Karthik Ultrasound Scan Centre provides ultrasound training to identify fetal Course Fee: 80,/- with Taxes as applicable, Chq/DD in favor of Karthik. Under Ultrasonography, a variety of tests and scans are done which reveals vital Determine the pregnancy dating; Assess risk for Down Syndrome and other. CERTIFICATION COURSE ON ANTENATAL SURVEILLANCE. PROF. Understand ultrasound evaluation of fetal growth. Bangalore Fetal Medicine. Centre.
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However, age does play an important role in the health of your child.
Down syndrome, one of the most common disorders that can develop during a late pregnancy, can also be detected with an early diagnosis. Maternal age at delivery and risk Early testing can help prevent the possibilities of delivering an unhealthy baby.
Hence, screening tests are suggested for all pregnant women. It is a combination of Ultrasound Nuchal Translucency and a maternal blood test. If women miss out on the first trimester serum screening, a quadruple test could be offered for women between 16th to 22nd weeks. It detects Down syndrome in 6 out of 10 cases, but is still offered to women who are booked later in pregnancy.
These tests help determine if the women are at high or low risk of delivering a baby with Down syndrome. The high risk women are subjected to more definitive invasive testing which involves direct fetal sample testing. Invasive Testing This includes: CVS is a form of prenatal diagnosis to determine chromosomal or genetic disorders.
Done between weeks, CVS involves the examination of chorionic villi placental tissue. Both the baby and placenta after birth originate from the same cell and so the chromosomes present in the cells of the placenta are the same as those of the baby.
Amniocentesis Done between weeks, Amniocentesis involves passing a thin needle into the uterus in order to remove fluid from around the foetus. This test provides reliable information about: Rh disease, or blood compatibilities between the mother and the baby Genetic disorders Abnormal brain or spinal cord development, or neural tube defects Foetal maturity towards the end of pregnancy Foetal blood sampling or Cordocentesis Foetal blood sampling involves passing a thin needle into the uterus down to the umbilical cord, where it attaches to the placenta.
A small amount of blood is taken for the test and the results are known within days. Performed during 15 to 20 weeks of pregnancy, this blood test detects neural tube defects. Neural tube defects are abnormalities in the brain or spinal cord of the foetus. Defects in the Central Nervous System of the foetus occur when the neural tube fails to close as the foetus develops.
With a family history or previous pregnancies with the same problem, the foetus is at a greater risk of developing a high AFP reading.
All prenatal tests do not help diagnose these defects.
Prenatal diagnosis of hypophosphatasia congenita using ultrasonography
Only 1 or 2 of 50 babies actually have neural tube problems. Various other temporary foetal conditions can also cause a high AFP reading.
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Therefore, we highlight the importance of familiarity with antenatal imaging findings of this lethal condition in avoiding maternal morbidity, decreasing the corresponding financial burden on the patient, and providing genetic counseling and help for planning the next pregnancy.
Case Report A year-old female, gravida 4, para 1, with a history of two previous first trimester abortions and one living male child, came to our services for routine antenatal care; at that time, she had been married to one of her second-degree cousins for 6 years. She was advised to undergo a first trimester dating scan followed by an anomaly scan in the second trimester. The second trimester scan was performed at 19 weeks according to her last menstrual period and revealed a single live intrauterine fetus with unstable lie and mild polyhydramnios amniotic fluid index, 27 cm.
The fetal parameters of biparietal diameter 47 mm corresponding to Bilateral femora were short The humeri on both sides were short as well 10 mm and 9.
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The femora and the humeri measured below the fifth percentile. The tibia, fibula, ulna, and radius could not be measured on either side because they were sonolucent. The demarcation between the forearm and arm and the leg and thigh Fig. There was no evidence of fracture or callus formation.
The cranium showed no acoustic shadowing Fig. The vertebral bodies revealed decreased mineralization Fig.
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The fetal thorax was extremely narrow with a ratio of the thoracic diameter to the abdominal diameter of 0. However, the trunk length was normal 3. Furthermore, we observed bone spurs in the lower limbs Fig.Ultrasound Course of Gynecology Part 01