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18-19. weekly 
ultrasound screening

Fetal Down's disease screening by ultrasound in the second trimester
Down's disease can have severe or mild physical signs not only in the newborn period, but also during life in the womb (so-called major and minor signs). Most of these signs are the early appearance of recognizable signs in newborns and infants. Such a major sign is, for example, a thicker neck fold, a smaller nasal bone, heart defects, intestinal obstruction, etc. In some cases, these characteristics can also be seen during an ultrasound examination, thus helping to recognize fetuses with Down syndrome in utero. Their detection does not mean a certain diagnosis, they only increase the probability of Down syndrome.
It is important to know that only 25% of Down's syndrome fetuses show major signs on the second trimester ultrasound screening. The efficiency of the filter is the so-called it can be further increased by examining minor signs (e.g.: kidney enlargement, cerebral ventricle enlargement, echogenic bowel, short femur, abnormal course of the right subclavian artery, abnormal fluid collection in the body cavity, prenasal edema, etc.), which are shown by 50-60% of Down's syndrome fetuses. By itself, the effectiveness of the second trimester ultrasound screening for Down's disease, by examining the above major and minor signs, is approx. 50-75%.
If the pregnant woman's pregnancy is 11-13. between seven weeks, there was a combined test performed by an FMF audited examiner and a biochemical test, so its screening efficiency of 90% is increased by the second trimester genetic ultrasound to 92-93%. In this case, please bring the 18-19. the results of your first trimester combined test for a weekly ultrasound.

Abnormality (malformation) screening with ultrasound in the second trimester - 18-19. week fetal genetic ultrasound

The pregnancy is 18-19. The ultrasound examination carried out during the week of Its aim is to examine as many anatomical structures of the fetus as possible. We examine the heart, lungs, spine, face and skull, brain structures, internal organs, limbs, abdominal wall, etc. as well as many small signs that may indicate the existence of some abnormality or chromosomal error. We can also state the amount of amniotic fluid and the position of the placenta. At this age, the gender of the fetus can also be determined.

During the examination, we also measure the length of the cervix (cervix measurement) in order to predict premature birth and assess any risk factors based on the mother's anamnestic data. The importance of the measurement lies in the fact that 1 out of every 10 newborns in Hungary is born prematurely. The earlier a baby is born, the greater the risk that problems will occur, e.g. vision, hearing, breathing and nervous system, learning, behavior and behavior disorders.

Among the unrecognized developmental disorders, the leading role is played by congenital heart malformations, which affect nearly 1% of newborns. Considering that fetuses with heart defects 90% come from the low-risk pregnant population, it is important to have a fetal echocardiogram screening performed at the appropriate level (FMF audited examiners). The 18-19. 90% of serious developmental abnormalities and heart defects can be screened out during a weekly ultrasound examination by a suitably qualified examiner.

During fetal life, there are also abnormalities that are not yet detectable in the second trimester ultrasound scan, these are the so-called late-appearing abnormalities (become apparent after the 24th week). These can occur for two reasons:

  • the further development/growth of a given anatomical structure, which was developing well until then, later falls short of normal (e.g. microcephaly, microphthalmia, heart valve stenosis, etc.)
  • a disorder that is mild, in an early stage and therefore does not show abnormalities on an ultrasound examination, becomes more severe and thus becomes recognizable in the third trimester (e.g. tumors, achondroplastic dwarfism, intestinal blockages, some kidney disorders, some heart defects, etc.)

The 18-19. weekly ultrasound screening conditions

The second trimester fetal ultrasound examination is one of the most important examinations during pregnancy, which is why it is essential to carry out the examination with sufficient thoroughness and competence. The quality of the second trimester screening is considered acceptable if the examiner, 18-22. from week-old fetal ultrasound With FMF exam and accreditation, or MSZNUT advanced license exam and:
  • has the necessary knowledge to assess the anatomy of the fetus,
  • performs regular ultrasound screening tests,
  • participates regularly, annually in related domestic and foreign further trainings,
  • has adequate consultative options in suspicious or abnormal cases,
  • sufficient amount of time is available to carry out the screening,
  • the examinations are carried out with the most modern, high-resolution ultrasound device with color/power-doppler function.

Do you need a gynecological or obstetrical examination? Make an appointment today Debrecen obsession from Nyíregyháza to our diagnostic center!

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