Dr Shuhaila Ahmad Associate Professor FetoMaternal Unit UKMMC.

Slides:

Advertisements

Similar presentations

Pregnancy Test(s). 1. Ultrasound Sound waves to take a picture of the fetus. –Rub a cool gel over the abdomen and run awand like piece of equipment over.

Advertisements

 may be efective in preventing SGA birth in women at high risk of preeclampsia although the effect size is small. (c)

1 QF-PCR stand-alone prenatal diagnosis: the initial London experience. Caroline Mackie Ogilvie Cytogenetics Department Guy’s Hospital London.

Prevention of Birth Defects An Overview of Primary and Secondary Strategies.

PRESENTATION ON SAFETY ISSUES RELEVANT TO HOME BIRTHS AND THE PROFESSIONALS WHO PROVIDE MATERNITY CARE SEPTEMBER 20, 2012 The Maryland Chapter of the American.

Genetics and Primary Care

DR. TARIK Y. ZAMZAMI MD, CABOG, FICS ASSOCIATE PROFESSOR CONSULTANT OB/GYN

Special Tutorial Programme Professor Deirdre Murphy Trinity College.

Prenatal diagnosis Dr Neda Bogari.

IN THE NAME OF GOD. CRITICALLY APPRAISED TOPIC If there is a Non-invasive prenatal testing for aneuploidies with low FPR at first trimester? If we can.

Ultrasound imaging.

Problems in Prenatal Development

Accuracy of reporting abortions with Down syndrome in England and Wales Joan Morris Anna Springett BINOCAR Scientific Meeting Congenital Anomaly Registers:

TEMPLATE DESIGN © Retrospective Analysis of Amniocentesis in UKMMC ZulidaR, MAJamil Universiti Putra Malaysia, UPM Serdang,

GE 4D Ultrasound “When you see your baby for the first time… On the new GE 4D Ultrasound… It’s a miracle” By Pearl Martinez.

First Trimester Screening

Routine Anomaly Scan Ilse Erasmus.

A one year audit of achieving patient driven performance targets in a locally provided memory clinic Dr C Crowe, St Patrick’s Hospital, Cashel & St Michael’s.

By: Alexandria Baker October 12,2012 Parenting and Child development

Report of Iranian fetuses’s CRL at GA between 11W+0D to 13W+6D

SMFM Clinical Practice Guidelines

An Ounce of Prevention  2000, 2005, 2011 The Curators of the University of Missouri Preconception Planning and Monitoring Fetal Health Twenty Questions.

POSTTERM PREGNANCY AZZA ALYAMANI OBSTETRICS & GYNICOLOGY Department

In the name of god First Trimester Screening Dr.M.Moradi.

2 Prenatal Tests: -Amniocentesis & -Chorionic Villus Sampling (CVS)

Objectives Methods ‘ Whooley’ questions were provided to all clinical staff from July Retrospectively, a random sample of patients who presented.

Antenatal Care. Objectives I want you to be able to: Understand the value of Antenatal care. Perform a booking visit. Know the booking investigations.

Ultrasound Monitoring of Fetal Growth By Dr. Khattab KAEO Prof. & Head of Obstetrics and Gynaecology Faculty of Medicine, Al-Azhar University, Damietta.

Dr Nadia ALgantri Associated professor Faculty of medicine.

TEMPLATE DESIGN © Fetal outcome of prenatally diagnosed congenital abnormality: A Retrospective study” Vallikkannu Narayanan.

By.Lamyaa alluhaydan. 1- Is usually obtained twice during the normal pregnancy: (18-24 weeks), (32-38 weeks). 2- It can be done before 18 weeks:  -to.

THIRD TRIMESTER PROBLEMS Hypertension Small for dates Post-term pregnancy.

Ethical Issues Arising From The Involvement Of Psychiatrists In Late Termination Of Pregnancy Dr Kirsty Morris.

Standard Grade Biology Inheritance Topic Chromosome Mutations.

Abnormal Pregnancy Time Limit and Ectopic Pregnancy

The Role of Prenatal screening as part of Routine Obstetric Care

Intro Until recently, couples had to choose between taking the risk or considering other options Over the past three decades, prenatal diagnosis-the ability.

FETAL MOVEMENT FLAME LECTURE: 57 STELLER

HIGHER HUMAN BIOLOGY Unit 2 Physiology and Health 1. Ante-natal Screening.

