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21 Eylül 2016 Çarşamba

QUAD SCREENING TEST FOR WHAT?


DURING PREGNANCY (in pregnancy) FOUR TEST WHAT?
dorla in pregnancy tests (Quadruple Test) is a test that is completely made for the same purpose but the triple test with a higher success than triple test. The detection rate of Down syndrome babies in the quadruple test is 80%. From maternal blood tests to evaluate triple B-hCG and free estriol (UE3), and in addition to the quadruple test AFP levels of inhibin-A levels also increases the success of the test to join the formula. This is due to name four test substances measured in the mother's blood all over, just as it was in the double and triple test. just as with the regular blood test from the mother of a small amount of blood Alinari quadruple screening assessment is made.

Trisomy 21 and 18 mental retardation, heart defects and other diseases that are organ abnormalities. This is also why it's called testing the intelligence test, quadruple test is not a test that measures the baby's intelligence level.

ie two tests in the first trimester screening test between 11-14 weeks, those taking the combined test and NT measurement, the quadruple test is the best test can be recommended for those who missed the later time.

Quartet for risk assessment based on the test results:
Just as in the quadruple test in the triple test my sednro Down (trisomy 21), Edwards syndrome (trisomy 18) and neural tube defect risk assessment is made of the anomaly. You can see the triple test article for more information. The only difference is higher than the success detect here. Just two tests, and does not indicate the presence of disease precisely quadruple test in the baby like triple test, only it shows that higher than normal no risk of these chromosomal abnormalities in the baby, but it has despite the high risk potential baby is completely normal as well. Therefore, methods such as CVS and amniocentesis applied for a definitive diagnosis.
because it is too risky for pregnant women over 35 years old "usually" directly without the need for amniocentesis recommended quadruple test.

TRIPLE SCREENING TEST FOR WHAT?


DURING PREGNANCY (in pregnancy) TRIPLE TEST WHAT?

Triple test (triple test) is a test performed to determine chromosomal abnormalities and some congenital abnormality called neural tube defects in babies during pregnancy may be. trisomy 21 baby as the double test (Down syndrome) and trisomy 18 (Edwards syndrome) risk being determined, but not precisely determine the presence of this syndrome in infants. If the baby is higher if the risk of chromosomal abnormalities in the triple test for accurate diagnosis CVS or amniocentesis is done. B-hCG and free estriol (UE3) is determined by measuring these risks.

Triple test, as distinct from the double test of the anomaly called the risk of neural tube defects can be identified, measured in triple test that it provides (AFP alfafötoprote) value. Neural tube defects of spinal cord injury on the baby's nervous system (to have the baby in the back-bay people) or are associated with abnormalities of brain damage.


Trisomy 21 and 18 mental retardation, heart defects and other diseases that are a multiple organ abnormalities. This is why it's called intelligence test test to this is also the baby's triple test is not a test that measures the level of intelligence.


Triple test is usually performed between 16-20 weeks of pregnancy can evaluate some labs 15-22 weeks. little is done by taking blood from the mother just as in the triple test in normal blood tests.


According to the latest triple test to determine the risk it is the same as in the two tests. (1/270 for Down syndrome, Edwards syndrome 1/100) you can read the writing duo screening for detailed information about risk limits. Triple the risk of chromosomal abnormalities in babies can be completely normal test results from high to pregnancy, CVS or amniocentesis is performed to determine the final result.

because it is too risky for pregnant women over 35 years old "usually" is directly offering amniocentesis without the need for triple test.


What is the success of the triple test?

All of pregnancy with a baby with Down's syndrome screening test triple determined can be determined only up to 70%. triple test results in about one-third of pregnancies with Down's syndrome baby does not come as a high-risk, regular income. This is due to low success to determine the triple test is not recommended for use alone.

DOUBLE SCREENING TEST FOR WHAT?


DURING PREGNANCY (in pregnancy) DOUBLE TEST WHAT?
Bilateral screening in pregnancy, the baby is a test that can be done to investigate some of the chromosomal abnormalities. According trisomy 21 babies dual test results (Down syndrome) and trisomy 18 (Edwards syndrome) called the risk of chromosomal abnormalities in the baby investigated. These diseases are diseases with mental retardation and some organ abnormalities. This is why it's called intelligence test test to this is also double test is not a test that measures the baby's intelligence level.

between 11-14 weeks of pregnancy for the double test of blood is taken from the mother (as received in the same regular blood tests). This blood β-hCG and PAPP-A levels were measured, the mother's age and other characteristics of the formula is determined by means of computer results. This test, called a binary test. If this formula to the baby's nuchal translucency (NT) is also added to the rate becomes clearer accuracy of the results obtained, this test combined test (duo combined test) is called. So the combined test is a test conducted as a result of the combined thickness of the neck with a double test. Down syndrome screening test detected 65% of the bilateral baby it can be applied, with 85% of the combined test can be determined. Both tests can not detect all of Down syndrome babies, babies with Down syndrome in a number of high-risk pregnancies will come as a result of this test it is a normal future.

