What Is NIPT?

PrenatalSafe® (NIPT test) is a non-invasive prenatal screening test (NIPT) that assesses the baby's risk for certain chromosomal abnormalities and genetic diseases by examining placenta-derived cell-free DNA fragments in the mother's blood. Only a blood sample is taken from the mother; there is no intervention to the baby or the gestational sac. It can generally be performed from the 10th week of pregnancy onwards.
About
About

Why NIPT? / Advantages

  • Performed on maternal blood

  • Can be performed early

  • Fast and reliable process

  • Provides high sensitivity

The Importance of NIPT Screening

Conventional Screening vs NIPT

Double / Quadruple Screening

Conventional Method

  • Risk is calculated using biochemical markers in the mother's blood and ultrasound findings.
  • Its accuracy is lower than that of NIPT.
  • The sensitivity rate is approximately 80-85%, and the false-positive rate is approximately 5%.

    NIPTCell-Free DNA Test

    Next-Generation Method

    • Cell-free fetal DNA in the mother's blood (the baby's DNA) is examined directly.
    • Provides much higher accuracy, especially for Trisomy 21, 18 and 13.
    • It is a more advanced, targeted and sensitive screening method.
    • The sensitivity rate is above 99%, and the false-positive rate is below 0.1%

      NIPT Test Options

      PrenatalSafe5

      • Screens for aneuploidies of chromosomes 21, 18, 13 and the sex chromosomes (X and Y)
      • Determination of fetal sex

        PrenatalSafe5 + DiGeorge

        • Screens for aneuploidies of chromosomes 21, 18, 13 and the sex chromosomes (X and Y)
        • Determination of fetal sex
        • Screens for DiGeorge syndrome microdeletion

          PrenatalSafePlus

          • Screens for aneuploidies of chromosomes 21, 18, 13, 9, 16 and the sex chromosomes (X and Y)
          • Determination of fetal sex
          • Screens for microdeletions of DiGeorge syndrome, 1P36 deletion syndrome, Angelman syndrome, Prader-Willi syndrome, Cri-Du-Chat syndrome and Wolf-Hirschhorn syndrome

            Ninalia

            • Screens for aneuploidies of all chromosomes, including the sex chromosomes
            • Determination of fetal sex

              PrenatalSafeKaryo Plus

              • Screens for aneuploidies of all chromosomes, including the sex chromosomes
              • Determination of fetal sex
              • Screens for microdeletions of DiGeorge syndrome, 1P36 deletion syndrome, Angelman syndrome, Prader-Willi syndrome, Cri-Du-Chat syndrome, Wolf-Hirschhorn syndrome, Jacobsen syndrome, Langer-Giedion syndrome and Smith-Magenis syndrome

                PrenatalSafeComplete Plus

                • Screens for aneuploidies of all chromosomes, including the sex chromosomes
                • Determination of fetal sex
                • Screens for microdeletions of DiGeorge syndrome, 1P36 deletion syndrome, Angelman syndrome, Prader-Willi syndrome, Cri-Du-Chat syndrome, Wolf-Hirschhorn syndrome, Jacobsen syndrome, Langer-Giedion syndrome and Smith-Magenis syndrome
                • Screens for single-gene diseases in the fetus with GeneSafe

                  PrenatalSafeFull Risk

                  • Screens for aneuploidies of all chromosomes, including the sex chromosomes
                  • Determination of fetal sex
                  • Screens for microdeletions of DiGeorge syndrome, 1P36 deletion syndrome, Angelman syndrome, Prader-Willi syndrome, Cri-Du-Chat syndrome, Wolf-Hirschhorn syndrome, Jacobsen syndrome, Langer-Giedion syndrome and Smith-Magenis syndrome
                  • Screens for single-gene diseases in the fetus with GeneSafe
                  • Performs carrier screening for hereditary diseases in the parents with GeneScreen

                    How Is PrenatalSafe® Performed?

                    From the 9th-10th week of pregnancy, the amount of circulating fetal DNA is sufficient to guarantee the high specificity and sensitivity of the test. The test is performed starting from a simple blood sample taken from the mother at a gestational age of at least 10 weeks.

                    Through laboratory analysis, cell-free circulating fetal DNA is isolated from the plasma component of the maternal blood.

