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Non-invasive prenatal diagnosis for single gene disorders: experience of patients.
[achondroplasia]
The
aim
of
this
study
is
to
explore
women
's
experiences
of
using
newly
developed
non-invasive
prenatal
diagnosis
(
NIPD
)
for
single
gene
disorders
.
Methods
used
in
this
study
include
qualitative
one
-
to
-
one
interviews
with
eight
women
with
pregnancies
at
risk
of
achondroplasia
,
Apert
syndrome
,
thanatophoric
dysplasia
or
a
neuromuscular
condition
.
The
results
of
the
study
show
that
the
women
were
positive
about
an
accurate
,
safe
,
and
early
test
.
Where
the
foetus
was
at
increased
risk
of
inheriting
a
genetic
condition
,
the
benefits
of
NIPD
over
invasive
testing
were
that
it
reduced
the
period
of
uncertainty
and
worry
by
being
conducted
within
the
first
trimester
.
For
those
women
for
whom
there
was
a
low
recurrence
risk
,
the
period
of
uncertainty
could
be
reduced
and
pregnancy
'
normalized
'
earlier
.
For
women
who
would
not
have
risked
invasive
testing
,
NIPD
enabled
them
to
have
an
early
diagnostic
test
that
was
more
accurate
than
ultrasound
.
Where
ultrasound
abnormalities
were
detected
,
NIPD
ended
the
'
diagnostic
odyssey
'
,
enabling
women
to
make
practical
and
psychological
preparations
for
the
birth
.
NIPD
conducted
through
specialist
services
was
considered
most
appropriate
.
NIPD
for
these
particular
single
gene
disorders
was
appreciated
by
women
and
appears
to
be
satisfactory
.
Further
exploration
of
stakeholder
views
may
be
required
to
inform
more
widespread
implementation
of
NIPD
for
a
broader
range
of
genetic
conditions
.
Diseases
Validation
Diseases presenting
"particular single gene disorders"
symptom
achondroplasia
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