Blood Testing Services
The Harmony Blood Test : from 10 weeks onwards: £399
The Harmony Test includes the following:
30 minute appointment
Accurate results down to 4% fetal fraction
4 black and white prints of baby
Digital images: stills and short cine loops sent on link to your phone
The results will be ready in approximately 5 working days and the results are normally sent by email. Any unusual findings will be discussed with you and our Clinical Director
Non-invasive prenatal testing (NIPT) analyses cell-free DNA circulating in the pregnant mother's blood. It is a new option in prenatal screening for Down syndrome (trisomy 21) and other common fetal chromosomal conditions (trisomies 18 and 13).
About the test
DNA from the fetus circulates in the mother's blood. Cell-free DNA (cfDNA) results from the natural breakdown of fetal cells (presumed to be mostly placental) and clears from the maternal system within hours of giving birth. During a pregnancy, cfDNA can be tested to give the most accurate screening approach in estimating the risk of a fetus having a common chromosome condition sometimes called a trisomy. This occurs when there are three copies of a particular chromosome instead of the expected two. The test looks to detect the following trisomies:
Trisomy 21 is the most common trisomy at the time of birth. Also called Down syndrome, it is associated with moderate to severe intellectual disabilities and may also lead to digestive disease, congenital heart defects and other malformations.
Trisomy 18 (Edwards syndrome) and Trisomy 13 (Patau syndrome) are associated with a high rate of miscarriage. These babies are born with severe brain abnormalities and often have congenital heart defects as well as other birth defects. Most affected individuals die before or soon after birth and very few survive beyond the first year of life.
The testing is non-invasive: it involves taking a blood sample from the mother. The pregnancy is not put at risk of miscarriage, or from other adverse outcomes that are associated with invasive testing procedures such as amniocentesis.
Clinical studies have shown exceptional accuracy for detecting fetal trisomies.
A ‘HIGH RISK' result is indicative of a high risk for a trisomy. The test identifies more than 99% of fetuses with trisomy 21, 97% of fetuses with trisomy 18, and 94% of fetuses with trisomy 13.
After the test, the number of women required to have a CVS or an amniocentesis is less than 1%.
It is important to note that if the test results show there is a HIGH risk that the fetus has trisomy 21, 18 or 13, it does not mean that the fetus definitely has one of these conditions, although it is highly likely. For this reason, in the event of a ‘high risk' (or positive) result, follow-up testing by an invasive procedure is recommended In the same way if the test results show that there is a ‘LOW RISK' that the fetus has trisomy 21, 18 or 13, it is unlikely that the fetus has one of these conditions.
However there is a very small risk that not all trisomy fetuses will be detected. All results should be interpreted by a clinician in the context of clinical and familial data: patients should continue with their usual scan appointments following testing.
Who can have the test?
The test is suitable for any woman who has had an ultrasound scan to confirm that her pregnancy is either singleton or twins, that the fetus is alive, and that the fetal length is equivalent to a gestation of 10 weeks or more.
The test can now be done in Twin pregnancies and in IVF pregnancies.
The results will be ready in approximately 7 -10 days and the results are normally sent on email.
Any unusual findings are however discussed with the patients over the phone. It is recommended that patients also have a NT scan either within the NHS or privately in order to measure the thickness of the NT.This will be discussed with you at the Harmony scan appointment.
The risk calculated from the NT plus bloods ie. 1 in something chance, can be ignored in favour of the Harmony test result.
On the basis of the NIPT result and the ultrasound findings, a patient can decide whether or not she wants to have an invasive procedure (for example, CVS or amniocentesis).
There needs to be enough fetal DNA in the maternal blood to be able to provide a result. If there is insufficient fetal DNA in the sample (occurring in 3-5% of cases), another blood sample from the mother may be required.
This will be processed in the laboratory at no extra charge.
What is the process?
Once you have taken an independent personal decision that you want to have the NIPT prenatal test performed, you will be asked to sign a consent form and your blood sample can be taken from a vein in your arm along with a brief scan to confirm dates/viability. If you are having the test in our Essex clinic, we will give you your sealed sample in a prepaid addressed package to post via Royal Mail.
