Increased nuchal translucency and pregnancy outcomes: experience of Başkent University Ankara Hospital
Journal Title: Turkish Journal of Obstetrics and Gynecology - Year 2016, Vol 16, Issue 2
Abstract
Objective: First trimester nuchal translucency (NT) measurement is considered to be an important tool in antenatal follow-up. This study aimed to evaluate the outcomes of pregnancies with increased NT at Başkent University Ankara Hospital between 2004 and 2016. Materials and Methods: Patients with NT measurements ≥1.5 multiples of median (MoM) were divided into two groups; group I included increased NT cases without fetal anomalies (either abnormal fetal karyotype or congenital structural anomalies) or loss (intrauterine fetal death), and group II included increased NT cases with fetal anomalies or loss. The groups were compared with each other with respect to maternal demographic features and NT measurements. Results: Karyotype analyses were normal in 73.1% of cases with increased NT (57/78). Among those, 21.1% (12/57) had structural anomalies, and to specify, 9.6% (5/52 over 18 weeks) had cardiac anomalies. Although maternal demographic features did not differ significantly, NT measurements, both as millimeters and MoM, were significantly higher in group II (p<0.05). According to the receiver operating characteristic (ROC) curves, the optimal cutoff values for NT measurements for predicting fetal anomalies or loss were 3.05 mm and 2.02 MoM. NT measurement >7 millimeters or NT MoM >4.27 resulted in poor fetal outcomes without exception. Conclusion: Higher NT measurements indicate poorer pregnancy outcomes. Our study indicates that fetal echocardiography must be considered for all cases with increased NT.
Authors and Affiliations
Nihal Şahin Uysal, Çağrı Gülümser, Zerrin Yılmaz Çelik, Filiz Bilgin Yanık
Keywords
Related Articles
- EP ID EP48885
- DOI 10.4274/tjod.galenos.2019.51482
- Views 326
- Downloads 0
Bone recurrence after radical hysterectomy and lymphadenectomy in early-stage cervical cancer
Objective: To present the clinical, surgical, and pathologic features of bone recurrence in patients who underwent radical hysterectomy for early-stage uterine cervical cancer. Materials and Methods: Data of 412 patient...
Comparison of hepatitis B, hepatitis C, and HIV seropositivity of Syrian and Turkish pregnant women
Objective: In this study, we aimed to compare the seroprevalence of hepatitis B (HBV), hepatitis C (HCV), and human immunodeficieney viruse (HIV) in Syrian pregnant women and Turkish pregnant women in our hospital. Mate...
Asymptomatic microperforated transverse vaginal septum presenting with primary infertility: a rare form of mullerian anomaly
Transverse vaginal septum is a rare type of mullerian anomaly resulting from failure of the canalization of the vaginal plate at the point where the urogenital sinus meets the mullerian duct and usually presents at menar...
Effect of using magnifying loupe glasses on lymphocele formation and surgical outcomes in gynecologic oncology
Objective: To investigate the effect of using magnifying loupes during surgery on surgical outcomes and lymphocele formation. Materials and Methods: We prospectively enrolled 36 patients with gynecologic cancer who unde...
The impact of vaginal cone therapy on stress urinary incontinence compared with transobturator tape
Objective: To emphasize the efficiency of vaginal cone (VC) therapy in stress urinary incontinence (SUI) through a comparison with transobturator tape (TOT). Materials and Methods: A prospective randomized controlled st...