What is Non-Invasive Prenatal Testing?

North Surrey Midwives offer Harmony and Panorama tests, both of which analyse fetal DNA found in a woman’s bloodstream when she is pregnant. The Harmony and Panorama tests assess the chance of the fetus having any of the three most common Trisomy conditions: Downs Syndrome, Patau Syndrome and Edwards Syndrome (Trisomy 21, 18 and 13). Sex chromosome anomalies including Turner and Klinefelter syndrome can also be assessed, and Panorama can also screen for additional rarer Microdeletion conditions. PrenaTest screens for Trisomy 21 only, with optional gender determination.

What does the screening involve?

Once you have selected which NIPT you would like, the test will be performed in your own home by an experienced midwife, taking around 30 minutes. Two vials of blood will be taken from your arm. These samples will then be couriered to the relevant partner laboratory who will analyse the blood for fetal DNA.

How do Non-Invasive Prenatal Tests differ from NHS screening?

The screening currently offered to pregnant women on the NHS does not analyse fetal DNA, but rather looks at a range of markers which may indicate you are carrying a baby with Trisomy 13, 18 or 21. These markers include a woman’s age, the space at the back of the fetus’ neck (nuchal fold) and protein levels in the woman’s blood. Non-Invasive Prenatal Tests identify and analyse fetal DNA, making them far more accurate than conventional NHS screening, which only detects 70-80% of fetuses with Downs syndrome (for accuracy statistics, see comparison table below). It is important to understand that all of the NIPTs we offer are still screening tests and do not replace invasive diagnostics (with the risk of miscarriage), so if your result comes back as high risk you will still be recommended to have invasive testing (amniocentisis or CVS).

What is the difference between the Non-Invasive Prenatal Tests that you offer?

This table compares the NIPTs that North Surrey Midwives offer.

Harmony Test Panorama Test PrenaTest (T21 only)
Available after 10 weeks Available after 9 weeks Available after 10 weeks
£395+mileage £375+mileage £250+mileage
Processed in UK Processed in USA Processed in Germany
Results in 3-5 business days Results in 6-9 business days Results in 3-5 business days
Sensitivity* ›99% T21 (Down’s Syndrome) Sensitivity* ›99% T21 (Down’s Syndrome) Sensitivity* ›99% T21 (Down’s Syndrome)
Sensitivity ›97.4% T18 (Edwards Syndrome) Sensitivity 98.2% T18 (Edwards Syndrome) N/A
Sensitivity >93.8% T13 (Patau’s Syndrome) Sensitivity ›99% T13 (Patau’s Syndrome) N/A
N/A Sensitivity ›99% Triploidy N/A
Optional analysis of sex chromosome (x,y) conditions Optional analysis of sex chromosome (x,y) conditions N/A
Optional fetal gender determination >99.9% Optional fetal gender determination >99.9% Optional fetal gender determination >99.9%
N/A Optional analysis of micro deletions at cost of £150. Click here for more information. N/A
Also available in twin (not vanishing twin), multiples, singleton donor. Twin sensitivity is similar to singleton pregnancies. For T21 – 99% Not available for vanishing twin, multiple gestation of more than 2 fetuses, or twins conceived using an egg donor or surrogate. Not available for twin pregnancies.

*Sensitivity is the ability to correctly identify a truly high risk case as high risk. Note that percentages are obtained from cohort studies. Please ask us if you require other test specifications.

Am I eligible to have a Non-Invasive Prenatal Test (NIPT)?

See the table above for eligibility for each of the tests or contact us for more information. Please note you need to have a scan prior to NIPT screening, either from the NHS or privately, in order to date the pregnancy and determine the number of fetuses in utero.

Can Non-Invasive Prenatal Tests tell me the gender of my baby?

Yes, and this is included at no extra cost for all tests.

Our package includes:

A telephone consultation to explain the procedure and explore your options (if required)

A home visit to carry out the screening

Confirmation of gender at no additional cost

A follow-up telephone call to discuss the results, including counselling on your options if a high risk result is returned

PLEASE NOTE: you will need to have had a scan (private or NHS) before we can undertake NIPT screening, to determine gestational age and whether you are having twins/multiples.

How much does NIPT cost?

Please see table above for costs. Mileage is charged at 45p per mile for the return journey, if you are over 10 miles away from one of our practices in Walton on Thames or Farnham.

What areas do you cover?

We will travel up to 45 minutes from our practice in Walton on Thames, including (but not limited to): Esher, Shepperton, Weybridge, Cobham, Chertsey, Woking, Camberley, Epsom, Guildford, Godalming, Farnham, Dorking, Reigate, Redhill, Kingston, Surbiton, Richmond, Wimbledon, Twickenham, Teddington, Windsor, Ascot, Bracknell, Banstead. Please enquire to find out if we cover your area.

To book your test, call Tami on 07921 172240 or complete the contact form below, and we will get back to you within 24 hours.