Fetal Nuchal Translucency and Intestinal Calcification - Obstetrics and Gynecology

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Fetal nuchal translucency and intestinal calcification?


Hello, I am currently 20 weeks pregnant.
I had a high-level ultrasound, and the doctor mentioned that the fetal neck thickness is quite thick at 0.61 cm.
Could you please let me know if there could be any error in this measurement? What is the normal range for this value?

Worried Mommy, 20~29 year old female. Ask Date: 2016/01/25

Dr. Lü Lizheng reply Obstetrics and Gynecology


The response is usually around 0.1 cm.
Please follow up at the medical center.
Best regards, Dr.
Lu Li-Cheng.

Reply Date: 2016/01/25

More Info


Nuchal translucency (NT) is a measurement taken during an ultrasound in the first trimester of pregnancy, typically between 11 and 14 weeks, to assess the risk of chromosomal abnormalities, such as Down syndrome. However, since you are currently at 20 weeks of gestation, the NT measurement is no longer relevant as it is typically not measured after the first trimester.
At 20 weeks, the focus shifts to other aspects of fetal development, including organ formation and growth. The thickness of the nuchal fold can still be assessed, but it is not a standard practice at this stage. Generally, a nuchal fold measurement of less than 6 mm is considered normal at 20 weeks. Your measurement of 0.61 cm (or 6.1 mm) is slightly above the typical threshold, but it is essential to interpret this in the context of other findings and the overall health of the fetus.

Regarding the potential for measurement error, ultrasound measurements can indeed have some variability due to factors such as the position of the fetus, the skill of the technician, and the quality of the ultrasound equipment. It is always advisable to discuss any concerns with your healthcare provider, who can provide a more comprehensive interpretation based on your specific situation.

As for intestinal calcification, this can be a finding on an ultrasound that may indicate various conditions. In some cases, it can be a normal variant, while in others, it may suggest underlying issues such as infections, congenital abnormalities, or even complications related to the placenta. If intestinal calcification is noted, your healthcare provider may recommend further evaluation or monitoring to ensure that the fetus is developing normally.

In summary, while your nuchal translucency measurement is slightly elevated, it is crucial to consider it alongside other ultrasound findings and clinical assessments. If there are any concerns about the health of your fetus, your healthcare provider will guide you through the necessary steps for further evaluation or monitoring. Always feel free to ask questions and express any concerns you may have during your prenatal visits, as open communication is vital for ensuring the best outcomes for both you and your baby.

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