May 2, 2026 · Fertility and sterility · DOI: 10.1016/j.fertnstert.2026.04.017

Non-invasive prenatal testing as a prenatal screening test in pregnancies following assisted reproductive technologies: a diagnostic test accuracy systematic review and meta-analysis

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The authors aimed to evaluate the diagnostic accuracy of non-invasive prenatal testing (NIPT) for detecting common chromosomal abnormalities in pregnancies resulting from assisted reproductive technologies (ART). Their systematic review and meta-analysis found that while NIPT exhibits high specificity (99.6% for singletons and 99.8% for twins), its sensitivity (88.2% for both singleton and twin ART pregnancies) is notably lower compared to naturally-conceived pregnancies, particularly for trisomy 21. This highlights the need for cautious interpretation of NIPT results in ART pregnancies.

Vandana Kamath, Madhu Balaji Sivakumar, Gustavo Yano Callado, Anandhita Neelakandan, Aravind Dharmaraj, Prasanna Samuel, Mary Purna Chacko, Daniel L Rolnik, Mohan S Kamath

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