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Journal of Perinatal Medicine

Official Journal of the World Association of Perinatal Medicine

Editor-in-Chief: Dudenhausen, Joachim W.

Editorial Board Member: / Bancalari, Eduardo / Greenough, Anne / Genc, Mehmet R. / Chervenak, Frank A. / Chappelle, Joseph / Bergmann, Renate L. / Bernardes, J.F. / Bevilacqua, G. / Blickstein, Isaac / Cabero Roura, Luis / Carbonell-Estrany, Xavier / Carrera, Jose M. / D`Addario, Vincenzo / D'Alton, MD, Mary E. / Dimitrou, G. / Grunebaum, Amos / Hentschel, Roland / Köpcke, W. / Kawabata, Ichiro / Keirse, M.J.M.C. / Kurjak M.D., Asim / Lee, Ben H. / Levene, Malcolm / Lockwood, Charles J. / Marsal, Karel / Makatsariya, Alexander / Nishida, Hiroshi / Papp, Zoltán / Pejaver, Ranjan Kumar / Pooh, Ritsuko K. / Romero, Roberto / Saugstad, Ola D. / Schenker, Joseph G. / Sen, Cihat / Seri, Istvan / Vetter, Klaus / Winn, Hung N. / Young, Bruce K. / Zimmermann, Roland

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Pregnancy outcome of euploid fetuses with increased nuchal translucency: how bad is the news?

Ron Maymon1 / Zwi Weinraub2 / Arie Herman3

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Corresponding author: Ron Maymon, MD, Department of Obstetrics and Gynecology, Assaf Harofe Medical Center, Zerifin 70300, Israel. Tel.: 972-3-6407445 Fax: 972-3-6409043 E-mail:

Citation Information: Journal of Perinatal Medicine. Volume 33, Issue 3, Pages 191–198, ISSN (Online) 1619-3997, ISSN (Print) 0300-5577, DOI: 10.1515/JPM.2005.036, July 2005

Publication History

Published Online:
2005-07-05

Abstract

Aims: The number of fetuses with an abnormal increased first trimester nuchal translucency (NT), but confirmed normal karyotype and anatomy is relatively small and therefore a challenge for prenatal counseling. Universal guidelines are still needed for a systematic work-up, how to decide on the rewarding cut-off for this policy as well as how to counsel patients with an increased NT but with euploid fetuses. The current review aims to address some of these issues.

Results: Eleven studies reporting on the pregnancy outcome of 2,128 euploid fetuses with increased NT (≥3 mm or ≥95 centile) were retrieved by our previously reported literature search. 2.2–10.6% of the fetuses has miscarried and 0.5–15.8% ended in perinatal death. There was an overall rate of 0.5–13% neurodevelopmental problems, and 2–8% of the malformations were undiagnosed before birth, the most common being cardiac anomalies. Nevertheless, 70–90% fetuses had normal outcomes.

Conclusion: For those euploid fetuses with increased NT >2 MoM or ≥1.5 mm delta NT we recommend a detailed two-step anomaly scan including midgestation fetal echocardiography. Maternal age as well as data on relevant family history and persistence of nuchal edema provides additional relevant information for counseling and planning pregnancy management.

Keywords: Euploid fetuses; fetal abnormalities; increased nuchal translucency; pregnancy outcome.

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[1]
DeAnn Smith
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[2]
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Korean Journal of Obstetrics and Gynecology, 2010, Volume 53, Number 1, Page 1
[3]
Asim Kurjak, Berivoj Miskovic, Wiku Andonotopo, Milan Stanojevic, Guillermo Azumendi, and Hrvoje Vrcic
Journal of Perinatal Medicine, 2007, Volume 35, Number 1
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C.M. Bilardo, E. Timmerman, E. Pajkrt, and M. van Maarle
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[5]
Kwong Wai Choy, Ka Fai To, Anthony Wing Hung Chan, Tze Kin Lau, and Tak Yeung Leung
Obstetrics & Gynecology, 2010, Volume 115, Number Supplement, Page 462
[6]
C. M. Bilardo, M. A. Müller, E. Pajkrt, S. A. Clur, M. M. van Zalen, and E. K. Bijlsma
Ultrasound in Obstetrics and Gynecology, 2007, Volume 30, Number 1, Page 11
[7]
Prenatal Diagnosis, 2006, Volume 26, Number 1, Page 94

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