                    Then, in an advanced technological process, the chromosomal regions of the circulating fetal DNA are sequenced at a high read depth (~30 million reads) across the entire fetal genome using innovative massively parallel sequencing (MPS) technology, and the market leader Illumina Next-Generation Sequencing (NGS) technology is used. Finally, the chromosomal sequences are quantified through a bioinformatic analysis to determine the presence of any fetal chromosomal aneuploidies. Test failure rates are at the lowest level (0.3%).

                    1. PrenatalSafe ® is offered by the laboratories of the Eurofins Genoma Group with the option of choosing among six prenatal screening levels, each with a different level of detail. It is the most technologically advanced and comprehensive Non-Invasive Prenatal Screening Test currently available. It is now possible to screen for other chromosomal abnormalities at the karyotype level with PrenatalSafe® Karyo (autosomal abnormalities, all deletions and duplications larger than 7 Mb). Current non-invasive prenatal tests screen for aneuploidies and microdeletions. PrenatalSafe® Karyo also provides karyotype-level information by screening for rare aneuploidies and segmental chromosomal imbalances (gains and losses) on every chromosome in the fetal genome. Click to review the PrenatalSafe test options.
                    2. GeneSafe™ goes even further and, through the analysis of cfDNA obtained from maternal plasma, screens for several clinically significant and life-changing genetic disorders that are not screened by current NIPT technology. Click to review the GeneSafe test options.

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                    Frequently Asked Questions

                    What is the PrenatalSafe ® screening test?

                    PrenatalSafe ® is the first prenatal screening test that can detect everything from the most common fetal aneuploidies (13, 18, 21, X and Y) to the rarest aneuploidies (all chromosomes of the fetal karyotype). PrenatalSafe ® is also the only non-invasive prenatal screening test that can highlight subchromosomal structural abnormalities across the entire fetal karyotype and mutations related to serious genetic diseases. The test also provides information about the sex of the fetus (optional).

                    Who can have the PrenatalSafe® non-invasive prenatal screening test?

                    PrenatalSafe® can be performed by all pregnant women with a gestational age of at least 10 weeks. PrenatalSafe ® can be applied in singleton pregnancies, in both homologous and heterologous pregnancies achieved through IVF (IVF, ICSI), and in twin pregnancies, even if achieved through assisted, homologous and heterologous fertilization techniques.

                    PrenatalSafe ® Complete and PrenatalSafe ® COMPLETE PLUS are particularly suitable for couples with advanced paternal age.

                    When can the PrenatalSafe® screening test be performed?

                    PrenatalSafe® is offered from the 10th week of pregnancy onwards. There is no deadline for performing the test, because fetal DNA remains in the mother's bloodstream throughout the pregnancy.

                    How accurate is the PrenatalSafe® screening test?

                    The PrenatalSafe ® screening test has a sensitivity and specificity higher than 99%, with a very low false-positive incidence of below 0.1%. Prenatal SAFE ® detects abnormalities affecting the fetal genome even at low amounts of fetal DNA (FF ≥ 2%).

                    What type of information is reported in PrenatalSafe® screening test reports?

                    Is the PrenatalSafe ® screening test similar to other first- and second-trimester screening tests?

                    No. Screening tests are indirect statistical tests based on ultrasound examinations of the fetus and/or biochemical examinations of the mother's blood, in which certain substances whose levels may change in the presence of some chromosomal pathologies are measured. The Prenatal SAFE ® test is a screening test that analyzes cell-free DNA of placental origin; a high-risk result must be confirmed by CVS or amniocentesis.

                    Is PrenatalSafe ® more reliable than the non-invasive prenatal screening tests currently available?

                    Prenatal screening tests such as the double test may indicate a high risk for fetal trisomy even when the result is actually negative (false positive), or may indicate a low risk for fetal trisomy when the pregnancy is in fact positive (false negative). These non-invasive tests, such as the combination of nuchal translucency with free-b-HCG and PAPP-A proteins, have a false-positive rate of up to 5% and fail to detect approximately 10-15% of fetal trisomy 21 cases. The false-positive rate is very low; however, the accuracy of a high-risk result varies depending on the case and must be confirmed with a diagnostic test.

                    Is PrenatalSafe ® a safe test, or does it involve risks?

                    The PrenatalSafe ® screening test is completely safe for both the mother and the fetus. Although diagnostic tests such as amniocentesis or CVS are accurate for the diagnosis of fetal trisomies, they are invasive, carry a non-negligible risk of miscarriage, and require appropriate antibiotic treatment.