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Cell-free fetal DNA (cffDNA) is fetal DNA that circulates freely in the maternal blood. Maternal blood is sampled by venipuncture. Analysis of cffDNA is a method of non-invasive prenatal diagnosis frequently ordered for pregnant women of advanced age. Two hours after delivery, cffDNA is no longer detectable in maternal blood.
Circulating cffDNA can be detected in maternal blood between the 5th and the 7th week of gestational age, [12] however more fetal DNA is available for analysis usually after 10 weeks, because the amount of fetal DNA increases over time. [13] cffDNA, RNA and intact fetal cells can all be used to assess the genetic status of the fetus non-invasively.
Obstetric ultrasonography, or prenatal ultrasound, is the use of medical ultrasonography in pregnancy, in which sound waves are used to create real-time visual images of the developing embryo or fetus in the uterus (womb).
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A third online certification is C-EFM (Electronic Fetal Monitoring). It is open to licensed registered nurses, nurse practitioners, nurse midwives, physicians, physician assistants, and paramedics, according to the US and Canada requirements.
Modern-day CTG was developed and introduced in the 1950s and early 1960s by Edward Hon, Roberto Caldeyro-Barcia and Konrad Hammacher. The first commercial fetal monitor (Hewlett-Packard 8020A) was released in 1968. [1] CTG monitoring is widely used to assess fetal well-being by identifying babies at risk of hypoxia (lack of oxygen). [2]
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