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Pregnancy : 1st Trimester - Tests and Procedures

According to the U.S. Department of To find out for sure if the fetus has a
Health & Human Services your spouse may birth defect, NTS must be followed by a
need other lab tests, like blood or urine diagnostic test like chorionic villus
tests, cultures for infections, or sampling or amniocentesis. NTS is not yet
ultrasound exams in the first trimester, widely used. If you and your spouse are
for special genetic or medical reasons. interested in NTS, talk to your doctor.
The doctor will discuss them with you and If she is unable to do the test, she can
your spouse during your visits. The most refer you to someone who can. Your spouse
common tests recommended in the first should also call her insurance company to
trimester include: find out if they cover the cost of this
Nuchal translucency screening (NTS) procedure.
This new type of screening can be done According to the U.S. Department of
between 11 and 14 weeks of pregnancy. It Health & Human Services, NTS allows women
uses an ultrasound and blood test to to find out early if there are potential
calculate the risk of some birth defects. health problems with the fetus. This may
Doctors use the ultrasound exam to check help them decide whether to have
the thickness of the back of the fetus' follow-up tests.
neck. They also test your spouse's blood Chorionic villus sampling (CVS)
for levels of a protein called CVS is performed between 10 and 12 weeks
pregnancy-associated plasma protein and a of pregnancy. In CVS, the doctor inserts
hormone called human chorionic a needle through the abdomen or inserts a
gonadotropin (hCG). Doctors use this catheter through the cervix to reach the
information to tell if the fetus has a placenta. The doctor then takes a sample
normal or greater than normal chance of of cells from the placenta. Experts use
having some birth defects. this sample to look for problems with the
In an important recent study, NTS found baby's chromosomes. This test cannot find
87% of cases of Down syndrome when done out whether your baby has open neural
at 11 weeks of pregnancy. When NTS was tube defects.
followed by another blood test done in According to the U.S. Department of
the second trimester (maternal serum Health & Human Services, about 1 in 200
screening test), 95% of fetuses with Down women have a miscarriage as a result of
syndrome were identified. Like all this test.
screening tests, the results are Pregnancy can be a challenging phase for
sometimes misleading. According to the your spouse. Maintaining a healthy
U.S. Department of Health & Human posture will help her keep many problems
Services, in 5% of women who have NTS, away. Sometimes being a dad takes a
results show that their babies have a little wise perspective…... You can
high risk of having a birth defect when exchange advice, tricks, tips, and
they are actually healthy. This is called solutions to common dad problems here.
a false positive.




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