Ultrasound screening in the first trimester of pregnancy



Document title: Ultrasound screening in the first trimester of pregnancy
Journal: Belize journal of medicine
Database: PERIÓDICA
System number: 000418449
ISSN: 2225-8116
Authors: 1
Institutions: 1Hospital Ramón Sarda, Buenos Aires. Argentina
Year:
Season: Feb
Volumen: 1
Number: 2
Pages: 5-9
Country: Belice
Language: Inglés
Document type: Artículo
Approach: Analítico
English abstract Fetal nuchal translucency thickness (NT) at 11–13+6 weeks scan has been combined with maternal age to provide an effective method of screening for trisomy 21; for an invasive testing rate of 5%, about 75% of trisomic pregnancies can be identified. When maternal serum free ß-human chorionic gonadotropin (ß-hCG) and pregnancy-associated plasma protein-A (PAPP-A) at 11–13+6 weeks are also taken into account, the detection rate of chromosomal defects is about 85–90%.It was found that in 60–70% of fetuses with trisomy 21, the nasal bone is not visible in the 11–13+6 weeks scan and examination of the nasal bone can increase screening detection rate by the first trimester scan and serum biochemistry to more than 95%. In addition to its role in the assessment of risk for trisomy 21, increased nuchal translucency thickness can also identify a high proportion of other chromosomal defects and is associated with major abnormalities of the heart and great arteries, and a wide range of genetic syndromes
Disciplines: Medicina
Keyword: Ginecología y obstetricia,
Diagnóstico,
Genética,
Ultrasonido,
Tamizaje,
Anomalías cromosómicas,
Translucidez,
Trisomía 21,
Gonadotropina coriónica humana (hCG),
Amniocentesis
Keyword: Gynecology and obstetrics,
Diagnosis,
Genetics,
Ultrasound,
Screening,
Chromosomal abnormalities,
Translucency,
Trisomy 21,
Human chorionic gonadotropin (hCG),
Amniocentesis
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