Examination of perinatal and postnatal outcomes of pregnant women who refuse the recommended invasive procedure for increased nuchal translucency

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dc.contributor.authorÇağlayan, İlkin Seda Can
dc.contributor.authorKılıç, Vildan
dc.date.accessioned2025-05-04T16:41:54Z
dc.date.available2025-05-04T16:41:54Z
dc.date.issued2024
dc.departmentSivas Cumhuriyet Üniversitesi
dc.description.abstractObjective: The aim of our study was to detect an increase in nuchal translucency (NT) measurement among our patients attending our clinic for 11-14 weeks of control and to examine the perinatal and postnatal outcomes of pregnant women who were recommended an invasive fetal procedure but refused it. Methods: 107 pregnant women between 11-14 weeks of gestation who were evaluated in our center from 2018 to 2021 and who rejected invasive procedures were included. Patients opting for follow-up and delivery at another facility were excluded from the study. The study groups were categorized into 3 groups based on NT values, regardless of gestational age: 1st Group 2.5-3.4 mm, 2nd Group 3.5-4.5 mm, and 3rd Group>4.5 mm. Fetal ultrasound scans were conducted during the antenatal period, with detailed examinations postnatally. Results: Abnormal ultrasound findings were detected in 11.2% of fetuses, with a higher prevalence in groups exhibiting greater NT increases. While chromosomal anomaly was seen in 13% of all fetuses, Group 2 (NT 3.5-4.5mm) had the highest percentage (33.3%). The highest right and healthy birth rates were found in group 1 (91.8%), inversely proportional to the increase in NT. Conclusion: Increased NT values appear to be associated with increased rates of structural anomalies and adverse perinatal outcomes. Although chromosomal anomalies are associated with NT increase, a direct proportional relationship between the two remains undetermined. © 2024 Perinatal Medicine Foundation.
dc.identifier.doi10.59215/prn.24.0322010
dc.identifier.endpage160
dc.identifier.issn1305-3124
dc.identifier.issue2
dc.identifier.scopus2-s2.0-85206801376
dc.identifier.scopusqualityQ4
dc.identifier.startpage155
dc.identifier.urihttps://doi.org/10.59215/prn.24.0322010
dc.identifier.urihttps://hdl.handle.net/20.500.12418/34971
dc.identifier.volume32
dc.indekslendigikaynakScopus
dc.language.isoen
dc.publisherPerinatal Medicine Foundation
dc.relation.ispartofPerinatal Journal
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_Scopus_20250504
dc.subjectdecision-making
dc.subjectFirst trimester
dc.subjectnuchal translucency
dc.subjectperinatal outcome
dc.subjectprenatal testing
dc.titleExamination of perinatal and postnatal outcomes of pregnant women who refuse the recommended invasive procedure for increased nuchal translucency
dc.typeArticle

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