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Tests
Performed During Pregnancy
Second Trimester
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Ultrasound
(or sonography) is a procedure that can be performed from the
fifth week of pregnancy up until delivery, but it is
generally done after the sixteenth week. The test uses
sound waves to produce a picture of the fetus (sonogram)
without the danger of x-rays. Most ultrasound machines have
a TV-like screen that provides parents-to-be a unique
opportunity to see their baby. Often they can even get a
copy of the sonogram to show to family, friends and their
child in later years. If performed early,
ultrasound it can be used to date a pregnancy. Later, it
can be used to identify possible causes of a problem such
as vaginal bleeding, determine the condition of the
placenta, diagnose a multiple pregnancy, determine whether
the baby is growing properly and verify breech presentation
or another uncommon fetal or cord position prior to
delivery. Although in 25 years of
clinical use and study, no harmful effects have been
associated with ultrasound, the American
College of Obstetricians and Gynecologists (ACOG) still
recommends the procedure be performed only when necessary -
not on a routine screening basis. Many obstetricians
provide Ultrasound services in their offices.
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Alpha-Fetoprotein (AFP)
Screening, performed between the fifteenth and
eighteenth week of pregnancy, analyzes the mother's blood
to detect the possibility of abnormalities in the baby's
brain or spinal cord or a chromosomal disorder such as
Down's syndrome. The problem with the AFP test is the high
number of false positives it produces. If you have an AFP
screen, remember, it is only a screening test. Any abnormal
results require further testing to confirm a problem.
Because the test can detect possibly serious illnesses and
poses no danger to the mother or the fetus, experts
recommend AFP screening for all pregnant women.
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Amniocentesis, usually
performed between the fourteenth and eighteenth week of
pregnancy, is a diagnostic test that can identify a number
of fetal problems, including Down's syndrome and the
possibility of Tay-Sachs disease or sickle-cell anemia.
Since Down's syndrome is more common in babies born to
older women, amniocentesis is usually recommended for all
women over age 35.
Here is how
an Amniocentesis works:
The doctor
inserts a slender needle through the abdomen and into the
amniotic sac and extracts fluid for examination. Through
chromosome analysis the test can also reveal the sex of the
fetus.
• Chorionic villus sampling
(CVS)–detects genetic disorders.
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