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    Blood Test Detects Down Syndrome During Pregnancy

    THURSDAY, Feb. 23 (HealthDay News) -- A second company reports that it has developed a prenatal blood test to detect Down syndrome, potentially providing yet another option for pregnant women who want to know whether their unborn child has the condition.

    Last fall, Sequenom Inc. announced that it was making a prenatal Down syndrome blood test, available in 20 cities in the United States. It marked the first time that pregnant women could undergo a Down syndrome test without having to go through amniocentesis or chorionic villus sampling, which are invasive and pose a small risk of miscarriage.

    Now, two studies published online Feb. 21 and in the April print issue of the American Journal of Obstetrics and Gynecology suggest that another blood test, this one developed by Aria Diagnostics, can detect Down syndrome and a genetic disorder known as Edwards syndrome, which can cause severe birth defects and is often fatal. In both studies, testing was conducted before 20 weeks gestation.

    One of the studies, written by Aria Diagnostics researchers, correctly detected 44 cases of the two disorders out of 167 prenatal blood samples. The other study, by researchers from University of London and University College London, correctly detected all Down syndrome cases and 98 percent of Edwards syndrome cases.

    The test "would be useful as a secondary test contingent upon the results of a more universally applicable primary method of screening," senior study author Dr. Kypros H. Nicolaides, of the University of London, said in a journal news release. "The extent to which it could be applied as a universal screening tool depends on whether the cost becomes comparable to that of current methods of sonographic and biochemical testing."

    Dr. Brian Skotko, a physician with the Down Syndrome Program at Children's Hospital Boston, said the test's accuracy is "pretty good," although the studies didn't test as many samples as Sequenom did for its test.

    Several other companies are developing prenatal tests for Down syndrome, said Skotko, who predicted that competition in the prenatal blood test market would lead to lower prices. Sequenom has said that its test won't cost mothers more than $235 in out-of-pocket costs.

    The growth of these kinds of tests raises major questions, Skotko said: Will the tests become routine? If so, "will babies with Down syndrome slowly start to disappear?"

    Some pregnant mothers choose to abort their unborn children after they are diagnosed with Down syndrome. Statistics suggest that their numbers have risen in recent decades, Skotko said.

    More information

    For more on Down Syndrome, go to U.S. National Library of Medicine.

     

    13 comments

    • Elle  •  New York, United States  •  3 months ago
      This is good news. The more we informed parents are the better they can make decisions about whether or not they will be able to care for a child.
    • bertha fay  •  Austin, United States  •  3 months ago
      Good to know, I hope doctors are doing this test routinely especially with older women who are more likely to have a Down's Syndrome child. It would be a horrible decision to have to make, but caring for a child with Down's is a lifetime commitment (the child's lifetime) and contrary to common belief many live a normal lifespan.

      Having a severely disabled child has an effect on the parents, their marriage, and their other children. Hopefully parents faced with the decision to terminate the pregnancy or not will have ample time to make an informed decision.

      Only the parents can decide if they and their current family can handle everything that a Down's child will bring. None of us can judge their decision.
      • Aphid 3 months ago
        This is fantastic news, and I agree with you that parents deserve this information early in a pregnancy. Those who oppose abortion at least will have a heads-up about the situation they will encounter upon the baby's birth. Those who do not wish to subject themselves OR THE UNBORN CHILD to the horrors of life with this condition will have the option to terminate. I have intimate personal knowledge of one family which was destroyed by the birth (more than 50 years ago) of a severely retarded Downs child. The baby's disability was a shock to his parents, who were educated, professional people. The mother went into very severe depression, and the father succumbed to alcohol. As the child grew, the mother entered a life-long stage of denial, wherein she told anyone who would listen how much "better" her son was getting. The father eventually lost his very prestigious position. A second son born perfectly normal a few years after the first was utterly ignored. The mother died young as a result of an "accident" caused by the Downs child. The father died young of various issues (undoubtedly including a broken heart). The younger son died VERY young, probably a suicide. Who's still alive? The Downs child, now in his fifties, living in a group home (endowed by his well-off professional parents) and having no awareness at all of his surroundings or his lost family. He has had no life. Three persons of above-average intellect had their lives devastated and cut short by his birth. He has no clue. What purpose was served by this child's having been born and survived to middle age? I can't see any, but maybe that's just me.
      • Silver Firefly 3 months ago
        We can't judge, but at the same time, there is a waiting list in the U.S. for people who WANT to adopt Down Syndrome babies. So that is a wonderful choice to make, too (adoption.)
      • Andrew 3 months ago
        What? This makes no sense, who wants a Down Syndrome baby? More importantly: What evil, selfish, ignorant person would want to intentionally bring a person into this world who is going to have to suffer every day of their life with a condition there is no recovering from? Abortion is the only compassionate choice.
    • Silver Firefly  •  3 months ago
      I really don't know how I feel about this test, other than to say at $200+, it is cost prohibitive, unless insurance will pay for it. But if you ARE going to have an abortion, it is far better to have it earlier rather than later, the earlier the better.
      • Andrew 3 months ago
        I totally agree, earlier the better... but $235 is a drop in a bucket compared to how much it will cost to raise a child with such a condition.
      • Sarah 2 months ago
        Let insurance companies reimburse women who will terminate a positive fetus.
    • Sarah  •  2 months ago
      $235 is not a huge burden for a co-pay. Some co-pays for outpatient surgical procedures are around $250-$300. Future medical care for Down's Syndrome is a drain on insurance pools.
      Maybe insurance companies could require pregnant women to have this test or lose coverage.
    • Silver Firefly  •  3 months ago
      This is a new test with close to 100% accuracy, people. It's not the same as the older blood tests which merely show you are at low (or high) risk but are not guarantees. I'm sorry that you seem to think the older tests were diagnostic, but they weren't. These new tests will be almost 100% accurate, so this is, in fact, new news.
    • Irene  •  Los Angeles, United States  •  2 months ago
      what if its flawed ??? abortion is the answer ??...No people !!!you dont get pregnant then 80 % of women 18-25 are the ones with D.S babies ....why enviromental...that is your hand you are dealt with.....g-d gave you what you can take ...if you got vaccinations after 89...most likely you were a Guinea pig...and now here we are...dont you abort...!!! that IS murder!!!
      • Sarah 2 months ago
        through the proper public school health education classes, students will be taught that abortion can aid in natural selection. Our public schools will help create a brave new world
    • Frank  •  Trenton, United States  •  2 months ago
      Lets have another reason to kill more babies. I don't know how any mother could make the choice to kill their own child. How sick is that?
      • Sarah 2 months ago
        through the proper public school health education classes, students will be taught that abortion can aid in natural selection.
    • k  •  3 months ago
      I think they are trying to make this news now because of the uproar over abortions and contraception currently in the news.
    • Jocelyn  •  3 months ago
      and, what are you going to do with the results if it's positive? abort it?
      • carrie 3 months ago
        maybe. That would depend on the individual family's situation.
      • Sarah 2 months ago
        freedom of choice.
    • teri81979  •  3 months ago
      this isn't new news. I had the test done 7 yrs ago when I was pregnant with my son and it is normally done around the 16th week of pregnancy
    • feralhiker  •  3 months ago
      Good luck with that. The far right would make that illegal along with birth control. Got to make sure the women folk are broken down from caring for all those sick babies so they'll stay in their place.
    • Access Overrated  •  3 months ago
      This isn't news. The blood test has been around for a long time. No one bothers to tell the patients about it.
    • Yahoo User  •  2 months ago
      Is there any benefit to the mother or baby to knowing before birth whether a baby has Down's Syndrome?