Maternal serum alpha-fetoprotein and previous neural tube defects.

A case-control study involving 63 pregnancies showed that women who had previously had an infant with anencephaly or spina bifida did not have raised serum alpha-fetroprotein (AFP) levels in subsequent unaffected pregnancies. The value of a serum AFP determination in such women is discussed. If the...

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Main Authors: Wald, N, Barker, S, Peto, R, Brock, D, Bonnar, J
Format: Journal article
Language:English
Published: 1976
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author Wald, N
Barker, S
Peto, R
Brock, D
Bonnar, J
author_facet Wald, N
Barker, S
Peto, R
Brock, D
Bonnar, J
author_sort Wald, N
collection OXFORD
description A case-control study involving 63 pregnancies showed that women who had previously had an infant with anencephaly or spina bifida did not have raised serum alpha-fetroprotein (AFP) levels in subsequent unaffected pregnancies. The value of a serum AFP determination in such women is discussed. If the serum AFP level is normal and if ultrasonography excludes anencephaly the risk of spina bifida might be low enough (about 1 per cent) to make diagnostic amniocentesis difficult to justify. Conversely, a high serum AFP value in such women should not be acted on without confirmation of an abnormality by ultrasonography and, if that is negative, by diagnostic amniocentesis.
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spelling oxford-uuid:cc42ef4c-cf22-4b7d-bf85-197ed33085e12022-03-27T07:20:33ZMaternal serum alpha-fetoprotein and previous neural tube defects.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:cc42ef4c-cf22-4b7d-bf85-197ed33085e1EnglishSymplectic Elements at Oxford1976Wald, NBarker, SPeto, RBrock, DBonnar, JA case-control study involving 63 pregnancies showed that women who had previously had an infant with anencephaly or spina bifida did not have raised serum alpha-fetroprotein (AFP) levels in subsequent unaffected pregnancies. The value of a serum AFP determination in such women is discussed. If the serum AFP level is normal and if ultrasonography excludes anencephaly the risk of spina bifida might be low enough (about 1 per cent) to make diagnostic amniocentesis difficult to justify. Conversely, a high serum AFP value in such women should not be acted on without confirmation of an abnormality by ultrasonography and, if that is negative, by diagnostic amniocentesis.
spellingShingle Wald, N
Barker, S
Peto, R
Brock, D
Bonnar, J
Maternal serum alpha-fetoprotein and previous neural tube defects.
title Maternal serum alpha-fetoprotein and previous neural tube defects.
title_full Maternal serum alpha-fetoprotein and previous neural tube defects.
title_fullStr Maternal serum alpha-fetoprotein and previous neural tube defects.
title_full_unstemmed Maternal serum alpha-fetoprotein and previous neural tube defects.
title_short Maternal serum alpha-fetoprotein and previous neural tube defects.
title_sort maternal serum alpha fetoprotein and previous neural tube defects
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AT brockd maternalserumalphafetoproteinandpreviousneuraltubedefects
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