As a result of this double test for chromosomal abnormalities that can not be determined definitively whether the baby has not only higher than normal risk of these abnormalities in the baby is taken to answer the question. If the risk is high if these anomalies in the baby's normal to get a definitive answer to the question Is there a CVS or amniocentesis methods are applied.

Risk identification according to binary test results:
high risk for Down sensro my limit 1/270 in binary test results are accepted. That results; 1/270 if greater than (for example, 1/200) the risk of Down syndrome babies are higher than normal but the baby may be normal. CVS or amniocentesis should be done for a definitive diagnosis.
Binary test results, Edwards syndrome (trisomy 18) for high-risk limits 1/100 accepted. So the result 1 / 100th of the great inference (eg 1/80) the risk of Edwards syndrome in infants is higher than normal, but the baby may be normal. CVS or amniocentesis should be done for a definitive diagnosis.

Nasal bone measurement (nasal bone):
Absence of nasal bone (nasal bone absence), it is more accurate to describe, because the presence or absence of bone is evaluated. Nasal bone so there are some centers by evaluating the combined bilateral değenlendiril ultrasound test of the nasal bone. Nasal bone can not be seen on ultrasound increases the risk of trisomy. Because the nasal bone can be seen in 98% of normal fetuses between 11-14 weeks, it can not be seen only in 2%. of fetuses with trisomy 21 the nasal bone is not visible at 70%. 50% of fetuses with trisomy 18 the nasal bone is not visible. 30% of fetuses with trisomy 13 the nasal bone is not visible.

DURING PREGNANCY (in pregnancy) INTELLIGENCE TEST WHAT? WHEN?



PRENATAL SCREENING

This test is called intelligence test result?
two tests performed in pregnancy, triple test is called intelligence test among the general public, such as the quadruple test to test. The original name of this test called a test of intelligence among the people are prenatal Down syndrome screening tests or screening tests. (prenatal screening tests). These tests are not tests that measure the intelligence of the baby, but the risk of chromosomal abnormalities identified in the results of these tests are the disease that is associated with mental retardation, Down syndrome (mongoloid baby, trisomy 21) as. The level of intelligence of the baby's mother is no test that evaluates directly. These tests can also be determined by intelligence tensioner chromosomal abnormalities in the baby outside has a wide variety of diseases, such as hypothyroidism. In other words, these tests are only scans a few of the diseases that can mental retardation does not scan for the others so the results of these tests normally a newborn also due to another disease mental retardation occur. So they all have normal intelligence tests results after the baby's birth does not guarantee that normal intelligence.

When intelligence tests, which are done in the week?
Of these two tests performed between 11-14 weeks of pregnancy. Triple or quadruple test is done between 16-20 weeks of testing. Dual fetus while testing the nuchal translucency (NT) is measured.

As with most test has fallibility in a certain ratio in these tests. That's a baby on the results of these tests appear normal are actually likely to be sick. Conversely, the risk of having a baby appears normal to abnormal, these tests are also available. But of course, the tests show the correct ratio is higher than the rate of false show. Therefore, methods such as amniocentesis or CVS is used to translate a conclusive result in this test. This test of the credibility of information on rates and other matters can be found through the links below.

Twins, triplets and other multiple births screening:
Twins, triplets and other multiple births double test, triple test, quad test can not be applied due to successful unable to express. Instead, the purpose of this pregnancy scan, nuchal translucency (NT) measurement is used.

IN PREGNANCY (IN PREGNANCY) THE TESTS AND ASSAYS


in different periods from the beginning to the end of pregnancy is carried out various analyzes and tests. Even some analysis of the couples before pregnancy is expedient to do so when he decided to pregnancy. Some tests need to be done in certain weeks of pregnancy that can not be done outside of weeks so this test should be carefully monitored during pregnancy, the time should not be missed. Some of the tests routinely performed in all pregnant women during pregnancy, is when only some pregnancy tests in a number of specific conditions occur. All of these tested according to the week in which the end of the beginning of pregnancy is described below respectively.

The assays are performed in the first examination:
These tests are tests conducted in the couple's doctor first application. before pregnancy occurs in a pair of the most accurate yet decided when to seek medical pregnancy and the analysis is done at this meeting. Because according to some abnormalities can be detected in this test measures the pregnancy before it begins. However, the majority of couples after pregnancy occurred (the total delay) after being admitted to a doctor. This first appeared Umeda gynecological examination and ultrasonography of the female genital organs are evaluated. If not done in the last 1 year smear it should be performed. General systemic examination can be done and can be done in the presence of abnormalities of consultation to industry experts, if necessary. The assays are performed in the first examination:
- Complete blood count (CBC): Maternal anemia (anemia) to investigate there.
- Parents blood groups: measures to determine if blood incompatibility.
- If there is blood incompatibility IDC (indirect Coombs test)
- Complete urine examination (urine culture if necessary)
- TSH: If Mother goiter and thyroid hormone disorders can affect the baby, if detected disorders require treatment by a specialist.
- Toxoplasma IgM and IgG: Click for more details.
- Rubella IGM - IGG (rubella tests): click for more information.
- CMV IgM and IgG: Click for more details.
- Made HBsAg tests for hepatitis B and hepatitis B infection: determining if the mother has hepatitis B infection in the baby after birth to prevent needle is made antibodies to the baby.
- HCV test
- HIV (AIDS) test
- Syphilis (syphilis) test for syphilis is not required but can be done routinely.
- Fasting blood glucose for patients at risk for diabetes
- Biochemistry (cholesterol, kidney and liver tests and so forth) is not a recommended test routine during pregnancy. The advanced maternal age or some systemic diseases, if any should be made.

