{"id":7117,"date":"2024-02-03T23:46:25","date_gmt":"2024-02-03T22:46:25","guid":{"rendered":"https:\/\/genetika-plzen.nullable.group\/?page_id=7117"},"modified":"2024-04-24T00:14:36","modified_gmt":"2024-04-23T22:14:36","slug":"screening-v-tehotenstvi","status":"publish","type":"page","link":"https:\/\/genetika-plzen.nullable.group\/en\/geneticka-ambulance\/screening-v-tehotenstvi\/","title":{"rendered":"Screening examinations"},"content":{"rendered":"<div data-elementor-type=\"wp-page\" data-elementor-id=\"7117\" class=\"elementor elementor-7117\">\n\t\t\t\t<div class=\"elementor-element elementor-element-d967653 e-flex e-con-boxed e-con e-parent\" data-id=\"d967653\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b75b219 elementor-widget elementor-widget-heading\" data-id=\"b75b219\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\"><main><div class=\"limited\"><section><h2><h2>I.trimester<\/h2><\/h2><\/section><\/div><\/main><\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-f1fe853 e-flex e-con-boxed e-con e-parent\" data-id=\"f1fe853\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-058d29b elementor-widget elementor-widget-text-editor\" data-id=\"058d29b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\tFirst trimester screening is performed when the fetus is between 11 weeks + 3 days and 13 weeks + 6 days old, with a crown-rump length (CRL) of 45-84 mm. At this stage of pregnancy, it is possible to diagnose certain congenital organ defects and assess so-called ultrasound markers for fetal diseases. An important feature is the swelling of the skin in the neck area (nuchal translucency \u2013 NT). Significant enlargement of NT may indicate a risk of congenital defects. It is also important to assess other signs such as the presence of the nasal bone (NB), tricuspid regurgitation, and ductus venosus. This examination also includes a maternal blood test to determine the levels of placental hormones and proteins, PAPP-A and free \u03b2hCG. Based on these examinations, the combined risk of chromosomal abnormalities for the fetus, especially Down, Edwards, and Patau syndromes, is determined.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-f368657 elementor-widget elementor-widget-text-editor\" data-id=\"f368657\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\tYOU CAN HAVE THE SCREENING RESULT AT OUR DEPARTMENT ON THE SAME DAY.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6fd0592 elementor-widget elementor-widget-text-editor\" data-id=\"6fd0592\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<table><tbody><tr><td>Combined first trimester screening including preeclampsia \u2013 genetic risk assessment \u2013 singleton pregnancy<\/td>\n\t\t\t\t\t\t<td style=\"text-align:right\">2&nbsp;000&nbsp;K\u010d<\/td>\n\t\t\t\t\t<\/tr>\n\t\t\t\t\t<tr>\n\t\t\t\t\t\t<td>Combined first trimester screening including preeclampsia \u2013 genetic risk assessment \u2013 twins<\/td>\n\t\t\t\t\t\t<td style=\"text-align:right\">3&nbsp;000&nbsp;K\u010d<\/td><\/tr><\/tbody><\/table>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6f56c81 elementor-widget elementor-widget-image\" data-id=\"6f56c81\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"500\" height=\"500\" src=\"https:\/\/genetika-plzen.nullable.group\/wp-content\/uploads\/2024\/02\/thumb_3000x3000_screening-v-tehotenstvi.jpg\" class=\"attachment-large size-large wp-image-7053\" alt=\"\" srcset=\"https:\/\/genetika-plzen.nullable.group\/wp-content\/uploads\/2024\/02\/thumb_3000x3000_screening-v-tehotenstvi.jpg 500w, https:\/\/genetika-plzen.nullable.group\/wp-content\/uploads\/2024\/02\/thumb_3000x3000_screening-v-tehotenstvi-300x300.jpg 300w, https:\/\/genetika-plzen.nullable.group\/wp-content\/uploads\/2024\/02\/thumb_3000x3000_screening-v-tehotenstvi-150x150.jpg 150w\" sizes=\"(max-width: 500px) 100vw, 500px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-32aae05 e-flex e-con-boxed e-con e-parent\" data-id=\"32aae05\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-cde9722 