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Testing for Down syndrome in the older woman: a risky business?
Ryan J Hodges1, Euan M Wallace
1Women's and Children's Program, Monash University, Melbourne, Australia.
Abstract:
For over 30 years, antenatal diagnosis of Down syndrome has been offered on the basis of advanced maternal age. While this was appropriate in the 1970s, developments in antenatal screening have rendered this a most inefficient strategy that is associated with excessive costs and procedure-related pregnancy losses. In this article we argue for a review of how we test for Down syndrome in the older woman.
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