Antenatal Screening

As part of your antenatal care you will be offered several routine blood tests including a full blood count, blood group, Rhesus RhD factor, antibody screening for Hepatitis B and C, Rubella immunity, HIV and Syphilis. You may also be asked to provide a urine sample to be screened for infection. Your GP will discuss with you the different ultrasounds performed during pregnancy. There are three main types of ultrasound offered to pregnant women;. Dating scans are used to confirm how many weeks pregnant you are and your estimated due date, particularly for women who are unsure of the date of their last menstrual cycle or if they have irregular menstrual periods. It is usually performed between weeks of pregnancy but can be performed anytime from 6 weeks onward. Baby Centre Australia — Dating scans. This type of scan is used to detect the risk of a number of chromosomal abnormalities and is performed between the 11 th and 14 th week of pregnancy.

Your pregnancy – What to expect

This examination has become extremely important in the early diagnosis of congenital anomalies and chromosomal disorders. Combined with 1st trimester biochemistry, it is the most sensitive, non-invasive risk assessment for aneuploidy currently available in Australia. The test should be preceded by appropriate counselling in all cases. All women are at risk of having an aneuploid fetus.

Many international professional organisations suggest the 12 Week NT Assessment be offered to all pregnant women regardless of age due to the benefits of early aneuploid detection and reduction in unnecessary prenatal invasive testing. A local Accreditation Board has been established in Australia since for the training, monitoring, auditing and supervision of this examination.

Women who are unsure of their dates are recommended to have a dating scan before the screening test. Who performs the scan? The nuchal translucency scan is.

Editor —I would like to address two issues raised by Venn-Treloar in her comments about screening for nuchal translucency without the consent of the mother. However, I would argue that an inspection for fetal anomalies, including measurement of nuchal translucency, generates such a diagnosis. Patients presenting for ultrasound scanning expect the operator to perform a detailed examination to confirm fetal health. The benefit of early diagnosis of fetal anomalies is that information can be provided to enable couples to consider various options and to allow appropriate plans to be made for treatment and follow up.

Outcome depends on the recognition of the potential severity of defects; these defects fall into four groups. In lethal conditions, such as anencephaly, the couple may wish to consider the options of terminating or continuing the pregnancy. In disorders that are not lethal but are associated with death, such as diaphragmatic hernia, planned delivery in a centre with appropriate neonatal intensive care facilities will optimise neonatal outcome. In abnormalities that are associated with childhood morbidity such as hydronephrosis, and which may lead to renal failure due to urinary tract infections, prenatal diagnosis provides the opportunity for early postnatal treatment.

Nuchal Translucency Screening Test

Nuchal translucency NT is the sonographic appearance of a collection of fluid under the skin behind the fetal neck in the first-trimester of pregnancy. The term translucency is used, irrespective of whether it is septated or not and whether it is confined to the neck or envelopes the whole fetus. In fetuses with chromosomal abnormalities, cardiac defects and many genetic syndromes the NT thickness is increased.

The Fetal Medicine Foundation FMF has introduced a process of comprehensive training, support and audit for the proper implementation of early screening for chromosomal abnormalities. The FMF advocates that effective screening requires:.

The use of NT measurement in prenatal screening for Down syndrome Anatomy — The term “nuchal translucency” refers to the hypoechoic.

A nuchal translucency screening, or NT screening, is a specialized routine ultrasound performed between week 11 and week 13 of pregnancy. Fetuses with increased fluid at the base of their necks — a spot known as the nuchal fold — may have a chromosomal problem such as Down syndrome. Nuchal translucency is a prenatal screening , which means the results can’t tell you for sure whether your child has a chromosomal disorder, only the statistical likelihood.

It’s often combined with a blood test to offer more insight into the relative odds of your baby being born with a genetic disorder. An NT screen is often part of routine prenatal testing during the first trimester and is recommended for all women. While it’s widely available, some areas especially rural ones may not have the machine and technicians with the experience to perform the procedure. NT screening must be performed between 11 and 13 weeks of pregnancy.

