Combined Test

This "combined test" consists of several parts.

In the ultrasound:

• Measurement of the neck fold and the representation of the child's nasal bone
• Representation of the blood flow pattern over the child's tricuspid valve, that is the heart valve between the right atrium and the right ventricle
• Doppler of the child's ductus venosus, an important supply vessel in the child's abdomen

Additionally:

• Determination of hormones by taking a blood sample from the mother
• Assessment of maternal risk factors

From these parameters, a scientifically well-proven program calculates the individual probability that the unborn child is affected by a genetic disease. The result of the test will be explained to you in detail; if you wish to further clarify the result, we will be happy to advise you. Of course, your child will also be examined for organic abnormalities as part of this test. The combined test will be held in the 11th-14th Week of pregnancy.

Preeclampsia-screening

Preeclampsia (= colloquially a pregnancy poisoning) is a pregnancy-related illness that can be associated with high blood pressure, laboratory changes, edema and proteins in the urine in the mother. The unborn child can suffer from chronic undersupply, and in the worst case scenario, premature delivery may be necessary. The following parameters are collected: - Measurement of the blood flow in the maternal blood vessels (aa. Uterinae), which supply the uterus, using ultrasound. - Blood pressure measurement four times - Concentration of placenta hormones in the maternal blood If an increased risk of preeclampsia is determined, the use of ThromboASS is recommended. The medication can minimize the incidence of preeclampsia by up to 80%.

Organscreening

The organ screening is a detailed ultrasound examination, whereby structural malformations such as a heart defect or kidney disease can be determined. During these examinations, the various organ systems are examined in detail - an examination from head to toe. The optimal time for an examination is 22-23. SSW, as the sound conditions are particularly good this week - in principle, however, the examination is between the 20th and 24th. SSW possible. Finding a sonographically normal child is reassuring for many parents, especially if the birth is planned in a private setting. On the other hand, suspicious findings are discussed in detail and further support is offered on request.

3D / 4D ultrasound

Most expectant parents want to get to know their unborn child. As part of a 3D / 4D ultrasound examination, this wish can come true if the child is in a good position. With the help of a special ultrasound head, a volume of your child's body is recorded and converted into a three-dimensional image by the computer. Thus, on the one hand, surface recordings of your child can be made, on the other hand, sectional recordings of your child can be displayed in different planes. A 3D image is like a photo of your child. A 4D recording appears like a video. As a reminder, the recordings will be sent to your mobile phone via SMS link. The best possible time for this examination is from the 26th week of pregnancy.

NIPT - non-invasive test

The NIPT uses sequencing technology in which child's DNA is extracted from maternal blood and then analyzed in the laboratory. A blood sample is sufficient to determine or rule out the most common genetic diseases with a high degree of sensitivity and specificity. In addition, screening for specific genetic anomalies of the sex chromosomes and deletion / duplication syndromes as well as sex determination can be carried out on request. In our ordination, the genetic test is only available with a precise ultrasound examination, as this is the only way to show gross physical malformations. The ultrasound examination will be terminated separately if an NIPT is carried out earlier.