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Antenatal and Neonatal Screening

Nicholas Wald and Ian Leck (eds)

Published in print:
2000
Published Online:
September 2009
ISBN:
9780192628268
eISBN:
9780191723605
Item type:
book
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780192628268.001.0001
Subject:
Public Health and Epidemiology, Public Health, Epidemiology

The options in antenatal and neonatal care are legion. Preferences still tend to be subjective. In spite of much publicity that has raised public expectation, an up-to-date thorough evaluation of ... More


Genetic haematological disorders

Sir David Weatherall and Elizabeth A. Letsky

in Antenatal and Neonatal Screening

Published in print:
2000
Published Online:
September 2009
ISBN:
9780192628268
eISBN:
9780191723605
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780192628268.003.0011
Subject:
Public Health and Epidemiology, Public Health, Epidemiology

This main focus of this chapter is on genetic disorders of the structure or synthesis of haemoglobin — especially sickle cell disease and the thalassaemias, which are common enough in many ... More


Cystic fibrosis

David J. H. Brock

in Antenatal and Neonatal Screening

Published in print:
2000
Published Online:
September 2009
ISBN:
9780192628268
eISBN:
9780191723605
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780192628268.003.0013
Subject:
Public Health and Epidemiology, Public Health, Epidemiology

This chapter describes screening and diagnosis for cystic fibrosis (CF). CF is the most common life-shortening Mendelian disorder found in children and in young adults of Caucasian descent. It is ... More


Infections

Catherine S. Peckham and Marie-Louise Newell

in Antenatal and Neonatal Screening

Published in print:
2000
Published Online:
September 2009
ISBN:
9780192628268
eISBN:
9780191723605
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780192628268.003.0007
Subject:
Public Health and Epidemiology, Public Health, Epidemiology

Although the majority of infections in pregnancy have no effect on the developing fetus, some can lead to severe damage and disability. This chapter discsses screening for infections: rubella, ... More


Conclusions

Nicholas Wald and Ian Leck

in Antenatal and Neonatal Screening

Published in print:
2000
Published Online:
September 2009
ISBN:
9780192628268
eISBN:
9780191723605
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780192628268.003.0023
Subject:
Public Health and Epidemiology, Public Health, Epidemiology

This chapter summarises the quantitative assessments of screening tests presented in the book. It estimates the impact of screening in reducing late-fetal and infant mortality and childhood handicap, ... More


Ethics of antenatal and neonatal screening

Nicholas Wald, Ian Leck, and J. A. Muir Gray

in Antenatal and Neonatal Screening

Published in print:
2000
Published Online:
September 2009
ISBN:
9780192628268
eISBN:
9780191723605
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780192628268.003.0022
Subject:
Public Health and Epidemiology, Public Health, Epidemiology

This chapter reflects on the ethics of antenatal and neonatal screening, concluding that they are not fundamentally different from ethics in other areas of medicine. Topics covered include the ... More


X-linked disorders

Sarah Bundey

in Antenatal and Neonatal Screening

Published in print:
2000
Published Online:
September 2009
ISBN:
9780192628268
eISBN:
9780191723605
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780192628268.003.0005
Subject:
Public Health and Epidemiology, Public Health, Epidemiology

This chapter describes the screening for three X-linked disorders: Duchenne muscular dystrophy, the Fragile X syndrome, and X-linked retinitis pigmentosa. The primary screening test for these ... More


Ultrasound scanning for congenital abnormalities

Nicholas Wald, Anne Kennard, Alan Donnenfeld, and Ian Leck

in Antenatal and Neonatal Screening

Published in print:
2000
Published Online:
September 2009
ISBN:
9780192628268
eISBN:
9780191723605
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780192628268.003.0018
Subject:
Public Health and Epidemiology, Public Health, Epidemiology

This chapter evaluates the value of ultrasound scanning both as a screening and a diagnostic test for fetal abnormalities, considering published evidence of ultrasound scanning performance, natural ... More


