My friend had a 'nuchal' scan to check for Down's. How does this scan work?

The nuchal scan is performed at 11 weeks -13 weeks + 6 days. A measurement of the baby's length (to check your dates) and thickness of the fluid filled space at the back of baby's neck is taken. The greater the fluid thickness measurement is, the higher your risk of having a baby with Down's syndrome. The test can't give a diagnosis, it can give a level of risk on which basis invasive prenatal diagnosis may be offered. It is best combined with a blood test-either at the time of the test, or afterwards, to give a more accurate risk assessment for Down's.
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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