Reference centile charts of f- βhCG, PAPP - Aandnuchal translucency in 11 - 13 week 06 day fetus

Nguyen Hai Long, Tran Danh Cuong, Nguyen Thi Thu Huong, Le Sy Cuong

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Abstract

This study was conducted to assess the correlation between the crow-rump length (CRL) and nuchal translucency, PAPP-A, free β-hCG, and build their 5th, 50th, 95th value in normal fetus. A total of 2604 women with singleton pregnancies between 11 and 13 week and 6 days at the Center of Prenatal Diagnostic of National Hospital were enrolled in the study. CRL and nuchal translucency (NT) were measured, and test of PAPP-A and free β-hCG were conducted. The means, standards derivation, and correlation between CRL and NT, PAPP-A and free β-hCG were calculated; the equations for NT, PAPP-A and free β-hCG were derived. Results showed that the average CRL was 61.09 ± 7.16mm, average NT was 1.32 ± 0.36mm, average PAPP-A was 3833.78 ± 749.23 mU/l, average free β-hCG was 70.22 ± 48.15 ng/ml. The regression equation for NT was 0,342 + CRLx 0,015
(R2 = 0.076), for PAPP-A = 104.579x CRL- 2555.937 (R2 = 0.107), free β-hCG = 114.117- 0.718x CRL (R2 = 0.011). In conclusion, there is the correlation between CRL and NT, PAPP-A, free βhCG. The reference centile charts of first trimester aneuploidy screening were derived in Vietnamese pregnant women. These centile charts may be used as a reference for clinical use in Vietnam population.

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References

1. Bianchi D.W, Crombleholme T.M, D’Alton M.E. Fetology, diagnosis and management of the fetal patient. The McGraw - Hill Companies; 2000:272.
2. Bùi Hải Nam. Tìm hiểu mối liên quan giữa bất thường nhiễm sắc thể và tăng khoảng sáng sau gáy ở tuổi thai từ 11 tuần đến 13 tuần 06 ngày. Luận văn Thạc sỹ - Đại học Y Hà Nội. 2011;
3. Nguyễn Hải Long. Đánh giá giá trị của độ dầy da gáy để chẩn đoán thai bất thường có nhiễm sắc thể bình thường. Luận văn Thạc sỹ - Đại học Y Hà Nội. 2013;
4. Dương Văn Chương. Nghiên cứu kết quả thai nghén của những trường hợp có tăng khoảng sáng sau gáy. Luận văn Thạc sỹ - Đại học Y Hà Nội. 2018;
5. Min - Hyoung Kim, Su - Hyun Park, Hye - Jin Cho, et al. Threshold of Nuchal Translucency for the Detection of Chromosomal Aberration: Comparison of Different Cut - offs. J Korean Med Sci. 2/ 2006;21(1):11 - 14.
6. Papageorghiou A. T, Kennedy S. H, Salomon L. J, et al. International standards for early fetal size and pregnancy dating based on
ultrasound measurement of crown - rump length in the first trimester of pregnancy. Ultrasound Obstet Gynecol. Dec 2014;44(6):641 - 8. doi:10,1002/uog.13448
7. Nicolaides KH et al. One stop clinic for assessment of risk for trisomy 21 at 11 - 14 weeks. Ultrasoud Obstet Gynecol. 2002;20:219 - 25.
8. Manisha Kumar, Shalini Singh, Karuna Sharma, et al. Reference centile charts of first - trimester aneuploidy screening & Doppler parameters for Indian population. Original Article. Indian Journal of Medical Research. October 1, 2018 2018;148(4):427 - 434. doi:10,4103/ijmr.IJMR_1615_16
9. Chung J. H, Yang J. H, Song M. J, et al. The distribution of fetal nuchal translucency thickness in normal Korean fetuses. J Korean Med Sci. Feb 2004;19(1):32 - 6. doi:10,3346/jkms.2004.19.1.32
10, Schuchter K, Wald N, Hackshaw A. K, E. Hafner, E. Liebhart. The distribution of nuchal translucency at 10 - 13 weeks of pregnancy. Prenat Diagn. Mar 1998;18(3):281 - 6.
11. Snijders R. J, Johnson S, Sebire N. J, P. L. Noble, K. H. Nicolaides. First - trimester ultrasound screening for chromosomal defects. Ultrasound Obstet Gynecol. Mar 1996;7(3):216 - 26. doi:10,1046/j.1469 - 0705.1996.07030216.x
12. Ohuma E.O, Papageorghiou A.T, Villar J, D. G. Altman. Estimation of gestational age in early pregnancy from crown - rump length when gestational age range is truncated: the case study of the INTERGROWTH - 21st Project. BMC Med Res Methodol. Dec 7 2013;13:151. doi:10,1186/1471 - 2288 - 13 - 151