Sonic the Hedgehog Reverses Down syndrome in Mice

Last week, researchers reported reversing the effects of Down syndrome in the brains of genetically-engineered mice with a single injection. Already, the potential for future treatments based on this technique has been questioned.  Continue Reading

Emily Oster’s Expecting Better, Part II: Prenatal Diagnostic Testing, not new, outdated, & incomplete

In her book, Expecting Better, Emily Oster, an economics professor at the University of Chicago, writes about lessons learned while pregnant that run counter to the conventional wisdom about prenatal care. One lesson concerns prenatal genetic testing, specifically invasive diagnostic testing. But Oster's lesson is not news, is outdated, and is incomplete. Continue Reading

Emily Oster’s Expecting Better, Part I: Prenatal Screening’s Panicky Reassurance

Emily Oster is an economics professor at the University of Chicago who recently published her take on pregnancy, Expecting Better. In the promotion of the book, along with drinking during pregnancy and bed rest, prenatal testing is one of the highlighted points where Oster's book promises to buck conventional wisdom. Continue Reading

“Unfortunately, I have some bad news for you” about Down syndrome prenatal testing

As a companion piece to the HuffPostLive segment on Down syndrome prenatal testing (which I blogged about here), the Huffington Posts' Katherine Bindley reported on the concerns about adequate counseling. Let's look at some key quotes from that piece. Continue Reading

What does Ashton Kutcher’s Teen Choice Remarks have to do with Down syndrome prenatal testing?

  Ashton Kutcher's remarks upon winning the "Ultimate Choice" award are receiving a lot of coverage, and not just because he revealed that his real name, his first name, is Chris. But what do they have to do with prenatal testing and Down syndrome? Continue Reading

Adam Wolfberg’s research says don’t offer new testing for Down syndrome to all moms

Actually, Adam Wolfberg recently said just the opposite. But, Wolfberg’s own research doesn’t support his recommendation.  Continue Reading

“Not exactly a great scientific achievement”: prenatal testing in low risk populations

Yesterday's post generated a lot of discussion on Facebook and off-line about the role of maternal age and the incidence of Down syndrome. Today, we consider the value of prenatal screening for Down syndrome in relation to the mother's age. Continue Reading

Maternal age, the chance for Down syndrome, and prenatal testing

In 2007, the medical guidelines changed from only offering women 35 years old and older prenatal testing for Down syndrome to offering it to all expectant mothers. This, however, should not mean maternal age is irrelevant when considering prenatal testing. And, it turns out, something commonly reported about maternal age is incorrect. Continue Reading

How accurate is the new blood test for Down syndrome?

When receiving a test result from the new blood test for Down syndrome that says "positive," do patients understand there may be a one-in-five chance of a false positive? Or even a one-in-two, depending on the mother's age? Even genetic counselors admit this is difficult to grasp. Continue Reading