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Protect your baby with ultrasound during pregnancy

Perinatology expert Dr. Gülseren Yücesoy, who says that babies can be protected with ultrasound during pregnancy. She said, “Ultrasonography should be done twice during pregnancy. Trimester combined test, which is a double test, is a test that should not be neglected. The reliability of this test in the diagnosis of Downsendroma is 85 percent, ”.

Perinatology expert from Pendik Medipol University Hospital. Dr. Gülseren Yücesoy explained what expectant mothers should pay attention.  Stating that especially risky pregnancies should be examined in detail, Prof. Dr. Yücesoy said, "Trimester combined test,  is a test that should not be neglected."
Pointing out that ultrasonography should be done twice during pregnancy, Prof. Dr. Yücesoy said, “First; It is done between 11 and 14 weeks in the first trimester. Week of gestation is determined in this ultrasound examination. First trimester combined screening test (double test) is performed among the downsyndroma screening tests. For this test, the thickness of the fluid in the neck of the fetus is measured first, then blood is taken from the pregnant woman and two hormones are checked and a risk assessment is made in a computer program. "It is a test with 85 percent reliability in the diagnosis of downsendroma."

Prof. Dr. Yücesoy pointed out that ultrasound evaluates whether it is a single pregnancy or a twin pregnancy, and made the following statements:
“If it is a twin pregnancy, it is necessary to distinguish whether the placenta of the fetuses are double or they share a single placenta. If it is a monochorionic placenta, it means that the pregnant woman is in the risky group of twin pregnancies. This assessment is very important. You should have the printout of the ultrasound picture. As the gestational week progresses, it becomes difficult to differentiate, sometimes even impossible. During this examination, the presence of organs and whether they are normal or not are evaluated. Almost half of the important anomalies in the fetus can be diagnosed. If there is a problem, pregnancy can be terminated in an early week. "

Stating that the second ultrasonographic examination is performed between 18 and 23 weeks of pregnancy, Prof. Dr. Yücesoy, “It is also called as detailed ultrasonography. The week of gestation is determined by taking the biometric measurements of the fetus in detailed ultrasound. It is evaluated whether its growth is normal or not. It is checked whether there is a problem in the anatomical structures that should be examined in the determined gestational week. The head, face, neck, spine, chest, heart, abdominal organs, arms / legs / hands and feet of the fetus are systematically examined. The structure, location of the placenta (the twin of the fetus), whether it closes the cervix, the amount of amniotic fluid, and the number of vessels in the umbilical cord are evaluated ”.

Stating that the week of gestation is very important in examining the brain of the fetus, Prof. Dr. Yücesoy said, “Since brain development continues throughout pregnancy and after birth, it is evaluated whether there is a problem in the structures that should be seen in the brain during the week examined. If there is a problem in 3-dimensional and 4-dimensional ultrasonography, families can see this problem clearly. In 4-dimensional ultrasonography, movements of the fetus are seen, further examinations can be made for the diagnosis of anomalies. Usually 2 dimensions (black and white) are used when performing detailed ultrasonography. When necessary, Doppler application (such as holes in the heart, condition of the vessels, blood flow, anemia in the fetus) is added to the examination. Findings are recorded and reported. If a problem is detected or suspected, the mother is called again at a time interval of 1-4 weeks. Detailed ultrasonography is also called color ultrasonography by mistake. "What is meant by color ultrasonography is actually imaging the fetus in 3 dimensions."

08 January 2021, Friday