elementor-widget elementor-widget-heading\" data-id=\"cde9722\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Preeclampsia screening<\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-22eb971 e-flex e-con-boxed e-con e-parent\" data-id=\"22eb971\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4e15e5a elementor-widget elementor-widget-text-editor\" data-id=\"4e15e5a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\tPreeclampsia is a condition that occurs only during pregnancy and is characterized by a triad of symptoms \u2013 increased blood pressure, significant protein loss in the urine, and generalized swelling. This condition manifests after the 20th week of pregnancy and in the most severe cases can lead to the induction of preterm birth or termination of pregnancy by cesarean section, which can be associated with serious complications for the newborn. Unfortunately, it can also pose a threat to the health and life of the mother. The test to determine the risk of preeclampsia is performed simultaneously with the combined first trimester screening and has a detection rate of up to 90%. Performing this test is recommended for all pregnant women.\n\n<p>The test has three parts:<\/p>\n\n<ul><li>Ultrasound examination of blood flow in the uterine arteries by a certified sonographer (certificate from FETAL MEDICINE FOUNDATION London)<\/li><li>Repeated blood pressure measurement on both upper limbs according to a precisely defined procedure<\/li><li>Blood test of the pregnant woman to determine the level of placental growth factor (PLGF).<\/li><\/ul>\n\n<p>In case of increased risk of preeclampsia, preventive treatment is recommended to the pregnant woman, which significantly reduces both the likelihood of occurrence and the severity of the potential condition.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-dfc3ccd elementor-widget elementor-widget-image\" data-id=\"dfc3ccd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"327\" height=\"238\" src=\"https:\/\/genetika-plzen.nullable.group\/wp-content\/uploads\/2024\/02\/obr.jpg\" class=\"attachment-large size-large wp-image-7119\" alt=\"\" srcset=\"https:\/\/genetika-plzen.nullable.group\/wp-content\/uploads\/2024\/02\/obr.jpg 327w, https:\/\/genetika-plzen.nullable.group\/wp-content\/uploads\/2024\/02\/obr-300x218.jpg 300w\" sizes=\"(max-width: 327px) 100vw, 327px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-4cd49ed elementor-button-info elementor-widget elementor-widget-button\" data-id=\"4cd49ed\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"\/wp-content\/uploads\/2024\/02\/screening_vrozenych_vyvojovych_vad.pdf\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Requisition form<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-1495981 e-flex e-con-boxed e-con e-parent\" data-id=\"1495981\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-624fa03 elementor-widget elementor-widget-heading\" data-id=\"624fa03\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\"><main><div class=\"limited\"><section><h2><h2>II. trimester<\/h2><\/h2><\/section><\/div><\/main><\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-fc6acb7 e-flex e-con-boxed e-con e-parent\" data-id=\"fc6acb7\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-e5f760a elementor-widget elementor-widget-text-editor\" data-id=\"e5f760a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\tAn ultrasound examination performed between week 19 and 22 of a woman's pregnancy. It is the most important ultrasound examination to exclude congenital defects of foetal organs. Apart from evaluating the foetus as a whole and each organ, we also determine foetal weight and therefore the correct growth of the foetus. Last but not least, we evaluate the position and appearance of the placenta and the amount of amniotic fluid.