Results of fetal anomaly screening performed at 11–14 weeks of gestation at a tertiary center

Kinay, Tugba; Kaplan, Metin; Altay, Mehmet; Özdemirci, Şafak; Karadeniz, Sinan; Erol, Ahmet Okyar

doi:10.2399/prn.16.0242010

Cited by 3 publications

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“…The mean maternal age and advanced maternal age, mean gestational age and CRL were similar to the study by Karadeniz et al [3]. Previous studies have reported that visualization of fetal anatomy improves with gestational age.…”

Section: Discussionsupporting

confidence: 88%

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The Role of First Trimester Ultrasonography in Antenatal Care: A Study from a Single Perinatal Institute in India

Kunapareddy

Vavilala

2020

Journal of Fetal Medicine

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The aim of this study was to assess the role of ultrasound in first the trimester of pregnancy for confirmation of pregnancy, number of fetuses, chorionicity, amnionicity if multiples, viability, assessment of gestational age, identification of structural anomalies and assessment of risk for chromosomal abnormalities. This was a prospective observational study. All pregnant women registered within 13 ?6 weeks were offered a routine scan between 11 ?0 and 13 ?6 weeks. All scans were done by obstetricians, fetal medicine specialists or radiologists are accredited by the Fetal Medicine Foundation. All pregnant women undergoing 11 ?0 and 13 ?6 weeks scan were included. Women beyond 14 weeks of pregnancy and referrals from the other centres not delivered at our institute were excluded from the study. A total of 5923 scans were done between January 2016 and June 2017. Complete follow up was available for 2927 women (49.4%), 1925 (32.5%) are ongoing pregnancies and 1071 (18.08%) pregnant women were lost to follow up. The median maternal age in our study was 28 years and 349 (5.89%) mothers had advanced ([ 35 years) maternal age. Increased nuchal translucency (NT) ([ 95th percentile) was found in 272 cases (4.59%). Intra-uterine fetal death, miscarriages, termination of pregnancy and cardiac abnormalities were higher among women with an NT [ 95th percentile. Statistical analysis included calculation of p values and odd's ratio. Skull and brain abnormalities were found in 28 cases, cystic hygroma in 20 cases, abdominal wall and spine abnormalities in 16 cases each, bladder abnormalities in 12 cases and cardiac abnormalities in 9 cases. Among 2927 women, 85 (1.43%) were screen positive. After counselling, only 20 women underwent invasive testing. The 11 ?0 and 13 ?6 weeks scan helps in determination of fetal viability, gestational age, number of fetuses and chorionicity and screening fetuses at risk for trisomy by including screening for structural abnormalities and plan pregnancy/terminate accordingly.

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Section: Discussionsupporting

confidence: 88%

“…Among twin pregnancy, 20 cases had one sac empty/missed miscarriage/vanishing twin and continued as singleton pregnancies. Among singletons, 3 Distribution of screen positive women according to maternal age and gestational age has been shown in Table 2. The results of the study have been shown in Fig.…”

Section: Resultsmentioning

confidence: 99%

The Role of First Trimester Ultrasonography in Antenatal Care: A Study from a Single Perinatal Institute in India

Kunapareddy

Vavilala

2020

Journal of Fetal Medicine

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“…The congenital anomalies related with fetal neck and fetal nape include the anomalies related with fetal aneuploidies [increased nuchal translucency (NT), cystic hygroma, increased nuchal fold (NF)], [11] primary structural anomalies (laryngeal cyst/stenosis, atresia, proximal esophageal atresia and bronchogenic cysts), [12,13] functional anomalies (goiter), [14] presence of embryological remnants (thyroglossal duct cysts and branchial cleft cysts), [15,16] benign tumors (such as lymphangioma, [17] hemangioma, [18] hemangiopericytoma [19] and teratoma, [20] ) malign tumors (neuroblastoma [21] and rhabdomyoma [22] ), and many syndromes (Escobar syndrome, Yunis-Varon syndrome, Schinzel-Gledion syndrome [23] ). Therefore, this area always has been an important area for the examination of fetal anatomy since the first trimester.…”

Section: Discussionmentioning

confidence: 99%

Nomograms of the fetal neck circumference and area

Avci¹,

Polat²

2017

Perinatal J

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Fetal boyun çevresi ve fetal boyun alan› nomogram› Amaç: Türk popülasyonunda fetal boyun çevresi ve fetal boyun alan› için referans de¤er aral›klar›n› tespit edip nomogram olufltur-may› amaçlad›k. Yöntem: Bu prospektif çal›flmaya, tekil, normal gebelikleri olan 696 gebe kad›n dahil edilerek, 2007'de Sherer ve ark.'n›n tan›mla-d›¤› teknikle fetal boyun çevresi ve fetal boyun alan› ölçümleri ya-p›ld›. Bulgular: Fetal boyun çevresi ve fetal boyun alan› ölçümleri gestasyonel hafta ile yüksek korelasyon göstermekte idi. Fetal boyun çevresi için; FBÇ=-0.0012GH2 + 0.5312GH-1.9248 (R 2 =0.8403; p<0.01) ve fetal boyun alan› için FBA= 0.017GH2-0.073GH (R 2 = 0.8; p<0.01) denklemleri elde edildi. Sonuç: Bu çal›flma bize gebeli¤in ikinci ve üçüncü üç ay› için FBÇ ve FBA aç›s›ndan Türk popülasyonunda nomogram oluflturulma-s›n› sa¤lam›flt›r. Biz bu ölçümlerin gestasyonel haftan›n tayininde önemli bir prediktör olabilece¤ini düflünmekteyiz.

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Investigation of copeptin levels in foetal congenital central nervous system anomalies

Çilgin

2020

Journal of Obstetrics and Gynaecology

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Results of fetal anomaly screening performed at 11–14 weeks of gestation at a tertiary center

Cited by 3 publications

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The Role of First Trimester Ultrasonography in Antenatal Care: A Study from a Single Perinatal Institute in India

The Role of First Trimester Ultrasonography in Antenatal Care: A Study from a Single Perinatal Institute in India

Nomograms of the fetal neck circumference and area

Investigation of copeptin levels in foetal congenital central nervous system anomalies

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