Who carries out the analysis of the test?
We will send your blood sample along with your personal information (including name, date of birth, gestational age) to The Doctors Laboratory based in London, UK, which has an arrangement with a company called Ariosa Diagnostics Inc, based in San Jose, USA.
Ariosa will perform their NIPT test called HarmonyTM Prenatal Test on the DNA extracted from your blood sample at a London-based laboratory.
Do I need to have any other tests?
The NIPT prenatal test does not provide information on other rare chromosomal abnormalities. If the ultrasound scan shows a high nuchal translucency or other major physical defects such as brain abnormalities, heart abnormalities, the risk for some rare chromosomal defects may be high. In such cases, you may choose to have a CVS or an amniocentesis.
The NIPT prenatal test does not provide information on other physical defects such spina bifida, or information on fetal growth. It is therefore advisable that you have all the usual ultrasound scans during your pregnancy.
Do I get any other information from the test?
If you wish, you can choose to know baby's Gender from the blood test - as the lab can look at the Sex chromosomes if requested for no extra charge.
If you are expecting twins and you wish to know the Gender, we can ask for this to be assessed. If the result comes back as 'FEMALE' then both twins are female. If the result comes back as 'MALE' then either one or both twins are male.
The IONA NIPT blood test : From 10 weeks onwards £399.00
The IONA Test includes the following:
30 minute appointment
Dating/viability Scan (brief, not chargeable)
4 black and white prints of baby
Accurate results down to 2% fetal fraction : reduced failure rate
The results will be ready in approximately 2- 5 working days and the results are normally sent by email. Any unusual findings will be discussed with you and our Clinical Director
The IONA® test estimates the risk that a fetus is affected with Down’s syndrome (Trisomy 21), Edwards’ syndrome (Trisomy 18) or Patau’s syndrome (Trisomy 13) by analysing placental cell-free DNA (cfDNA) isolated from a sample of the mothers’ blood.
In each of these syndromes the cfDNA will include an extra copy of the chromosome concerned (e.g. in Down’s syndrome three copies of chromosome 21 are found rather than the two expected to be found in an unaffected fetus). A small blood sample (10ml) is taken for analysis by Whole Genome Sequencing.
The IONA® test is developed and performed by Yourgene Health, based in Manchester, UK and it is also known as the SAFE test offered by the NHS for high risk pregnancies.
During pregnancy, the placenta leaks cell-free DNA which circulates in the maternal bloodstream. As a result, a maternal blood sample contains a mixture of fetal and maternal circulating DNA.
The IONA® test directly measures the amount of cell-free DNA and can detect small changes in the DNA ratio between the maternal and cell-free DNA when a fetal trisomy 21, 18 or 13 is present. The IONA® test has an accuracy rate of >99%.
In dichorionic twins, scientific publications suggest, that the test sensitivity is reduced from >99% to about 95%. In the case of a high-risk result, the screening test cannot determine which twin is affected and further testing would be required.
The IONA® test is a screening test and all high-risk results should be confirmed by a follow-up invasive procedure. If fetal sex determination is requested, the accuracy is greater than 99%. A “sex determination failure” result may be reported if there is insufficient data to support the sex determination analysis. A “sex determination failure“ does not impact the trisomy result.
You can have the IONA® test if you are: At least 10 weeks pregnant, carrying a singleton or a twin pregnancy and became pregnant naturally or through IVF, donor egg or surrogate pregnancy.
The test is not suitable if:
• You are a recipient of an organ transplant
• You have received any treatment involving the transfusion of heterologous cells in the last 12 months, for example a white cell blood transfusion or stem cell therapy,
• You have cancer,
• You carry a chromosomal imbalance
While the results of the IONA® test are highly accurate, discordant results may occur due to conditions affecting the pregnancy that you are unaware of such as placental or fetal mosaicism for a trisomy or a vanishing twin (If you are aware of any of these conditions, please indicate this on the test request form).
