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. 2019 Feb 19;19(4):1–166.

Table 27:

Expected Target Population for Prenatal Screening in Ontario

Population Year 1 Year 2 Year 3 Year 4 Year 5
Total newborns 150,204 151,706 153,223 154,755 156,303
Newborns from a multiple-gestation pregnancy 4,730 4,730 4,730 4,730 4,730
Total singleton births 145,474 146,976 148,493 150,025 151,573
Births to average-risk pregnant peoplea 138,200 139,627 141,068 142,524 143,994
Average-risk pregnant people at 12 weeks’ gestationb 142,346 143,816 145,300 146,800 148,314
Average-risk pregnant people who choose prenatal screeningc 96,602 97,600 98,607 99,625 100,653
  First trimester (90%) 87,116 88,016 88,924 89,842 90,769
  Second trimester (10%) 9,486 9,584 9,683 9,783 9,884

Note: Some numbers may appear inexact due to rounding.

a

According to data for 2014–2016 from the Better Outcomes Registry and Network (BORN), 4.2% of people were ≥ 40 years old at time they delivered.82 Assuming that a very small proportion of pregnant people had a previous pregnancy with a chromosomal anomaly, approximately 95% of people would fall into in the average-risk category.

b

Assuming a spontaneous pregnancy loss background risk of 3% between 12 weeks (first trimester) and term, 94,99 we estimated that the number of average-risk people with a singleton pregnancy during the first trimester would be approximately equal to the estimated number of average-risk people multiplied by 1.03 (e.g., 138,200 × 1.03 = 142,346 in year 1).

c

The uptake rate for prenatal screening is approximately 68% among average-risk pregnant people in Ontario (BORN data).