Between 11-14 weeks:
The nuchal translucency ultrasound examination after the 11th week of pregnancy the baby (NT) is measured and binary test (blood test) done. This analysis can be performed between 11-14 weeks, it can not be made after 14 weeks. Click for more information about this test.

Between 16-20 weeks:
This triple screening test between weeks (triple test) or quadruple test is done. If this test result came risky amniocentesis (removal of water from the baby) it can be done further investigation. Click for more information about this test.

Between 24-28 weeks:
- 50 g oral glucose (sugar water test) done between 24-28 weeks. If this test result is higher than 140 came 100 g OGTT test is performed. Click for more information about these tests. This week missed and further in the coming weeks in patients with fasting and postprandial blood glucose can be evaluated by looking at the status of susceptibility to diabetes mellitus.
- If there is blood incompatibility between parents 28 weeks IDC (indirect Coombs test) done and that test shows that the impact is negative, then due to blood incompatibility between mother and child. This case is made of needle blood incompatibility. If affected (indirect Coombs test positive if) investigated the extent to which may be affected baby with further testing. Please click here to detailed information on this subject.

routine tests are done in almost every pregnant foregoing. In some cases, during pregnancy and some diseases may require further analysis of the outside of the above assays.

Between 35-37 weeks:
This week between his Group B Streptococcus (bacteria) screening is recommended but not yet in our country is a practice more common. Please click here to detailed information on this topic.

10 MONTHS PREGNANCY (ON PREGNANCY MONTHS)


THE TENTH MONTH OF PREGNANCY
(40 WEEKS AFTER THE PERIOD)

A normal pregnancy usually between 38 and 40 weeks, resulting in childbirth. Despite the complete absence of birth 40 weeks of gestational shall be entered in the tenth month of pregnancy.

The safest method accurate recall of mothers last menstrual period and ultrasound measurements made in the first 12 weeks of pregnancy is the confirmation of the date for determining the week.
A day pass is a condition in which a variety of real danger, both during the prenatal period and in the period after birth for child birth. So the days pass both mother is a condition that should be addressed carefully by the doctor as well.

problems encountered in pregnancy to pass the day include:
- Baby feeding so the baby's spouse may deteriorate due to aging baby with nutrients and oxygen leading to decreases in the rotation when the baby before birth and the baby's birth and therefore oxygenation during heart beats.
- Day of the water may cause the patient to gradually go down to press the baby's cord can disrupt the baby's nutrition and oxygen to get prune.
- The day pass before birth the baby stool can during or birth and before the birth of the first stool baby, or more often the baby was born when he got his first breath escaped into the baby's lungs can cause respiratory distress.
- Day babies may be bigger than in previous pregnancies and problems with regard to eastern accordingly.


pregnancies that go through the day should be monitored more closely because of the problems mentioned above.
Day pass follow-up of pregnant women should be made as follows:
Day 1 excessive NST (Saving the baby's heartbeat) was performed to evaluate the baby's heartbeat registration
2. considered carefully by the mother of the baby move; consult a doctor in case of reduction or absence of
Day 3 with excessive ultrasound to evaluate the baby's water and movement
4. Water arrive, such cases should be referred to hospital onset of bleeding and pain.

the day will not exceed trouble in pregnancy and birth controls mentioned above until 41 weeks pregnant women admitted to the hospital is still not realized. Birth; if it is trying to built an additional problem in the normal way or induction of labor. If the other option is a birth by cesarean birth it does not take place despite the presence of any distress or induction of labor.

9 MONTHS OF PREGNANCY (NINE MONTHS PREGNANT)


NINE MONTH your pregnancy
(34.-40. WEEK PERIOD BETWEEN)

Normal gestation period of 9 months and 10 days he known that 280 days. The ninth month of the containers and the full 40 weeks from 34-38 weeks gestation period is completed with the last 10 days. But every hebelik not wait until 40 weeks, many born around 38 weeks, sometimes also born around 41 weeks through 40 weeks.

After 36 weeks of pregnancy weekly checks begin.
This month, the baby began to enter the birth canal. Therefore, your stomach goes down. This heartburn, provides relief for your complaints such as back pain.
This month growing baby fat.

This month the birth pangs can begin at any moment. The most important feature of a true labor contractions are coming at regular intervals. At first, but then less labor pain starts from increasingly frequent. True labor pain is not relieved by rest. If convulsions if not now enter into a specific order, but to rest, you need to go to hospital. here the difference between true and false contractions can read more detail.

Engagement of the baby called light bloody discharge cervical mucus is to throw a protective plug. It usually begins within 2 days of birth without engagement.

When you bleed, you feel the baby move when it comes to water or reduction in yourself, you must contact the hospital if you notice any situation which necessarily abnormal.

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