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 327
- Downloads 0
Awareness of women about cervical smear, human papilloma virus and human papilloma virus vaccine
Objective: The aim of this study was to assess the awareness level of women about cervical smears, human papilloma virus (HPV), and HPV vaccine in a rural city in the central part of Anatolia. Materials and Methods: A t...
Repeated dose of prostaglandin E2 vaginal insert when the first dose fails
Objective: To compare the obstetric and neonatal outcomes of patients treated with repeated-dose prostaglandin E2 (dinoprostone) vaginal insert when the first dose fails. Materials and Methods: This retrospective study...
The rectal vaginal opacification with water and the antiperistaltic agent in magnetic resonance scanning of the intestinal endometriosis
The diagnosis of deep intestinal endometriosis is mandatory to plan treatment and for follow-up; however, there is no consensus worldwide in the use of rectal/vaginal opacification and anti-peristaltic agents for magneti...
Systematic review and meta-analysis of ropivacaine use in laparoscopic hysterectomy
To assess the efficacy of all forms of ropivacaine administration for the management of pain and opioid use, specifically in patients undergoing laparoscopic hysterectomy. We searched PubMed, Cochrane CENTRAL, Web of Sci...
Increased nuchal translucency and pregnancy outcomes: experience of Başkent University Ankara Hospital
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 Universi...