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Elevated NT, normal karyotype = good prognosis: 11-14 weeks' gestation.(Obstetrics)

OB GYN News

| November 01, 2003 | Tucker, Miriam E. | COPYRIGHT 2003 International Medical News Group. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

PARIS -- Most karyotypically normal fetuses with elevated nuchal translucency at 11-14 weeks will be born without major abnormalities, Dr. Katia Bilardo reported at the 13th World Congress on Ultrasound in Obstetrics and Gynecology.

Sonographic assessment of nuchal translucency (NT) at 11-14 weeks' gestation is a recognized effective screening method for trisomy 21 and other chromosomal abnormalities. Up to 80% of aneuploid fetuses have increased NT, but so do 3%-5% of karyotypically normal fetuses, said Dr. Bilardo of the Academic Medical Centre, Amsterdam.

Over a 9-year period, 67% of 560 fetuses with elevated NT at 11-14 weeks had normal karyotypes. Of those 376, 81% were normal (detected by subsequent scans or after birth) while 19% had major adverse outcomes, including structural ...

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