Amniocentesis

Amniocentesis is a procedure where the amniotic fluid, which is the fluid that surrounds and protects the baby during pregnancy, is collected from the uterus for testing or treatment. It is used to diagnose fetal infections or for genetic testing or fetal lung testing. It is also used as a treatment for polyhydramnios (too much accumulation of amniotic fluid during pregnancy).

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My pregnancy USG reports indicate a bilateral choroid plexus cyst and echogenic intracardiac focus. What to do?

Query: Hello doctor,I am a 23-year-old female and 19 weeks pregnant. The ultrasonography reports are - a bilateral 5 mm choroid plexus cyst and a small echogenic intracardiac focus in the left ventricle. What does this mean? Please help. I take vitamin C tablets daily and had a double marker test during my...  Read Full »


Dr. Deepti Verma

Answer: Hello, Welcome to icliniq.com. I read your query and understand your concern. I reviewed the report (attachment removed to protect patient's identity). In this situation, I suggest you go for an amniocentesis to confirm the fetal karyotype and rule out trisomy of 21 or Down's syndrome. The echogenic...  Read Full »

Is it risky if the NT scan shows 3 to 5 mm thickness in a three-month pregnant woman?

Query: Hello doctor, I am a 33 year old female, who has a 5 year old baby girl. I had two miscarriages, one two years back at 11 weeks, and one last year at nine weeks. Now, I am three months pregnant, and I had a NT scan, which showed a thickness of 3 to 5 mm. Is this a case of high-risk pregnancy? Doe...  Read Full »


Dr. R Balakrishnan Menon

Answer: Hi, Welcome to icliniq.com. How are you doing? Let me put forth few facts. Your age is in normal limits and not in high-risk for anomalies or genetic problem. Only after 37 to 40 years it is high-risk. You do not seem to have any medical complications. You have one 5 year old child, so the cha...  Read Full »

Other than ultrasound, how can Down's syndrome be diagnosed?

Query: Hi doctor, I am 26 weeks pregnant. Yesterday, I went for an ultrasound scan named targeted imaging for fetal anomalies. Other than hypoplasia of nasal bone, everything is normal. I need an expert opinion regarding advanced tests of ultrasound or amniocentesis, karyotyping or any ultrasound scan to ...  Read Full »


Dr. Sameer Kumar

Answer: Hi, Welcome to icliniq.com. I have gone through your reports (attachment removed to protect patient identity) in toto. At 26 weeks period of gestation, the overall growth of the fetus is fine. But the concern here is hypoplastic nasal bone seen in the second trimester TIFFA (targeted imagin...  Read Full »

Are my NT scan reports normal?

Query: Hello doctor,I had the NT scan at 11 weeks and 4 days and the NT was 3.3 mm. After that, I got the double marker test done which came back normal, with a risk of 1:624 for T21 and 1:685 for T13 and T18. I was asked to do the NT scan again and at 12 weeks and 2 days, the NT measured 2.8 mm. Also, the...  Read Full »


Dr. Neha Singh Rathod

Answer: Hello, Welcome to icliniq.com. I have gone through your query. There is nothing to worry about. All the reports are fine and your baby has no anomaly. So, relax and do not worry. You need not go for any further invasive procedures like amniocentesis. Just get your TIFFA (targeted imaging for fetal a...  Read Full »

Can a repeat anomaly scan cause miscarriage?

Query: Hello doctor,I am second time pregnant and my first son is 11 months old. Now, I am 20 weeks pregnant and the reports of the 12 weeks scan and the quad marker are normal. I do not have a family history of any abnormality but, my 20 weeks scan shows some abnormality. There is some thickness in the ba...  Read Full »


Dr. Saravan Pramod Settipalli

Answer: Hello, Welcome to icliniq.com. I went through your query. Please attach your reports again as they were not very clear. The main purpose of the anomaly scan is to check that the baby is developing normally. If the doctors suspect that your baby has a heart problem, you will be asked to come in for a...  Read Full »

Can you please interpret the results of my double marker test?

Query: Hi doctor, I want to know about the double marker test results. I am uploading the reports.  Read Full »


Dr. Sameer Kumar

Answer: Hello, Welcome to icliniq.com. I have seen the reports (attachment removed to protect patient identity) and understand your concern. The result is in the high-risk zone, and the next test would be a quadruple test done after two weeks to check for risk of aneuploidies. For more information consult a...  Read Full »

Why does My fetus have a single umbilical artery in the ultrasound report?

Query: Hi doctor, A single umbilical artery is observed in 22nd week L2 pregnancy ultrasound. All other parameters are fine in relation to the growth of the fetus. I want to know how to deal with this. Can we go for amniocentesis or chromosome study? I also have a low-lying placenta with 15 cm distance fr...  Read Full »


Dr. Deepti Verma

Answer: Hi, Welcome to icliniq.com. I have gone through your question and understand the concerns. A single umbilical artery can be associated with chromosomal anomalies, structural anomalies, or can be unassociated with any other anomaly. Since the previous child also had anterior abdominal wall defect, so...  Read Full »

Kindly provide an opinion on my NT scan and double marker test.

Query: Hi doctor, I am 12 weeks 3 days pregnant. I got my NT scan and double marker blood test results. NT value 1.7 mm at CRL of 52.6 mm, free beta hCG 1.29 MOM, PAPP-A 0.37 MOM, trisomy 21+NT risk 1:513, trisomy 21 1:214 and trisomy 13/18+NT. What is your opinion?  Read Full »


Dr. Sameer Kumar

Answer: Hello, Welcome to icliniq.com. The NT value (nuchal translucency) is normal as it is less than 2.5 mm, but the overall trisomy 21 risks being 1:214 and together risk 1:513. This ideally calls for a quadruple test after one week. If the cut-off bar in the graph is over the cut-off line, then it calls...  Read Full »

Are my ultrasound finding dangerous at 19 weeks pregnant?

Query: Hi doctor, I am 19 weeks pregnant. I went for my second level ultrasound and found out a cyst of size 7.0 mm in right choroid plexus, intracardiac echogenic focus in right ventricle and bilateral mild pelviectasis right renal pelvis is 3.0 mm and left 4.3 mm. Please advise what should be done. Is t...  Read Full »


Dr. Jimesh H Mavani

Answer: Hello, Welcome to icliniq.com. First of all understand clearly about the finding in your sonography and try to understand it. Choroid plexus cyst and intracardiac echogenic focus, when they are single, termed as isolated findings and mostly they go off as the pregnancy advanced. So, there is no pro...  Read Full »

What to do if my double marker test comes back abnormal?

Query: Hi doctor, I am 13 weeks pregnant. Last week, I underwent an NT scan report, and it was normal, and I gave a double marker blood test. Yesterday from the hospital, they called me for a blood test because the first report shows abnormal. I am so scared whether the second time the double marker test ...  Read Full »


Dr. Tinu Philip

Answer: Hello, Welcome to icliniq.com. First of all, congrats on your pregnancy. Let me clarify that double marker is only a screening test. It is not a confirmatory test. Double markers are not repeated if they are showing a high risk. So if the lab has asked for a second sample, it may be due to some o...  Read Full »

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