I am concerned about my girlfriend's prenancy. She is 13 weeks and the doctors took a measurement of baby's neck skin thickness which turned out to be 3.2 mm. Should I be concerned?

The fluid at the back of baby's neck, under the skin, is termed nuchal translucency (NT). An NT measurement of 3.2 at 13 weeks is increased, which depending on your girlfriend's age probably puts her in the 'high risk' category for having a Down's baby. The chances are still that baby is normal, but further investigations such as blood tests and even invasive testing such as chorion villus sampling (CVS) may be suggested.
What does a nuchal scan show?

"Nuchal" means neck; nuchal ultrasound is carried out at 11 to 14 weeks to look at thickness of a certain area at the back of the fetus'' neck. A particularly thick nuchal pad has been linked with a higher risk of suffering from heart defects, Down syndrome, or some other chromosomal problem. A nuchal scan may follow or be followed by an AFP3, or Triple test, to gain more insight into possible problems. Subsequent amniocentesis, or another invasive diagnostic procedure will help confirm or rule out these problems. Ask your doctor for a complete explanation of all procedures.

What the scan shows The picture shows a normal fetus. The dotted lines indicate where the nuchal pad would be thicker, as in Down syndrome.

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How likely is it that my baby will have Down''s syndrome?

The risk of having a baby with Down''s syndrome is related to your age, although parents of any age can have a Down''s child. It is not related to how many children you have had, whether you have a new partner, or to drugs that you might have taken at or around the time of conception.

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