Simplified protocol of nuchal translucency measurement: Is it still effective?
Obstetrics & Gynecology Science
;
: 307-311, 2013.
Artigo
em Inglês
| WPRIM
| ID: wpr-103567
ABSTRACT
OBJECTIVE:
Nuchal translucency (NT) is the most powerful screening tool for Down syndrome and congenital cardiac anomaly, therefore strict guidelines were established to get accurate NT values. However, to stick to the guideline in all pregnant women is time-consuming and superfluous in majority of low risk population. We undertook this study to investigate whether the simplified protocol enables to select low risk group and is effective in them even if we skip the suggested NT measurement.METHODS:
NT and crown-rump length (CRL) were measured prospectively. First, CRL was measured in the ordinary view that was mid-sagittal section of fetus in neutral position, and NT was measured at the same frozen screen (first measured value, 1MV). Then, NT was measured again according to the Fetal Medicine Foundation (FMF) guideline (second measured value, 2MV).RESULTS:
There was good correlation between 1MV and 2MV in each case (r = 0.83, P or = 2 mm was only 23.8% of all cases, namely we had only to measure 2MV in 23.8% patients. Every 95th percentile or more 2MV could be detected with this simplified protocol.CONCLUSION:
If NT is less than 2 mm at ordinary CRL view, we may skip suggested NT measurement according to FMF guideline.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Programas de Rastreamento
/
Estudos Prospectivos
/
Curva ROC
/
Sensibilidade e Especificidade
/
Síndrome de Down
/
Estatura Cabeça-Cóccix
/
Gestantes
/
Medição da Translucência Nucal
/
Feto
Tipo de estudo:
Estudo diagnóstico
/
Estudo observacional
/
Estudo prognóstico
/
Estudo de rastreamento
Limite:
Feminino
/
Humanos
Idioma:
Inglês
Revista:
Obstetrics & Gynecology Science
Ano de publicação:
2013
Tipo de documento:
Artigo
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