Journals / Ege Klinikleri Tıp Dergisi / 2017 / Cilt: 55 - Sayı: 2

Nuchal Fold Nomogram and Relationship With He- art and Central Nervous System Anomalies

Nukhal Fold Nomogramı, Kalp ve Santral Sinir Sis- tem Hastalıkları ile İlişkisi

Pages
65–68
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

No statistically significant relationship was found between nuchal fold thickness and CNS diseases (p=0.55 and p<0.05).Conclusion: The increased nuchal fold thickness in fetuses with normal karyotype does not increase with fetal heart and central nervous system diseases

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Introduction: Nuchal fold thickness is the first trimester continuation of nuchal translucency in the second trimester.
📊
Key Findings & Data:Thick nuchal fold is important in relation to some systemic diseases, including abnormal karyotype fetus.Material-Method: This is a cross-sectional retrospective study that has been performed among 1625 singleton pregnant women with gestational ages between 16-24 weeks that has taken place in Kocaeli Medical Park Hospital from years 2011-2017.
💡
Conclusion & Impact:No statistically significant relationship was found between nuchal fold thickness and CNS diseases (p=0.55 and p<0.05).Conclusion: The increased nuchal fold thickness in fetuses with normal karyotype does not increase with fetal heart and central nervous system diseases
🔬Design:Research Article
📍Scope:2011-2017 Verileri
⚙️Variables:Domain Parameters

Abstract

Introduction: Nuchal fold thickness is the first trimester continuation of nuchal translucency in the second trimester. Thick nuchal fold is important in relation to some systemic diseases, including abnormal karyotype fetus.Material-Method: This is a cross-sectional retrospective study that has been performed among 1625 singleton pregnant women with gestational ages between 16-24 weeks that has taken place in Kocaeli Medical Park Hospital from years 2011-2017. We calculated nuchal fold lenght %5, %50, %95 percentile per week and draw nuchal fold nomogram. Results: It has been shown that there is a weak positive correlation between nuchal fold thickness and the gestational week (p: 0,001, r:0,18). In 1625 analysed patients, 50 patients had cardiovascular system (CVS) diseases and 32 patients had central nervous system (CNS) diseases. There was not a statistically significant relationship between nuchal fold thickness and CVS diseases (p= 0.98 and p<0.05). No statistically significant relationship was found between nuchal fold thickness and CNS diseases (p=0.55 and p<0.05).Conclusion: The increased nuchal fold thickness in fetuses with normal karyotype does not increase with fetal heart and central nervous system diseases

Özet

Amaç: Nukhal fold kalınlığı birinci trimesterda ölçülen ense saydamlığının ikinci trimesterda devamı niteliğindedir. Özellikle anormal karyotip olan vakalar dâhil edilirse bazı sistemik hastalıklarla ilişkisi ve detaylı ultrasound için bir uyarı niteliği taşıması açısından önemlidir. Yöntem: Çalışmamız 2011-2017 yılları arasında Kocaeli Medikal Park hastanesinde takipleri yapılmış 16-24 haftalar arasındaki 1625 tekil normal karyotipli gebelerden oluşmaktadır. Gebelerin detaylı ultrasonografileri yapıldı. Her hafta için %5, %50, %95 percentil nukhal fold kalınlıkları hesaplanarak nukhal fold nomogramı oluşturuldu. Bulgular: Gebelik yaşı ile nukhal fold kalınlığı arasında pozitif korelasyon tespit edildi (p: 0,001, r:0,18). Tüm hastalar içinde 50 fetusta kardiak hastalık, 32 fetusta santral sinir sistemi patolojisi saptandı. Nukhal fold kalınlığı ile kardiovasküler hastalık arasında istatistiksel olarak anlamlı bir ilişki saptanmadı (p= 0.98 and p<0.05). Nukhal fold kalınlığı ile santral sinir sistemi hastalıkları arasında da istatistiksel olarak anlamlı bir ilişki saptanmadı (p=0.55 and p<0.05).Sonuç: Normal karyotipli fetuslarda nukhal fold kalınlığındaki artış, fetal kalp ve santral sinir sistemi hastalıkları ile artış göstermemektedir

🔖

Cite This Article

KAYA, A. E., BAŞBUĞ, A., AKAR, B., BENDER, R. A., DOĞAN, O., ÇALIŞKAN, E. (2017). Nuchal Fold Nomogram and Relationship With He- art and Central Nervous System Anomalies. Ege Klinikleri Tıp Dergisi, Cilt: 55 - Sayı: 2, 65–68. https://ajindex.com/articles/159114

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (11)

  1. Allan L, Benacerraf B, Copel JA et al. Isolated major congenital heart disease. Ultrasound Obstet Gynecol 2001;17:370-9
  2. Dolk H, Loane M, Garne E. The prevalence of congenital anomalies in Europe. Adv Exp Med Biol. 2010;686:349-64
  3. Engels AC, Joyeux L, Brantner C et al. Sonographic detection of central nervous system defect s in the first trimester of pregnancy.PrenatalDiagnosis2016,36,266–273
  4. Ritu Mogra, Nasser Alabbad, Jon Hyett. Increased nuchal translucency and congenital heart disease. Early Human Development 88 (2012) 261–267
  5. Benacerraf BR, Barss VA, and Laboda LA. A sonographic sign for the detection in the second trimester of the fetus with Down’s syndrome. Am J Obstet Gynecol 1985; 151: pp. 1078-107983 6. Ray O, Bahado-Singh, Minu Rowther et al. Midtrimester nuchal thickness and the prediction of postnatal congenital heart defect. Am J Obstet Gynecol 2002;187:1250-3
  6. Ray O. Bahado-Singh, Israel Goldstein et al. Normal nuchal thickness in the midtrimester indicates reduced risk of Down syndrome in pregnancies with abnormal triple-screen results. Am J Obstet Gynecol. 1995 Oct;173(4):1106-10
  7. Nicolaides KH, Azal G, Snijders RJM, Gosden CM. Fetal nuchal edema: associated malformations and chromosomal defects. Fetal Diagn Ther 1992;7:123-31
  8. Ray O, Bahado-Singh, Ronald Wapner, et al. Elevated first-trimester nuchal translucency increases the risk of congenital heart defects. American Journal of Obstetrics and Gynecology (2005) 192, 1357–61 10. Khalil A, Bennet S, Thilaganathan B, Paladini D, Griffiths P, Carvalho JS. Prevalence of prenatal brain abnormalities in fetuses with congenital heart disease: a systematic review. Ultrasound Obstet Gynecol. 2016 Sep;48(3):296-307
  9. Grandgean H, Sarramon MF. Sonographic measurement of nuchal skinfold thickness for detection for Down syndrome in the second-trimester fetus: a multicenter prospective study. Obstet Gynecol 1995; 85:103–106
  10. Watson WJ, Miller RC, Menard MK. Ultrasonographic measurement offetal nuchal skin to screen for chromosomal abnormalities. Am J ObstetGynecol 1994; 170:583–586
  11. Borrell A, Costa D, Martinez JM, et al: Criteria for fetal nuchal thickness cut-off: a re-evaluation. Prenat Diagn 1997; 17: pp. 23-29 14. Carolyn Zelop, Lıllıan Kamınsky, Elısa Gıanferrarı et al. Nuchal Fold Thickness As A Marker For Congenıtal Cardıac Anomalıes. December 2003 Am J Obstet Gynecol Smfm Abstracts 638.