To the Editor: The introduction of non-invasive prenatal testing will revolutionise the practice of prenatal diagnosis. One of the many potential applications of non-invasive prenatal diagnosis (NIPD) is to determine fetal RHD status in pregnant Rhesus (Rh) D-negative women, and the feasibility of such testing was aptly demonstrated by Hyland and colleagues1 and commented on by Cole and Savoia.2 It is clear that once the technical problems of indeterminate results and gene variants are resolved, NIPD for RHD status will have improved clinical utility over current invasive testing, thus reducing the need for invasive procedures and prophylactic treatment of all RhD-negative women.
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- Murdoch Childrens Research Institute, Melbourne, VIC.
- 1. Hyland CA, Gardener GJ, Davies H, et al. Evaluation of non-invasive prenatal RHD genotyping of the fetus. Med J Aust 2009; 191: 21-25. <MJA full text>
- 2. Cole SA, Savoia HF. Non-invasive prenatal diagnosis — toward a new horizon [editorial]. Med J Aust 2009; 191: 5-6. <MJA full text>
- 3. Moreira C, Muggli E, Halliday J. Report on prenatal diagnostic testing in Victoria 2007. Melbourne: Murdoch Childrens Research Institute, 2008. http://www.health.vic.gov.au/__data/assets/pdf_file/0016/314206/report_diagnostic test2007.pdf (accessed Jul 2009).
- 4. Benn PA, Chapman AR. Practical and ethical considerations of noninvasive prenatal diagnosis. JAMA 2009; 301: 2154-2156.