When is the best time to take a prenatal screening test to detect fetal malformations?

This is an automatically translated article.

The article was professionally consulted by Doctor Department of Obstetrics and Gynecology, Vinmec Hai Phong International General Hospital.

Birth defects are defects of the baby's body that are acquired during conception, which may not be recognized until birth. Today, with advanced medicine, parents can detect abnormalities in the fetus right from the womb. Therefore, pregnant women should have prenatal screening tests at the following important times.

1. Why should pregnant women have prenatal screening?

According to studies by the World Health Organization (WHO), the rate of birth defects in newborns is 1.73%, every year around the world about 8 million babies are born with a birth defect. In Vietnam, there are about 1.5 million babies born every year, of which 2-3% have genetic diseases and birth defects such as Down's disease (intellectual retardation), syndrome Edwards (defects caused by extra chromosomes), neural tube defects, G6PD deficiency (children do not have enough of this enzyme, the red blood cells are difficult to function properly), congenital adrenal hyperplasia; have Thalassemia (congenital hemolysis)...


Dị tật bẩm sinh có thể xảy ra bất kỳ lúc nào trong thời kỳ mang thai, nhưng phần lớn là trong 3 tháng thứ nhất
Dị tật bẩm sinh có thể xảy ra bất kỳ lúc nào trong thời kỳ mang thai, nhưng phần lớn là trong 3 tháng thứ nhất

Birth defects can happen at any time during pregnancy, but most often during the first trimester, when your baby's body parts are forming. Therefore, prenatal screening tests are extremely important, not only to help detect birth defects for the fetus, but also to improve and improve the quality of the breed. Therefore, this is a necessary job to help mothers detect diseases, give birth to a healthy baby and develop normally.

Trắc nghiệm: Bạn có hiểu đúng về dấu hiệu mang thai sớm?

Các dấu hiệu mang thai sớm không phải chỉ mỗi trễ kinh mà còn có rất nhiều dấu hiệu khác như xuất huyết âm đạo, ngực căng tức,… Điểm xem bạn biết được bao nhiêu dấu hiệu mang thai sớm thông qua bài trắc nghiệm này nhé!

2. The right times to apply prenatal screening methods

Double test
Method is usually done when the fetus is 11-13 weeks, preferably at 12 weeks. Double test can detect Trisomy 13 syndrome (excess chromosome 13), when combined with ultrasound Blurring the nape of the neck can detect the risk of Down syndrome, malformations of limbs, heart disease, cleft lip, cleft palate... Double test helps to determine the concentration of 2 substances in the mother's blood secreted by the fetus: :
PAPP-A (PAA): A glycoprotein produced from the placenta free β-hCG (FBC): A structural component of hCG (human chorionic gonadotropin).


Phương pháp thường được thực hiện khi thai nhi được 11-13 tuần
Phương pháp thường được thực hiện khi thai nhi được 11-13 tuần

Triple test
Pregnant mothers should perform Triple test from 15th to 22nd week of pregnancy, most accurate at 16-18 weeks. This test method helps to detect early the risk of fetal anomaly. neural tube defects or not.
Triple test test determines the concentration of 3 other substances in the mother's blood also secreted by the fetus, including:
AFP (Alpha-fetoprotein): A glycoprotein of fetal origin. uE3 (Unconjugated estriol): Appears on the 8th day of pregnancy. β hCG (Beta human Chorionic Gonadotropin): A steroid produced by the placenta.


Thực hiện xét nghiệm Triple test từ tuần thai thứ 15 đến tuần thai 22, chính xác nhất là vào tuần thứ 16 - 18
Thực hiện xét nghiệm Triple test từ tuần thai thứ 15 đến tuần thai 22, chính xác nhất là vào tuần thứ 16 - 18

Non-invasive prenatal screening test NIPT
This is the most effective and safe test method available today, performed from the 10th week of pregnancy through a mother's blood sample. Non-invasive prenatal screening (NIPT) analyzes fetal free DNA in maternal blood to screen for birth defects syndromes that the fetus may have. Only 7 - 10 ml of maternal peripheral blood is needed to test for Down syndrome, Edwards. Patau... and many other fetal syndromes with a high accuracy that surpasses conventional tests. In addition, this method is also applicable in cases of singleton pregnancy, twin pregnancy, and surrogacy.

3. Where should prenatal testing and screening be done?

Currently, there are many medical facilities that can perform prenatal screening methods. However, in order to ensure the most accurate test results, but also to receive appropriate advice, care for the fetus during pregnancy as well as limit complications, parents should choose Choose reputable facilities with specialized obstetrics and gynecology with a team of experienced and highly qualified medical staff and doctors.
Currently, Vinmec International General Hospital applies prenatal and newborn screening methods. Among them are advanced prenatal screening methods such as non-invasive prenatal screening (NIPT). Compared with traditional methods, non-invasive prenatal screening (NIPT) gives more accurate results (especially for Down syndrome), and reduces the proportion of pregnant women who are indicated for amniocentesis. necessary. The outstanding advantage of this method is that it is non-invasive and can be carried out as early as the 9th week of pregnancy. 100% of babies born at Vinmec receive hearing screening and other newborn screenings.
Besides, at Vinmec International Hospital system, we also provide maternity services with outstanding quality to help pregnant mothers feel more secure in taking care of themselves and their babies since pregnancy. come after birth. The hospital gathers a team of leading experts, experienced and good at expertise. Fully equipped system, modern. The testing process meets international standards and continuously updates domestic and foreign treatment trends.
After birth, the baby will be cared for in a sterile room before being returned to the mother. Pregnant women will rest in a high-class hospital room, designed according to international hotel standards, 1 mother 1 room with full facilities and modern equipment. Mothers will be consulted by nutritionists on how to feed the baby before being discharged from the hospital. Postpartum follow-up with both mother and baby with leading Obstetricians and Paediatricians.

Please dial HOTLINE for more information or register for an appointment HERE. Download MyVinmec app to make appointments faster and to manage your bookings easily.

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