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The choice for invasive prenatal tests after subfertility.
Manouk Hendrix1, Jolijn Arits1, Roy Bannink1
1Department of Obstetrics & Gynaecology, GROW School of Oncology and Developmental Biology, Maastricht University Medical Centre, Maastricht, The Netherlands.
Women who conceived after fertility treatments are less likely to choose invasive prenatal testing (IPT). Maternal age, not fertility history, influences this decision for invasive prenatal testing.
Area of Science:
- Reproductive Medicine
- Prenatal Diagnostics
- Maternal-Fetal Medicine
Background:
- Subfertility affects a significant number of women seeking pregnancy.
- Invasive prenatal testing (IPT) offers diagnostic information but carries risks.
- Decisions regarding IPT can be influenced by various patient and clinical factors.
Purpose of the Study:
- To investigate if women conceiving after subfertility are less likely to undergo invasive prenatal testing (IPT).
- To identify factors influencing the decision to undergo IPT in this population.
- To compare IPT rates based on screening results (combined first trimester screening or second trimester screening) and advanced maternal age.
Main Methods:
- Retrospective study conducted at Maastricht University Medical Centre (MUMC+).
- Included 977 women who underwent IPT between January 2010 and December 2013.
- Analyzed IPT rates in relation to subfertility history, fertility investigations/treatment, and indications for testing (abnormal screening, advanced maternal age).
Main Results:
- Women conceiving after fertility investigations/treatment showed lower rates of IPT following abnormal second trimester screening (12.6% vs. 20.0%).
- This difference was not statistically significant after adjusting for maternal age and fetal anomaly severity.
- Maternal age was a significant factor in the decision for IPT, unlike fertility treatment or subfertility duration.
Conclusions:
- The reduced uptake of invasive prenatal testing in women conceiving after subfertility is influenced by the indication for testing and maternal age.
- Fertility history (type and duration of subfertility, or fertility treatments) appears to be a less significant factor in the decision for IPT.
- Further research may explore patient counseling strategies considering these influencing factors.
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