Ultrasound CME for GP's 2013

We will have an Ultrasound CME for GP's doctors on 5th October 2013 (Saturday) at Premiere Hotel, Klang. All GP's doctors are invited to join. For registration please call Mr Leng 016-5515110 or Carol 019-2900938 before 1st October 2013.

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Hospital Wanita Metro Kuala Selangor

No. 33 Jalan Rhu 1, Taman Rhu, 45000 Kuala Selangor, Selangor.

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Tel  : 03-32811681 / 011-1571 5584 

Fax: 03-32811682

Clinic Hours:

Monday-Friday     : 9.00am - 1.00pm
                                     2.30pm - 5.00pm
                                     6.00pm - 9.00pm
Saturday-Sunday : 9.00am - 1.00pm

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3D/4D Gallery

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Nuchal Translucency Screening

What is Nuchal Translucency?

 Nuchal translucency (NT) is the sonographic appearance of a collection of fluid under the skin behind the fetal neck in the first-trimester of pregnancy.

Who Nuchal Translucency screening is for?

NT screening is available for any pregnant woman. However it can be especially helpful for;

->  Older moms-to-be (>40 years old)

-> Family history of Chromosomal abnormalities

-> Mother who may be hesitant about more invasive genetic testing, like CVS and amniocentesis, because of the increased risk of miscarriage associated with them.

How accurate this Nuchal Translucency screening is?

The accuracy of the test is, however, dependent on the;

->  Skill of the sonographer performing it

-> The sensitivity of the equipment

NT measurements are not conclusive, so the NT screening test can't tell you for sure whether your child has a chromosomal disorder, but it can be combined with other data as below to provide a statistic about the likelihood of such a disorder;

-> Older pregnant woman (>40 years old)

-> Family history of Chromosomal abnormalities

-> Blood tests - beta-hCG and pregnancy associated plasma protein A (PAPPA-A)

The results of these two blood tests plus the NT screening, known as the first trimester combined screening, can be combined into one number that represents the likelihood of having a child with a genetic abnormality. This information can be helpful to parents who are trying to decide whether to have more invasive genetic tests, such as amniocentesis or chorionic villus sampling (CVS).

How Nuchal Translucency screening is done?

This procedure is done during an ultrasound. The sonographer will first move the transducer across your belly to measure your baby from crown to rump to ensure that the fetal age is accurate. The fetal crown-rump length should be between 45 and 84mm. Then he or she will locate and measure the nuchal translucency (if you're lucky your baby will cooperate by moving into a position where the measurement will be optimum).

When Nuchal Translucency screening is done?

NT screening must be done between weeks 11 and 14. That is why an accurate date of conception is important for an accurate result. Before 11 weeks, the scan is difficult to be done because your baby is still so tiny. It would also be too early to combine it with your first trimester blood test. After 14 weeks, any excess fluid may be absorbed by your baby's developing lymphatic system. 

What is the normal measurement?

An NT of less than 3 mm is considered normal when your baby measures between 45mm and 84mm. The NT normally grows in proportion with your baby.

What abnormal result mean?

An increased NT (>3 mm) means there is a greater risk of chromosomal abnormalities or cardiac defect. However, it does not tell for certain that the baby has chromosomal abnormalities.

What should I do if I’m high risk?

The only way for certain if your baby has Down’s syndrome or other chromosomal abnormality is to have a diagnostic test such as CVS or amniocentesis.

Which One is the Actual Dates for My Baby's Delivery?

Have you ever encountered any of these situations?

©  Your baby gestational age measured by ultrasound not correlates with gestational age calculated by your last menstrual period?

©  Your expected dates of delivery vary every time you do the ultrasound scan?   

Owh no!! How I’m going to plan my delivery if the dates vary????!!

Calm down and take a deep breath. Read this carefully before you start panicking others…

Usually it is still considered to be normal measurement or correlates to the actual dates/age if the difference;

©  3-5 days if ultrasound scan is performed during 1^st trimester

©  14 days if ultrasound scan is performed during 2^nd trimester

©  21 days if ultrasound scan is performed during 3^rd trimester

Ultrasounds are not completely accurate at estimating the due date of the pregnancy. There are several reasons why this difference happens;

©  Fetuses can bend and stretch so the measurements will not be exactly the same

©  There is always normal biological variation between different fetuses

©  The accuracy of the measurements also depends on the skill of the sonographer and the quality of the equipment

If yours still within the range so no need to worry so much. As long as the other important parameters are also within normal range, your baby will grow up well.

What Can We See in Dating Scan?

Since dating scan is done at early first trimester, we usually can see;

©  The baby with heart beat

©  Gestational sac (it is a sac containing the baby)

©  Yolk sac (baby’s food resource, it usually disappear after the placenta take over the role)

©  The limb buds (these will develop into upper limbs and lower limbs)

Usually the sonographer will measure the Crown-Rump Length (It’s a length of baby from head to buttock) and the size of the Gestational Sac. From those measurements the ultrasound machine will calculate your baby’s current age and your baby’s expected date of delivery.

Dating Scan

What is Dating Scan? It is the first ultrasound scan for your pregnancy. Most mother doesn’t know when they should have their first scan. Dating scan is done during your early pregnancy, usually between 8-11 weeks of gestation. Dating scan is important in;

1. Confirming the correct dates of your pregnancy

• The earlier the ultrasound scan is done, the more accurate it is at estimating the baby's due date. This is because the fetus is growing so quickly that there is a big difference in size from week to week. Below is table showing the accuracy for each trimester;

Trimester	Accuracy of estimated date of delivery (EDD)
First	3-5 days
Second	14 days
Third	21 days

2. Confirming the presence of baby's heart beats

3. Confirming the location of your pregnancy

• This is important to make sure that the baby is inside the uterus.
• There is a condition where baby is not inside the uterus is what we called as ectopic pregnancy. This kind of pregnancy is dangerous as it can cause severe blood loss to the mother if it is ruptures.

4. Determining the number of your babies (singleton/twin/triplet)

5. Identifying pregnancies at increased risk of miscarriage or pregnancy loss e.g molar pregnancy

6. Identifying other abnormalities within your pelvic area such as uterine anomalies, fibroid and ovarian cyst.

About Us

Welcome to all readers,

Peek-A-Baby World 3D/4D is a site where we can share anything about pregnancies, babies and ultrasound scan including 3D/4D. 3D/4D scan is a non-diagnostic scan best done between 28-32 weeks of pregnancy. It is to allow you to see your baby inside your womb and experience a unique bonding with your unborn baby through the 3D/4D images using the high technology ultrasound machine. 

Grab this once in a life time opportunity to capture, share and keep the earliest moments with your unborn baby. Let's peek the baby world inside your womb (^_^). Hope you all enjoy reading this blog. =)

To book an appointment or for further inquiry, please go to this link: Contact Us

Peek-A-Baby World 3D/4D