: The timing of biochemical tests is crucial, as conducting them at the wrong time could lead to false results due to variations in chemical concentrations throughout pregnancy.
Biochemical tests, including blood and urine tests, are conducted throughout pregnancy to monitor for marker chemicals that may indicate a higher risk of certain disorders. These tests are often used in conjunction with ultrasound scans to provide a more comprehensive assessment.
Vocabulary: Higher Human Biology Past Papers often include questions about antenatal screening procedures, making it an important topic for students to understand thoroughly.
If initial screening tests indicate a higher risk, further diagnostic testing may be offered. There are two main types of diagnostic tests:
- Amniocentesis: Performed at 14-16 weeks, this test involves withdrawing a sample of amniotic fluid containing fetal cells.
- Chorionic Villus Sampling (CVS): Carried out earlier, around 8 weeks, this procedure involves collecting placental cells.
Example: A karyotype, which shows an individual's chromosomes arranged in homologous pairs, can be produced from the cells collected during these diagnostic tests to identify potential genetic abnormalities.
It's important to note that these diagnostic tests carry a small risk of miscarriage, with CVS having a slightly higher risk than amniocentesis.