Long-term outcome of children born after a first-trimester measurement of nuchal translucency at the 99th percentile or greater with normal karyotype: a prospective study

Am J Obstet Gynecol. 2007 Jan;196(1):53.e1-6. doi: 10.1016/j.ajog.2006.08.026.

Abstract

Objective: This study was undertaken to assess the long-term outcome of children born after a first-trimester measurement of nuchal translucency (NT) at the 99th percentile or greater during routine first-trimester screening in an unselected population.

Study design: One hundred sixty-two infants were born alive. Clinical examination as well as a questionnaire to the parents (Ages and Stages Questionnaires [ASQ]) at the age of 2 years were obtained in 160 children. Our study population was compared with an external control group made of the 370 term control children.

Results: The prevalence of abnormal clinical pediatric examination and ASQ results at 2 years were not associated with NT thickness. Comparison with an external control group did not demonstrate an increased incidence of developmental delay.

Conclusion: Parents should be informed that when the fetus is shown to be normal by ultrasound at 22-24 weeks of gestation the risk of adverse neonatal outcome or developmental delay in early childhood is not increased.

MeSH terms

  • Child, Preschool
  • Cohort Studies
  • Developmental Disabilities / epidemiology
  • Female
  • Follow-Up Studies
  • Humans
  • Infant
  • Infant, Newborn
  • Karyotyping
  • Nuchal Translucency Measurement*
  • Pregnancy
  • Pregnancy Trimester, First
  • Prospective Studies
  • Surveys and Questionnaires
  • Time Factors