Prenatal diagnosis is a set of measures that includes examination of the fetus and mother at different stages of pregnancy. It includes ultrasound, analysis of some indicators of the blood of a pregnant woman. You can book some more complex studies if it is necessary.
The purpose of prenatal diagnosis is the timely diagnosis of abnormalities in the development of the fetus, as well as the presence of pregnancy complications.
Expert ultrasound is an essential part of prenatal diagnosis. It allows you to identify malformations in the fetus, to suspect the possibility of chromosomal pathology, to establish the presence of obstetric complications, outline a group of high-risk pregnant women, to monitor the condition of the fetus.
In addition to ultrasound, some maternal blood parameters are analyzed, and the risks of chromosomal abnormalities in the fetus, some fetal malformations, as well as risks associated with pregnancy complications, such as fetal growth retardation, preeclampsia, and premature birth are calculated based on the integrated processing of the data obtained, water shortage, polyhydramnios, etc.
A complete determination of the fetal chromosome set to exclude chromosomal pathology (such as mongolism, Edwards syndrome, etc.) is possible only by analyzing the cellular material obtained by invasive procedures: amniocentesis, chorion / placenta biopsy. Such procedures are carried out only if there are indications those are an increased risk of chromosomal pathology which is detected during examinations in the 1st or 2nd trimester of pregnancy, the identification of malformations or developmental features of the fetus.
A detailed ultrasound examination during pregnancy is carried out in accordance with the orders of the Ministry of Health of Ukraine, as well as according to the recommendations of the International Society of Ultrasound in Obstetrics and Gynecology at the Academic Medical Center.
It is best to conduct a comprehensive examination in the first trimester for a period of 11-13 weeks. During this period, it is possible to exclude severe malformations in the fetus, to assess the risk of chromosomal pathology and obstetric complications. Risk assessment and ultrasound examination are not a direct analysis of fetal chromosomes, but when properly performed, they help to identify up to 95% of chromosomal abnormalities.
In the second trimester, for a period of 19-21 weeks, a detailed study of the anatomy of the fetus, control of its growth, assessment of the state of the placenta, amniotic fluid, cervix, and blood flow in the uterine arteries are carried out. In parallel, using the mother’s blood test, we determine the risk of neural tube defects of the fetus (cleft spine, etc.).
The purpose of the examination in the third trimester is to monitor the growth and condition of the fetus, evaluate the further development of its organs, and eliminate developmental defects that do not appear at earlier dates.
In the presence of complications during pregnancy or features in the fetus, the schedule of ultrasound examinations is built individually.
AMC ADVANTAGES FOR YOU
- Consultations on prenatal diagnosis
- Expert ultrasound examination at all stages of pregnancy
- Specialised examination during multifetal pregnancy focusing on specific complications
- Specialised examination of some complex abnormalities with forecast evaluation
- Foetal growth monitoring in the course of pregnancy with the assessment of maternal and foetal blood flow
- Cervicometry in the course of pregnancy
- Consultation in English and German