Rhesus and other haemolytic diseases

Elizabeth A. Letsky, Ian Leck, and John M. Bowman

in Antenatal and Neonatal Screening

Published in print:
2000
Published Online:
September 2009
ISBN:
9780192628268
eISBN:
9780191723605
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780192628268.003.0012
Subject:
Public Health and Epidemiology, Public Health, Epidemiology

This chapter describes antenatal and neonatal screening for rhesus and other blood group incompatibilities. These incompatibilities can cause maternal antibodies to fetal blood cell antigens to enter ... More


Neural tube defects

Nicholas Wald

in Antenatal and Neonatal Screening

Published in print:
2000
Published Online:
September 2009
ISBN:
9780192628268
eISBN:
9780191723605
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780192628268.003.0003
Subject:
Public Health and Epidemiology, Public Health, Epidemiology

Antenatal screening and diagnosis for neural tube defects involves the application of two methods — maternal serum alphafetoprotein (AFP) followed by amniotic fluid AFP measurement, and ultrasound ... More


Down’s syndrome

Nicholas Wald

in Antenatal and Neonatal Screening

Published in print:
2000
Published Online:
September 2009
ISBN:
9780192628268
eISBN:
9780191723605
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780192628268.003.0004
Subject:
Public Health and Epidemiology, Public Health, Epidemiology

This chapter discusses screening and diagnosis for Down's syndrome. Down's syndrome is the most common cause of severe mental retardation. The disorder can be diagnosed antenatally by examining the ... More


Tay–Sachs disease

Feige Kaplan and Charles R. Scriver

in Antenatal and Neonatal Screening

Published in print:
2000
Published Online:
September 2009
ISBN:
9780192628268
eISBN:
9780191723605
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780192628268.003.0006
Subject:
Public Health and Epidemiology, Public Health, Epidemiology

This chapter describes screening for Tay–Sachs disease (TSD) in pregnancy. TSD is an example of a fatal metabolic genetic disease which is rare but for which it is realistic to screen because cases ... More


Acquired haematological disorders

Elizabeth A. Letsky and Sir David Weatherall

in Antenatal and Neonatal Screening

Published in print:
2000
Published Online:
September 2009
ISBN:
9780192628268
eISBN:
9780191723605
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780192628268.003.0010
Subject:
Public Health and Epidemiology, Public Health, Epidemiology

This chapter discusses screening for maternal anaemia and thrombocytopaenia and fetal allo-immune thrombocytopaenia (FAIT) during pregnancy. The use of haemoglobin measurement to detect maternal ... More


Disorders associated with high blood pressure

Michael de Swiet and Ian Leck

in Antenatal and Neonatal Screening

Published in print:
2000
Published Online:
September 2009
ISBN:
9780192628268
eISBN:
9780191723605
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780192628268.003.0009
Subject:
Public Health and Epidemiology, Public Health, Epidemiology

This chapter discusses measurement of blood pressure as a means of screening for pregnancies that would have adverse outcomes and specifically considers pre-eclampsia. It is not possible to determine ... More


Ultrasound as an ancillary investigation in the management of pregnancy

Amy B. Levine and Charles J. Lockwood

in Antenatal and Neonatal Screening

Published in print:
2000
Published Online:
September 2009
ISBN:
9780192628268
eISBN:
9780191723605
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780192628268.003.0017
Subject:
Public Health and Epidemiology, Public Health, Epidemiology

This chapter reviews the role of ultrasound as an ancillary technique in the establishment of gestational age; diagnosis of placenta previa; identification of intrauterine growth retardation; and ... More


Disorders associated with hyperglycaemia in pregnancy

R. J. Jarrett

in Antenatal and Neonatal Screening

Published in print:
2000
Published Online:
September 2009
ISBN:
9780192628268
eISBN:
9780191723605
Item type:
chapter
Publisher:
Oxford University Press
DOI:
10.1093/acprof:oso/9780192628268.003.0008
Subject:
Public Health and Epidemiology, Public Health, Epidemiology

This chapter considers whether screening in order to identify new cases of diabetes in pregnancy is worthwhile. It focuses on non-insulin-dependent diabetes mellitus (NIDDM) and gestational diabetes ... More


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