Extremely large nuchal translucency measurement predicts adverse pregnancy outcome

被引:12
作者
Pitkanen, S. [1 ]
Laitinen, P. [4 ]
Yla-Outinen, A. [2 ]
Heikkila, M. [3 ]
Honkasalo, T. [1 ]
Ryynanen, M. [1 ]
Marttala, J. [1 ]
机构
[1] Oulu Univ Hosp, Dept Obstet & Gynecol, Oys 90100, Finland
[2] Pori Cent Hosp, Pori, Finland
[3] Seinajoki Cent Hosp, Seinajoki, Finland
[4] Helsinki Univ Hosp, Dept Clin Chem & Hematol, Helsinki, Finland
关键词
Down syndrome; 1st trimester; nuchal translucency; singleton pregnancy; ultrasound screening; FETUSES; TRIMESTER;
D O I
10.3109/01443615.2014.935713
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
A prospective study was conducted to determine the outcome of pregnancies with 1st trimester nuchal translucency measurement of >= 6.5 mm. The risk of fetal abnormalities increases with enlarging nuchal translucency, being around 45% with a measurement of >= 6.5 mm. A total of 27,144 women with singleton pregnancies participated in the combined Down syndrome screening within the public healthcare system in Northern Finland. The study period was 1 May 2002 to 31 May 2009. The nuchal translucency measurement was >= 6.5 mm in 16 cases (0.06%). Pregnancy outcome was normal in one case (6.3%). The risk of abnormality was higher in our study than reported in the literature. According to our study, immediate diagnostic tests should be offered after an nuchal translucency measurement of >= 6.5 mm. We should also consider analysis of fetal micro-deletions associated with certain syndromes.
引用
收藏
页码:22 / 24
页数:3
相关论文
共 9 条
[1]  
[Anonymous], 11 14 WEEK SCAN DIAG
[2]   Increased nuchal translucency thickness and normal karyotype:: time for parental reassurance [J].
Bilardo, C. M. ;
Muller, M. A. ;
Pajkrt, E. ;
Clur, S. A. ;
Van Zalen, M. M. ;
Bijlsma, E. K. .
ULTRASOUND IN OBSTETRICS & GYNECOLOGY, 2007, 30 (01) :11-18
[3]   Increased nuchal translucency in euploid fetuses-what should we be telling the parents? [J].
Bilardo, C. M. ;
Timmerman, E. ;
Pajkrt, E. ;
van Maarle, M. .
PRENATAL DIAGNOSIS, 2010, 30 (02) :93-102
[4]   Is there a nuchal translucency millimeter measurement above which there is no added benefit from first trimester serum screening? [J].
Comstock, Christine H. ;
Malone, Fergal D. ;
Ball, Robert H. ;
Nyberg, David A. ;
Saade, Georqe R. ;
Berkowitz, Richard L. ;
Ferreira, Jose ;
Dugoff, Lorraine ;
Craigo, Sabrina D. ;
Timor-Tritsch, Ilan E. ;
Stephen, R. Carr ;
Wolfe, Honor M. ;
Bianchi, Diana W. ;
D'Alton, Mary E. .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 2006, 195 (03) :843-847
[5]   FETAL NUCHAL TRANSLUCENCY - ULTRASOUND SCREENING FOR CHROMOSOMAL DEFECTS IN 1ST TRIMESTER OF PREGNANCY [J].
NICOLAIDES, KH ;
AZAR, G ;
BYRNE, D ;
MANSUR, C ;
MARKS, K .
BRITISH MEDICAL JOURNAL, 1992, 304 (6831) :867-869
[6]   Perinatal outcome in fetuses with extremely large nuchal translucency measurement [J].
Scott, Fergus ;
Evans, Jackie ;
McLennan, Andrew .
AUSTRALIAN & NEW ZEALAND JOURNAL OF OBSTETRICS & GYNAECOLOGY, 2009, 49 (03) :254-257
[7]   Neurodevelopmental outcome of fetuses with increased nuchal translucency and apparently normal prenatal and/or postnatal assessment: a systematic review [J].
Sotiriadis, A. ;
Papatheodorou, S. ;
Makrydimas, G. .
ULTRASOUND IN OBSTETRICS & GYNECOLOGY, 2012, 39 (01) :10-19
[8]   Outcome of pregnancy in chromosomally normal fetuses with increased nuchal translucency in the first trimester [J].
Souka, AP ;
Krampl, E ;
Bakalis, S ;
Heath, V ;
Nicolaides, KH .
ULTRASOUND IN OBSTETRICS & GYNECOLOGY, 2001, 18 (01) :9-17
[9]  
van der Putte S C, 1975, Adv Anat Embryol Cell Biol, V51, P3