\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-277eb1b e-flex e-con-boxed e-con e-parent\" data-id=\"277eb1b\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-b6d8eb0 elementor-widget elementor-widget-heading\" data-id=\"b6d8eb0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\"><main><div class=\"limited\"><section><h2><h2>III. trimester<\/h2><\/h2><\/section><\/div><\/main><\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-88b50fa e-flex e-con-boxed e-con e-parent\" data-id=\"88b50fa\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-81098c8 elementor-widget elementor-widget-text-editor\" data-id=\"81098c8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p class=\" translation-block\">Examination in week 30-32 of a woman's pregnancy. In this period of time the key examination includes the size and position of the foetus. The organs are again evaluated, including the status and position of the placenta and the amount of amniotic fluid. In some cases we measure blood flow rate in the umbilical cord and other foetal vessels.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-b7657b7 elementor-button-info elementor-widget elementor-widget-button\" data-id=\"b7657b7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"\/wp-content\/uploads\/2024\/02\/20230405_letak_ultrazvukova_vyse.pdf\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Leaflet<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3c059e7 elementor-button-info elementor-widget elementor-widget-button\" data-id=\"3c059e7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/genetika-plzen.nullable.group\/en\/cenik\/#screeningy-v-tehotenstvi\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Price list<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ff69dd0 elementor-widget elementor-widget-spacer\" data-id=\"ff69dd0\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>Kombinovan\u00fd screening I.&nbsp;trimestru Screeningov\u00e9 vy\u0161et\u0159en\u00ed v&nbsp;I.&nbsp;trimestru se&nbsp;prov\u00e1d\u00ed ve&nbsp;st\u00e1\u0159\u00ed plodu 11&nbsp;t\u00fddn\u016f + 3&nbsp;dny a\u017e 13&nbsp;t\u00fddn\u016f + 6&nbsp;dn\u00ed kdy je velikost plodu od&nbsp;temene ke kostr\u010di (CRL) 45-84&nbsp;mm . V&nbsp;t\u00e9to f\u00e1zi t\u011bhotenstv\u00ed m\u016f\u017eeme diagnostikovat ji\u017e n\u011bkter\u00e9 vrozen\u00e9 org\u00e1nov\u00e9 vady a&nbsp;hodnotit tzv. ultrazvukov\u00e9 markery pro&nbsp;onemocn\u011bn\u00ed plodu. D\u016fle\u017eit\u00fdm znakem je pros\u00e1knut\u00ed podko\u017e\u00ed v&nbsp;\u0161\u00edjov\u00e9 oblasti (\u0161\u00edjov\u00e9 projasn\u011bn\u00ed &#8211; NT). V\u00fdrazn\u00e9 zv\u011bt\u0161en\u00ed [&hellip;]<\/p>","protected":false},"author":9,"featured_media":0,"parent":7072,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"service-area":[27],"class_list":["post-7117","page","type-page","status-publish","hentry","service-area-geneticka-ambulance"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.2 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Screening v t\u011bhotenstv\u00ed | Genetika Plze\u0148<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/genetika-plzen.nullable.group\/en\/geneticka-ambulance\/screening-v-tehotenstvi\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Screening v t\u011bhotenstv\u00ed | Genetika Plze\u0148\" \/>\n<meta property=\"og:description\" content=\"Kombinovan\u00fd screening I.&nbsp;trimestru Screeningov\u00e9 vy\u0161et\u0159en\u00ed v&nbsp;I.&nbsp;trimestru se&nbsp;prov\u00e1d\u00ed ve&nbsp;st\u00e1\u0159\u00ed plodu 11&nbsp;t\u00fddn\u016f + 3&nbsp;dny a\u017e 13&nbsp;t\u00fddn\u016f + 6&nbsp;dn\u00ed kdy je velikost plodu od&nbsp;temene ke kostr\u010di (CRL) 45-84&nbsp;mm . V&nbsp;t\u00e9to f\u00e1zi t\u011bhotenstv\u00ed m\u016f\u017eeme diagnostikovat ji\u017e n\u011bkter\u00e9 vrozen\u00e9 org\u00e1nov\u00e9 vady a&nbsp;hodnotit tzv. ultrazvukov\u00e9 markery pro&nbsp;onemocn\u011bn\u00ed plodu. D\u016fle\u017eit\u00fdm znakem je pros\u00e1knut\u00ed podko\u017e\u00ed v&nbsp;\u0161\u00edjov\u00e9 oblasti (\u0161\u00edjov\u00e9 projasn\u011bn\u00ed &#8211; NT). 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