We are proud to start our FIRST TRIMESTER MARATHON 2021 from the course for fetal medicine and perinatology specialists about an increased NT.

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NT EXPERT: This course is absolutely NOT about how to get midsagittal view of the face, or how to place calipers. The course is designed for the specialists, seeing and counselling patients, which referred to them with an increased NT measurements.

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Increased NT is undoubtedly the commonest fetal abnormality being referred to specialists in fetal medicine or perinatology in tertiary centres and private practices. In many cases the management of those cases is limited to discussion about increased chance of chromosomal anomaly and offer of CVS. Not so much attention is paid to thorough anatomical evaluation of the fetus before offering CVS. As a result, we have seen cases where CVS was performed for fetuses with lethal anomalies not associated with aneuploidy.

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Dr Fred Ushakov will discuss why the management of the fetus with an increased NT in many cases is a the complex and challenging task. An expert early fetal scan of the baby before CVS or immediately after normal results of PCR/arrays play crucial role in timely diagnosis of non chromosomal anomalies. Unfortunately, current clinical practice demonstrates, that in many places of the world the anomaly scan and fetal echocardiography are delayed to 16-20 weeks, which result in unnecessary anxiety, stress and suboptimal management of babies with co-existent structural anomalies and especially heart defects.

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During the course Dr Fred Ushakov will share his expertise and thoughts about the clinical challenges in the management of those difficult clinical situations, concluding his professional experience of scanning more than 1000 babies with NT’s between 3.5 and 25.0 mm at 11-13 weeks.

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The course is pragmatic and practical with many presentations of challenging case .

We are sure, that this course will be extremely helpful for professionals, who scan and manage fetuses with increased NT.

The program is subject for changes and updates

Will include one or two 15-20 min breaks

• What is an increased NT thickness?
• Types of nuchal edema
• Cystic hygroma
• Jugular lymphatic sacs
• General skin oedema
• Early fetal hydrops
• Increased NT and associated conditions

• Aims of the expert scan
• Approach to scan
• Prescan counselling
• How to check baby with increased NT
• Expert scan checklist
• The most important structures to check 
• Tips and tricks
• Early Echocardiography (eECHO) for NOT cardiologists
• Surprises with remeasuring of NT:
  • wrong previous measurements or actual changes?
  • how to explain the differences for patients
  • does change in NT measurement plays a role in clinical management?

Counselling of the parents:

• Explanation of the findings
• Possible causes

Management plan:

• How NOT to perform CVS for fetus with non chromosomal lethal anomaly
• CVS
  • PCR/FISH
  • Karyotype
  • Microarrays
  • Exome
• NIPT and increased NT
• Can isolated increased NT be an indication for termination of the pregnancy?
• 2nd anf 3rd trimester management of babies with increased NT
  • Follow-up scans
  • Fetal echocardiography
  • Role of clinical geneticist
  • Delivery

Q&A on-line

Certificate of the course attendance can only be redeemed if the full course is live streamed at the time it is being presented.

Certificate cannot be received if the course is viewed once the course ends (on-demand recording).

For delegates who watched the course in real time and did not receive the certificate within a month time, please contact LSUS: contact@lsus.co.uk