Fetal Wellbeing Dr Hsu Chong NIHR Clinical Lecturer in Obstetrics & Gynaecology Warwick Medical School.

Post Term Pregnancy.

Congenital Heart Disease in South Texas Nadine Aldahhan, D.O.; Cherie Johnson, M.D., FACOG, MMM; Priscilla Gutierrez, RDMS, RDCS, RVT Christus Spohn Family.

Training of Medical officers in Primary Health Centers of Tamilnadu to reduce perinatal mortality Innovative use of Technology in

In the Name of God. All women should be assessed at booking for risk factors for a SGA fetus/neonate to identify those who require increased surveillance.

Stillbirth in twins, exploring the optimal gestational age for delivery: a retrospective cohort study S Wood, S Tang, S Ross, R Sauve.

All women of child-bearing age. (P1) Test for Zika Virus – within 1 Week of Symptom Onset RT-PCR Test If RT-PCR test negative and symptoms > 4 days do.

Ultrasound Best practice antenatal care for a woman who has no complications of pregnancy, involves referral for two screening-based ultrasounds a first.

The social meaning of 3D ultrasound scans

How Can You Study Human Heredity?

Informed Consent, Image Recording and

Fetal growth restriction

DO NOT ORDER at any gestational age.

Dr. Madhavi Karki.

Jeffrey A. Kuller, MD; Sean C. Blackwell, MD

Dr Kirtan Krishna MS , DNB, Fellowship in Fetal Medicine

Multidisciplinary counselling reduces rate of abortion and improves clinical outcomes of prenatally diagnosed congenital heart disease patients.

Genetic Testing Result Means. Before Genetic Testing  The result of genetic testing can be life changing.  It is important for patients and their families.

UOG Journal Club: August 2018

Foundations of neonatal resuscitation

Your unborn baby has been diagnosed with a heart problem

Prenatal testing.

You have been referred to fetal cardiology for a specialist opinion regarding your baby’s heart. The clinics are held in the Fetal Medicine Unit and in.

Complete Station Race Assignment…

Diagnostic imaging exam of the heart

Expert Perspectives on NIPT

guidance on antenatal screening

Ultrasound in fetal screening ( Down syndrome,…)

IN THE NAME OF GOD First trimester screening for aneuploidy

Most provincial and territorial health insurance programs cover prenatal blood screening for chromosomal anomalies (Down syndrome and Trisomy 18) and neural.

Breech Presentation Dr Madhavi Kalidindi

Presentation transcript:

Dr Shuhaila Ahmad Associate Professor FetoMaternal Unit UKMMC

What is a detailed scan? A scan done by a trained personnel to look at fetal anatomy Recommended to do at weeks gestation Adequate time for referral Better resolution for fetal imaging although fetal echocardiography is recommended at weeks If indicated for termination, could be done before 22 weeks gestation

Who is considered to be the trained personnel? The person (doctor / sonographer) should : Have undergone basic ultrasound course (Level 1) Be able to do level 1 scan satisfactorily Have attended an accredited level 2 scan course Be certified to perform level 2 scan

Advantages Early detection and intervention of fetal anomalies Offer reassurance to the parents regarding their baby Increase bonding between the parents to their unborn baby Promote cooperation between the multidisciplinary teams managing the fetus/ baby Both clinical and non-clinical base team Helps parents to look for support group Research and training

Who should have the scan? Best if it can be offered to all patients Due to limited resources, a selected group of should be offered this facility: Elderly mother (>35 years old) Previous history of abnormal baby Known medical illness ( DM) Multiple pregnancy Increased risk during NT scan Others

What is actually done during detailed scan? Measurement of fetal parameters BPD, HC, AC, FL Additional measurements Ascertain placental localisation Amniotic fluid assessment ‘eyeballing’ method AFI or MPD Fetal anatomy survey

Soft markers for aneuploidy

A normal detailed scan does not mean the fetus is 100% normal structurally or functionally

Conclusion Detailed scan requires time and skill Appropriate training and equipment are mandatory It is not meant to be ‘commercialized’, therefore all patients undergoing detailed scan must be counseled regarding the indication and possible outcome A referral to a fetomaternal unit if fetal anomaly is suspected for further managment