[Prenatal screening and prenatal diagnosis clinical laboratory diagnostic pathway]

Zhonghua Yu Fang Yi Xue Za Zhi. 2024 Sep 6;58(9):1465-1472. doi: 10.3760/cma.j.cn112150-20231130-00388.
[Article in Chinese]

Abstract

Congenital defects and genetic diseases in the fetus are the focus of prenatal screening and prenatal diagnosis. Obstetrics and gynecology, pediatrics, medical imaging (ultrasound and magnetic resonance imaging), clinical laboratory, pathology, and other disciplines are mostly involved in this multidisciplinary work on maternal and infant health care, which aims to prevent birth defects in strict accordance with laws, regulations, and pertinent industry standards, such as the Notice of the National Health Commission on Issuing the Basic Standards for Prenatal Screening Technical Medical Institutions and the Basic Standards for Prenatal Diagnosis Technical Medical Institutions (Guowei Maternal and Child Letter [2019] No. 297). To further support the implementation of prenatal screening and diagnosis work and streamline workflow, this study has compiled the timing, inspection, and testing procedures of various projects in each link from the standpoint of the disease clinical laboratory diagnostic pathway. This approach improves communication amongst various disciplines in prenatal screening and diagnosis work and offers clinical service quality, and it also helps improve the standard of the birth population and prevent and controll severe birth defects.

产前筛查和产前诊断是指对胎儿进行先天性缺陷和遗传性疾病的筛查与诊断,是在严格遵守《国家卫生健康委关于印发开展产前筛查技术医疗机构基本标准和开展产前诊断技术医疗机构基本标准的通知》(国卫妇幼函〔2019〕297号)等法律法规及相关行业标准下开展预防出生缺陷的母婴保健工作,其主要涉及妇产、儿科、医学影像(超声和磁共振)、检验、病理等多学科。为进一步促进产前筛查和产前诊断工作的顺利开展,优化工作流程,本文归纳了产前筛查和产前诊断各个环节中的项目开展时机、项目选择和检验检测流程等,建立产前筛查和产前诊断临床检验诊断路径,为产前筛查和产前诊断工作中各学科的沟通提供便捷,推动临床服务质量的提升,有利于预防和控制严重出生缺陷发生,提高出生人口素质。.

Publication types

  • English Abstract

MeSH terms

  • Congenital Abnormalities / diagnosis
  • Congenital Abnormalities / prevention & control
  • Female
  • Humans
  • Laboratories, Clinical
  • Pregnancy
  • Prenatal Diagnosis* / methods