Implications of False-Positive Trisomy 18 or 21 Screening Test Results in Predicting Adverse Pregnancy Outcomes
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Case Western Reserve University School of Graduate Studies / OhioLINK
2009
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ndltd-OhioLink-oai-etd.ohiolink.edu-case12476278142021-08-03T05:33:16Z Implications of False-Positive Trisomy 18 or 21 Screening Test Results in Predicting Adverse Pregnancy Outcomes Huang, Pinchia African Americans Biomedical Research Genetics Health Care Minority and Ethnic Groups Obstetrics prental screeening test quad screens first trimester screens second trimester screens first check pregnancy complications adverse pregnancy outcomes obstetric complications African American pregnancy intrauterine growth retardation Studies have shown that abnormal levels of individual prenatal screening markers are associated with an increased risk for obstetric complications unrelated to aneuploidy. The purpose of this descriptive cohort medical record review of pregnant patients was to examine the association between risk estimates or marker patterns and pregnancy complications. Prenatal screening and obstetric outcome data were analyzed for 120 screened-positive case subjects and 120 screened-normal controls. African American (AA) women with positive 2nd trimester trisomy 21 screens (n=95) had a statistically significant higher risk for intrauterine growth retardation (p=0.01) and low birth weight (p=0.019). AA women who experienced adverse pregnancy outcome, in particular low birth weight, had a higher inhibin-A level as compared to controls. However, aneuploidy risk estimates and marker patterns from 2nd trimester screens were not associated with increased risk for adverse pregnancy outcome. These findings provide empirical evidence for guiding pregnancy management plans for these patients. 2009-10-13 English text Case Western Reserve University School of Graduate Studies / OhioLINK http://rave.ohiolink.edu/etdc/view?acc_num=case1247627814 http://rave.ohiolink.edu/etdc/view?acc_num=case1247627814 unrestricted This thesis or dissertation is protected by copyright: all rights reserved. It may not be copied or redistributed beyond the terms of applicable copyright laws. |
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language |
English |
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NDLTD |
topic |
African Americans Biomedical Research Genetics Health Care Minority and Ethnic Groups Obstetrics prental screeening test quad screens first trimester screens second trimester screens first check pregnancy complications adverse pregnancy outcomes obstetric complications African American pregnancy intrauterine growth retardation |
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African Americans Biomedical Research Genetics Health Care Minority and Ethnic Groups Obstetrics prental screeening test quad screens first trimester screens second trimester screens first check pregnancy complications adverse pregnancy outcomes obstetric complications African American pregnancy intrauterine growth retardation Huang, Pinchia Implications of False-Positive Trisomy 18 or 21 Screening Test Results in Predicting Adverse Pregnancy Outcomes |
author |
Huang, Pinchia |
author_facet |
Huang, Pinchia |
author_sort |
Huang, Pinchia |
title |
Implications of False-Positive Trisomy 18 or 21 Screening Test Results in Predicting Adverse Pregnancy Outcomes |
title_short |
Implications of False-Positive Trisomy 18 or 21 Screening Test Results in Predicting Adverse Pregnancy Outcomes |
title_full |
Implications of False-Positive Trisomy 18 or 21 Screening Test Results in Predicting Adverse Pregnancy Outcomes |
title_fullStr |
Implications of False-Positive Trisomy 18 or 21 Screening Test Results in Predicting Adverse Pregnancy Outcomes |
title_full_unstemmed |
Implications of False-Positive Trisomy 18 or 21 Screening Test Results in Predicting Adverse Pregnancy Outcomes |
title_sort |
implications of false-positive trisomy 18 or 21 screening test results in predicting adverse pregnancy outcomes |
publisher |
Case Western Reserve University School of Graduate Studies / OhioLINK |
publishDate |
2009 |
url |
http://rave.ohiolink.edu/etdc/view?acc_num=case1247627814 |
work_keys_str_mv |
AT huangpinchia implicationsoffalsepositivetrisomy18or21screeningtestresultsinpredictingadversepregnancyoutcomes |
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