The IONA® test is also not suitable for expectant mothers with complete or partial monosomy X (Turner syndrome). If a sample is received with this condition and generates a result indicative of monosomy X then the healthcare professional will be informed that a repeat test is not recommended for this reason.
Prenatal Paternity DNA Testing
Paternity DNA testing can help you finally put to rest any doubts about the paternity of your child.
A paternity test works by comparing a child's DNA profile with that of an alleged father and the mother's DNA.
Because a child inherits half of his or her DNA from each biological parent, such a comparison reveals whether the child could have inherited DNA from the alleged father. When individuals are biologically related as parent and child, their DNA profiles show predictable patterns of genetic inheritance.
This test can be done from 9 weeks of pregnancy onwards and is provided by DDC, the leading DNA testing laboratory at our Marlow clinic.
Legal DNA Paternity Test
If you need a paternity test for any legal purpose, this test can help.
Clients may use their legal paternity test results to settle family law matters (such as child support, child custody, and visitation disputes), resolve inheritance disputes, and satisfy immigration requirements.
The legal paternity testing service follows a strict chain of custody ; this is what makes the test results legally defensible in courts of law. The chain of custody is a documentation process that shows:
The samples were collected by a neutral third party - (The Baby Scan Studio)
The tested parties were appropriately identified at their sample collection appointment(s).
The samples were protected with tamper tape at the collection site and were securely packaged for shipping to the laboratory. Once received by the lab, they were thoroughly inspected for tampering
With 100% accuracy, the results of a DNA paternity test-whether performed through a legal chain of custody or private sample collection -will reveal whether or not the tested alleged father is the biological father of the child.
A paternity test has two possible results. Each result is indicated by the Probability of Paternity listed on the result report.
A Probability of Paternity of 99% or higher means the alleged father is not excluded as the biological father of the child. DNA Diagnostics Centre routinely achieves probabilities well above 99.99% for paternity tests.
A Probability of Paternity of 0% means the alleged father is excluded as the biological father of the child. In other words, he is not the father.
How much does it cost and what is involved?
The complete service costs £899.00.
To have the paternity test, you book an appointment at one of our clinics in confidence. At the appointment, the mother and alleged father each have blood samples taken from their arms and the samples are placed in a tamper-free container by the staff at the clinic. The Mother and alleged father also complete a short form which the staff can help you with.
The Mother and alleged father must each bring with them a government issued photo ID which we photocopy and send with the samples.
Suitable ID is: Drivers Licence, Passport and Military ID.
The ID should contain the party's name and date of birth
If no qualified ID is provided, then a recent photograph of the patient is required
For all patients under 18 years of age, a recent photograph must be included
Results from the test are available in 8-10 working days from the samples being received in the lab.
You can choose to have your result via email, Post or Phone.
The results are 99.9% accurate.
Rarely, in about 5% of cases, when the samples are received at the lab, there is not enough genetic material available for analysis - so the lab would request the bloods to be re-done at no extra charge.
Blood Taking Services
We are able to take blood samples weekly from our clinic in Marlow by appointment only. Call 01628 486264 to make an enquiry or to book. Results can be emailed for convenience. Please call for a more comprehensive list of tests available.
Here is a list of the commonly requested samples:
Please note Laboratory processing times quoted below are from
when the sample reaches the laboratory.
AMH • £155.88 • 2 days
B12 and Red Cell Folate • £133.40 • 2 days
Beta HCG (Quantative) • £72.50 • 4 hours
CA125 • £151.52 • 4 hours
Female Hormone Profile (LH, FSH, Prolactin, Oestradiol) • £179.08
Full Blood count • £58.00 • 4 hours
FSH • £65.25 • 4 hours (on day 3 of cycle)
LH (Luteinising Hormone) • £65.25 • 4 hours
Oestradiol • £65.25 • 4 hours
Menopause Profile • £179.08 • 4 hours
Polycystic Ovary Syndrome Profile • £695.28 • 5 days
Progesterone • £65.25 • 4 hours
Prolactin • £65.25 • 4 hours
Rubella Antibody £57 • 4 hours
TSH • £65.25