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First Trimester Screen With Nuchal Translucency Evaluation

The First Trimester Screen (with Nuchal translucency evaluation) is a non-invasive evaluation that combines a blood test (drawn on the mother at approximately 11 weeks) with a very specialized ultrasound of the back of your baby’s neck between 11-14 weeks’ gestation to identify your level of risk for having a baby with Down syndrome (Trisomy 21) or Edwards Syndrome (Trisomy 18). Approximately 90% of babies with Down syndrome and 95% of babies with Trisomy 18 will be identified as being at “increased risk” based on this combined test. A “positive” test does not mean that your baby has Down syndrome or Trisomy 18, but rather that there is an increased risk of these disorders (for example, greater than 1 in 100) and that you are eligible for additional counseling and testing if you so desire. This program is sponsored by the State Prenatal Screening Program. Once you are enrolled, if your test is positive (based on the blood test and ultrasound combined), the State will pay for additional testing (including any or all of the following: genetic counseling, one additional ultrasound, and amniocentesis if you desire).

The technique for Nuchal Translucency assessment is very specific and requires special training, expertise, and certification. At OC maternal-Fetal Medicine, we are specifically certified to provide this service, and we are also certified by the State Prenatal Screening Program to provide all follow-up services as needed if the screening test is positive.

Additionally, if you so request, we are usually able to determine the gender of your baby at the time of the 1st trimester ultrasound (as early as 12 weeks’ gestation). While this initial determination is preliminary (don’t paint the walls yet!), it is generally correct in approximately 90% of cases or more. Presuming that return for a second trimester ultrasound, the gender will be able to be confirmed with virtually 100% accuracy.

Second Trimester Comprehensive Ultrasound


Of all the tests you will undergo during your pregnancy, the Second Trimester Comprehensive Ultrasound is clearly one of the most important because it is the best opportunity to assure that your baby’s anatomy and organ development is proceeding normally as expected. Of course, it is also a wonderful time to see the first views of your baby’s appearance and confirm the gender. Our desire is that the ultrasound of your baby will be a joyful, reassuring experience. We provide information during and after your ultrasound so that you will know everything there is to know about the results of your exam while you are still in the office. We always provide plenty of pictures of your baby to remember the experience (as well as complementary 3D/4D views of your baby in most cases).

One of the advantages of having your ultrasound performed at OC Maternal-Fetal Medicine is that we are certified by the American Institute of Ultrasound in Medicine as specialty providers of this service. Additionally, Dr. Kurtzman personally evaluates every baby. He is Board Certified in Obstetrics and Gynecology as well as a Maternal-Fetal Medicine (Perinatology) and has also completed additional fellowship training in Obstetrical Ultrasound. Fortunately, most ultrasounds are completely normal. However, even in patients with no high risk factors, there is a 2-4% baseline frequency of major and minor fetal structural abnormalities (anomalies). Our state-of-the-art high resolution ultrasound machines and our specific expertise in obstetrical ultrasound allow us to perform the highest level of comprehensive ultrasound examination of your baby.

OC Maternal-Fetal Medicine is accredited by the American Institute of Ultrasound in Medicine .

Third Trimester Ultrasound and 3D/4D ultrasound


Along with comprehensive first and second trimester ultrasound, we provide ultrasound in the late stages of pregnancy as well. These ultrasounds are generally performed to assess fetal growth, amniotic fluid volume, and placental function to assure the ongoing well-being of your baby as you approach your due date. Additionally, our state of the art machines are equipped with the best 3D/4D imaging available for both diagnostic and enjoyment purposes (which we will provide as a courtesy to you during your otherwise medically-indicated exam)
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