Prenatal Screening Flashcards
How many antenatal conditions are screened for?
32
Dating scan?
11-14 weeks
What do you check in dating scan?
- Viability- check heartbeat, (2/3% have miscarried)
- Accurate dating- gauge how many weeks pregnant she is
- Multiple pregnancies (chorionicity)
- Diagnosis of major structural abnormalities (spins bifida, anencephaly)
- Screening for chromosomal abnormalities
Screening for edwards, pataus?
First semester- combined screening
Second semester-quad tests
Edwards is trisomy in?
18
Pataus syndrome is trisomy of ?
13
First semester combined screening?
Maternal age, nuchal translucency scan and blood test for biochemical markers pappa, BhCG
Can choose down and or Patau/Edward
Nuchal traslucency scan can only happen between lengths of?
45-84mm, crown rump length CRL
In normal babies biochemical markers vary?
Free B-hcg is greater and PAPPA is lower
In edwards or Pataus the biochemical markers are?
Lower, lower bhcg and pappa
In downs the biochemical markers are?
Lower bhcg and higher pappa
Maternal factors influencing for combined screening
Maternal age Gestational age Ethnicity Smoking IVF Multiple pregnancy Maternal weight Maternal diabetes Past history of chromosome abnormality Fetal sex Analytical imprecision
What is national cut off for high chance/low chance?
1 in 150
If high chance then result?
Phone within 3 working days offer further tests
Low chance result?
Letter within 2 weeks