‘It’s Just One of the Best Tests that We’ve Got at the Moment’: the Presentation of Nuchal Translucency Screening for Fetal Abnormality in Pregnancy

2004 ◽  
Vol 15 (4) ◽  
pp. 451-465 ◽  
Author(s):  
Alison Pilnick
2020 ◽  
Vol 69 (3) ◽  
pp. 281-291
Author(s):  
Matteo Gulino ◽  
Gianluca Montanari Vergallo ◽  
Rosagemma Ciliberti ◽  
Antonio G. Spagnolo

Brain death in pregnancy (BDinP) has been described in literature as a “rare event” and “hopeless condition for patients”, who has a devastating potential to negatively affect the poetry of the moment of welcoming a new human life to the world. Clinical consequences of BDinP are extremely dangerous for the life of a foetus that, without prompt medical actions, is doomed to suffer the same fate as the mother. Modern medical techniques make it possible to maintain basic vital functions of the pregnant woman for months, in order to achieve a level of development of the foetus. Although maternal somatic support requires the consideration of specific medical parameters, from a bioethical standpoint, this option gives rise to multiple ethical and social implications. In this manuscript, we identify the main ethical and social implications about maternal somatic support, including the potential impact on the clinical practice of medical staff, and discuss some Italian high-impact media cases.* The authors contributed equally to the work.


2018 ◽  
Vol 2018 ◽  
pp. 1-11 ◽  
Author(s):  
Vidhi Rawat ◽  
Alok Jain ◽  
Vibhakar Shrimali

Ultrasound (US) image segmentation methods, focusing on techniques developed for fetal biometric parameters and nuchal translucency, are briefly reviewed. Ultrasound medical images can easily identify the fetus using segmentation techniques and calculate fetal parameters. It can timely find the fetal abnormality so that necessary action can be taken by the pregnant woman. Firstly, a detailed literature has been offered on fetal biometric parameters and nuchal translucency to highlight the investigation approaches with a degree of validation in diverse clinical domains. Then, a categorization of the bibliographic assessment of recent research effort in the segmentation field of ultrasound 2D fetal images has been presented. The fetal images of high-risk pregnant women have been taken into the routine and continuous monitoring of fetal parameters. These parameters are used for detection of fetal weight, fetal growth, gestational age, and any possible abnormality detection.


Midwifery ◽  
2004 ◽  
Vol 20 (1) ◽  
pp. 82-93 ◽  
Author(s):  
Alison M Pilnick ◽  
Diane M Fraser ◽  
David K James

2002 ◽  
Vol 13 (4) ◽  
pp. 277-291
Author(s):  
Charlotte EC Kingman ◽  
Demetrios L Economides

With the advent of nuchal translucency as a screening test for trisomy 21, increasing numbers of women are having an ultrasound scan between 11 and 14 weeks. The RCOG Working Party (July 2000) recommendations for ultrasound in pregnancy do not mention a first trimester scan for nuchal translucency or fetal anatomy. However, this scan is not just an opportunity to perform nuchal translucency; many structural abnormalities can also be seen at this stage.


2021 ◽  
Vol 19 (3) ◽  
pp. 23-30
Author(s):  
Lidia Felska-Błaszczyk ◽  
◽  
Beata Seremak ◽  

The study was aimed to evaluate a possible effect of body condition of female farmed mink (Neovison vison) at the moment of conception on their prospective reproduction and behavior. 601 Perl mink females at age 1 and 2 years were assigned to one of five groups according to their body condition. The following parameters were analyzed: gestation and diapause lengths, litter size, live-born litter size, number of weaned per litter, female barrenness, and the incidence of fur-chewing. The effect of body condition was more pronounced in yearling females, where the largest litters, the highest number of live-born per litter, and the highest weaning success were found in the group with the ideal body condition. In both age groups, the shortest pregnancies and diapause periods were observed in the thinnest females. Fur-chewing was most often noticed in either the thinnest or the most obese animals; females of these groups also exhibited the highest rates of barrenness. Consequently, the lowest incidence of fur-chewing, female barrenness were found in females with ideal body condition.


1934 ◽  
Vol 30 (10) ◽  
pp. 1020-1023
Author(s):  
V. K. Tchaikovsky ◽  
R. B. Turetskaya

It is known that, apart from the colossal enlargement of the uterus due to hypertrophy and hyperplasia of its muscle fibers, there is no organ in the body of a pregnant woman whose cells have not changed in their structure and function on the grounds of pregnancy. The biological factors of pregnancy-attack and defense arise at the moment of implantation of the fertilized egg, hence the moment when the foreign protein enters the female body. Drawing a parallel between the body's defense in pregnancy and the phenomena of immunity presented tempting prospects.


2018 ◽  
Vol 04 (01) ◽  
pp. e1-e6
Author(s):  
Jessica Scholl ◽  
Stephen Chasen

Objective To evaluate the utility of ultrasound in identifying fetuses with uncommon chromosomal abnormalities that would be considered not detectable by cell-free fetal deoxyribonucleic acid (cfDNA). Study Design We performed a retrospective study of fetuses with chromosomal abnormalities that would be undetectable by cfDNA, who underwent an 11- to 14-week ultrasound from 2006 to 2016. Results There were 43 pregnancies included. First-trimester ultrasound revealed a fetal abnormality in 19 (44.2%) cases, of which 13 (30.2%) had a thickened nuchal translucency. There were an additional four fetuses with second-trimester sonographic abnormalities. Overall, 23 (53.5%) fetuses were found to have a major anomaly diagnosed by ultrasound. The rate of first-trimester sonographic abnormalities varied widely based on category of chromosomal abnormalities with high rates seen with triploidy (87.5%) and autosomal trisomy (80%) and lower rates seen with structurally abnormal chromosomes (33.3%), trisomy mosaicism (27.3%), other forms of mosaicism (11.1%), and deletions or duplications (25.0%), p < 0.001. Conclusion The majority of fetuses with uncommon chromosomal abnormalities in our cohort had major sonographic anomalies. The use of first-trimester ultrasound with nuchal translucency measurement may offer utility in identifying fetuses with risk of aneuploidy that would not be detectable with cfDNA.


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