Screening during pregnancy
Prenatal diagnostics during pregnancy
The ultrasonic method is the main way to evaluate ongoing pregnancy. Providing ultrasound diagnosis in the early stages is not obligatory for healthy couples. Unfortunately, the state of reproductive function of men and women in the modern world is progressively deteriorated, that leads to various reproductive disorders - including ectopic or non-developing pregnancy. In this case the value of ultrasonic diagnostics in the early 1st trimester can be hardly overestimated.
With vaginal ultrasoundtest, the pregnancy in the uterine cavity can be defined in 2.5-3 weeks from conception (obstetric period 4-5 weeks), and using a combination of ultrasound and biochemical methods (determination of B-hCG) allows to diagnose an ectopic pregnancy.
How much does the screening cost, prices in Kharkov
The cost of screening in the Clinic of Professor Feskov A.M. ® You can clarify this at coordinator by telephone numbers 0800 50 77 90 (057) 760 46 66 or via online consultation.
Ultrasound examination of pregnant women
In the clinic of professor Feskov A.M. ® you can make an ultrasound examination in any term of pregnancy - in the early 1st trimester, 1st screening (11 - 13+ 6 weeks.), 2d (17-19 weeks.), 3d (30-36 weeks. ) trimesters, and also prenatal echocardiography, doppler of utero-placental-fetal blood flow.
Large diagnostic possibilities are opened by the use of ultrasound scanner of expert class Voluson E8, which combines the best diagnostic possibilities and maximum safety codes for the patient.
Screening and its types
Screening is a complex of researches, aimed to identify persons, among whom the possibility of the presence of certain diseases is higher than in the rest of the subjects.
Prenatal screening includes the biochemical and ultrasound stages.
During the ultrasound screening of 1st trimester, it is assessed the signs (markers) of the chromosomal aberrations, the list of which is constantly updated.
Currently, they include nuchal translucency, nasal bone length, fronto maxillary angle, nature of blood flow in the ductus venosus and tricuspid valve (photo 1, photo 2, photo 3).
Using ultrasound systems of expert class, to which the Voluson E8 refers, the diagnostics of some congenital heart defects, central nervous system, etc. is possible. In addition, ultrasound examination in the 1st trimester allows you to predict the development of hypertensive complications, miscarriage, fetal growth retardation (examination of blood flow in the uterine arteries) photo 4.
Best time for the ultrasound screening of 2d trimester is 17-19 weeks, which allows, during the detection of fetal abnormalities, to conduct invasive prenatal diagnostics (amniocentesis) to determine fetal karyotype (for cytogenetic examination it is necessary 2-2.5 weeks). If detected during the ultrasound test disabling defects are incompatible with life, or have a syndromic character (associated with fetal chromosomal abnormality, such as Down's syndrome), the family has the right to decide about the pregnancy abortion untill 22 weeks.
Qualitatively made ultrasound screening of the 2d trimester allows to eliminate virtually serious malformations of the fetus, because most of them manifest before that period. It the terms of this screening at machine Voluson E8 with the HD Live technology, you can get a better photo and video of the fetus (photo 5, photo 6).
Doppler echocardiography of the fetus is made in terms of 24-26 weeks in cases, when during the II trimester screening, it was not possible to examine the heart (with increased weight of the mother, expressed uterus tone, oligohydramnios), also risk factors in the family - congenital heart disease in the family, diabetes, systemic lupus erythematosus, etc. Detection of pathological conditions of the cardiovascular system of the fetus allows to plan the birth of a child in the perinatal center with the possibility of providing cardiac care to the newborn.
Ultrasound screening of the 3d trimester is provided in the periods of 30-36 weeks and according to the modern standards is not mandatory, but it is reasonable because some fetal diseases manifest since the end of the 2d trimester (some defects of nephro urinary system, central nervous system, skeleton).
In addition to this screening or separately it is held doppler assessment of utero-placental-fetal blood flow. Providing the doppler is advisable in cases of slow growth in the size of the uterus (gravidogramma) with hypertensive and other pregnancy complications. Thus, holding a landmark ultrasound diagnostics during the pregnancy in our center will allow to identify timely the complications of pregnancy and to identify ways of their correction.