After that, the tissue gets so thick that it’s no longer translucent, making test results inconclusive. An NT is a special type of ultrasound using a highly sensitive ultrasound machine. A sonographer will first measure your baby from crown to rump to ensure that the fetal age is accurate.

Pregnancy & nuchal translucency ultrasound

Section 3. If it is not possible to obtain the nuchal translucency NT measurement at the first appointment, at least one other attempt should be offered. This may be on the same day or at a later date. The best time for women to have this scan is in early pregnancy between 11 weeks plus 2 days and 14 weeks plus one day crown rump length If the first attempt fails to obtain the measurement accurately, most ultrasound practitioners will ask the woman to:.

The nuchal (say “NEW-kuhl”) translucency screening is a test done during pregnancy. It uses ultrasound to measure the thickness of the fluid buildup under the.

Back to Your pregnancy and baby guide. All pregnant women in England are offered an ultrasound scan at around 8 to 14 weeks of pregnancy. This is called the dating scan. It’s used to see how far along in your pregnancy you are and check your baby’s development. Your midwife or doctor will book you a dating scan appointment. It will usually take place at your local hospital ultrasound department.

The person performing the scan is called a sonographer. You may need to have a full bladder for this scan, as this makes the ultrasound image clearer. You can ask your midwife or doctor before the scan if this is the case. Find out more about what happens during a pregnancy ultrasound scan.

Screening for nuchal translucency

Obstetric ultrasound is currently utilised as part of routine pregnancy care and is considered a safe examination without any known significant risks to the mother or baby. Ultrasound can be performed at various stages of the pregnancy and common types of examinations include:. Online Referring Telehealth information — Practitioners can now refer patients electronically for medical imaging.

images of a developing embryo or fetus. Learn about anatomy, dating, biophysical profile, nuchal translucency scans, what to expect, exam preparation, & more.

Normal babies accumulate fluid under the skin behind the head and neck between 9 and 14 weeks of pregnancy, however, excess fluid has been associated with chromosome abnormalities such as Down syndrome. The Nuchal Translucency NT tends to be larger in a baby that might be affected by a chromosome abnormality and it can be compared with what is expected for a baby of the same size NT Normal Range. The assessment of these elements age, blood, scan combined give us a comprehensive understanding of the likelihood of your baby being affected by a chromosome abnormality.

The levels can be assessed from a simple blood test taken from you either before or on the same day as the Nuchal Translucency ultrasound is performed. The results can be compared to the expected results in a pregnancy at the same gestational age. We recommend having your 12 — 14 week scan at the same time, there are many benefits to this scan including:. If your results indicate that you have an increased risk of a baby with a chromosome abnormality, you will be offered further prenatal testing.

Remember, any woman who falls pregnant can have a child with a chromosome problem, but the risk increases with age. For more information on Nuchal Translucency NT , as well as our comprehensive assessment NT — plus, please get in touch with us. You will need a copy of your referral to complete a booking. Due to the time required for some appointments, not all appointments can be booked online, for more information, please read our booking guideline.

Nuchal translucency scan

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This is known as ‘combined screening’ because it involves an ultrasound scan (​the ‘nuchal translucency scan’) and a blood test. The optimum time for the.

Learn about our expanded patient care options for your health care needs. Combined first-trimester nuchal translucency screening is a noninvasive screening test for fetal Down syndrome and trisomies 13 and Prenatal genetic counseling services are also provided in conjunction with first-trimester screening, if requested. If you are a health care provider referring your patient to Johns Hopkins for first-trimester screening, learn more here. Down syndrome and trisomies 13 and 18 are chromosomal disorders that cause intellectual disability and birth defects.

Trisomy 18 having an extra 18th chromosome and trisomy 13 having an extra 13th chromosome are more severe disorders that cause profound intellectual disability and severe birth defects in many organ systems. Few babies with trisomies 13 or 18 survive more than a few months.

Nuchal Translucency Patient Information Video