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Re: Nuchal TranslucencyFrom: Ana Cunha (kimle@mithlond.esoterica.pt)Thu Nov 21 10:28:29 1996
> Date: Wed, 20 Nov 1996 18:18:43 -0600 (CST) > From: ATB28@aol.com > We also use these parameters. > > It is likely that measurement of fetal nuchal translucency will be > incorporated into the algorithms applied to risk assessment in screening for > Down syndrome in the *first* trimester (e.g., hCG, Papp-A, and nuchal fold). > Of course, this doesn't address the risk for NTDs (which MSAFP addresses in > the second trimester) but then again, the ultrasound should pick this up. > > (:-) > > Other modalities likely to be added soon to our screening armamentarium: > > (1) Maternal serum Quad test (AFP, hCG, uE3, and dimeric inhibin) for both DS > and NTD. > > (2) Urinary beta-core (second and later first trimester) for fetal DS. What substances do you think would be more suitable to use until 13 weeks gestation? Does AFP have any value at this gestacional age for DTN detection? Is there any substitute? Our Hospital has limited financial resources and is already providing pre-natal care to an important part of the population of Oporto. We are working to find the most effictive way to screen for congenital anomalies. As you may know Portugal still presents a relatively high perinatal mortality rate. We believe that malformations have an important part in it. Please excuse the blunteness of my first question to this list, but the fact is, I still haven't got the hang of it (list etiquette). Thank you for sharing your experience with me. Ana Cristina Cunha Assistente Hospitalar de Ginecologia e Obstetricia Maternidade Julio Dinis Porto - Portugal http://www.geocities.com/hotsprings/3184/frames.html email: anacunha@geocities.com
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