Screenings during pregnancy

During pregnancy, at least two ultrasounds are performed on all women:

Measuring nuchal translucency during the 11^th to 13^th week of pregnancy
The analysis of the baby’s anatomy during the 20^th to 21^st week of pregnancy.
These analyses are free of charge. In case of medical indications, additional ultrasounds will be performed. In addition, we offer optional ultrasound analyses for a fee.

Screenings during the 1^st trimester

OSCAR-test – ultrasound + blood serum test

During the 11^th to 13^th+ 6 weeks of pregnancy, there will be an ultrasound analysis. During this, the back of the head of the foetus or the so-called nuchal translucency will be observed. In addition, we check for the presence of the nose bone, heartbeat rate, flow of blood on the tricuspid valve and ductus venosus. If the foetus has increased nuchal translucency, there is an increased chance of chromosome disorders and additional testing is required. Normal results stay below 3.0 mm.

A blood test is taken on the 10^th week of pregnancy. We take the content of two markers (fb-hCG+papp-a). The results will be entered into a special computer program ViewPoint along with additional information like your ethnic background, the number of previous births, extent of pregnancy, weight, height, other risk factors and concurrent diseases.

Please refer to room RB0116 in the ground floor at the pre-delivery department 15 minutes before your analysis.
Ultrasound rooms are located at the Ravi 18 B-corpus of the maternity hospital. Additional information from the women’s clinic reception or a midwife.
You can provide your blood sample at the East Tallinn Central Hospital clinic, on the 1^st floor of the C-corpus of Ravi 18, room RC0247.

Screenings during the 2^nd trimester

Analysis of the foetal anatomy

We use 3D and 4D ultrasound technologies for this analysis. We check whether the child has visible deviations in their internal organs or limbs, whether there is enough amniotic fluid and where the placenta is located. Using the measurements of the foetus, we can determine the duration of the pregnancy and the delivery date with the accuracy of 1.5-2 weeks. Identification of the baby’s gender depends on its position.

Ultrasound rooms are located in the maternity hospital, Ravi 18 B-corpus basement and ground floors. Additional information from the reception of the women’s clinic or from a midwife.

Paid analyses

Optional ultrasound: picture or video of the foetus on a 3D-device.

This ultrasound will be carried out upon the patient’s wish, without any medical indications.
The best time for this analysis is between the 24^th and 32^nd week because then there is enough amniotic fluid surrounding the foetus and it is no longer in the pelvis.
It may be that the imaging process is more difficult or even impossible due to the position of the baby or the placenta.
The analysis costs 66 euros.

To register for an appointment for paid analysis and for additional information about opening hours and prices call 666 1900.

Ultrasound rooms are located at the maternity hospital at Ravi 18 B-corpus. Additional information from the reception at the women’s clinic or a midwife.

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Panorama non-invasive pre-birth test and microdeletion panel

The aim of the Panorama™ non-invasive pre-birth test and microdeletion panel is to test the foetus for chromosome anomalies to determine high-risk pregnancies. In addition, the patient can learn the gender of the foetus. Panorama test is taken from the mother’s blood and can be performed starting from the 9^th week of pregnancy. The test, however, cannot be performed if the patient has multiple pregnancy.

Panorama test (chromosomes 13, 18,21, X Y) – 280 euros
Panorama test along with determining 22q11.2 deletion – 350 euros
Panorama test along with microdeletion panel – 450 euros

Additional information regarding Panorama tests and making an appointment at Oscar@itk.ee or telephone 5301 9421.

NIPTIFY screening test

The NIPTIFY screening test analyzes the five most common fetal chromosomal disorders and determines the sex of the fetus:

Down syndrome (trisomy 21)
DiGeorge syndrome (22q11 microdeletion)
Edwards syndrome (trisomy 18)
Patau syndrome (trisomy 13)
Turner syndrome (monosomy X)

Additionally, a comprehensive study of the whole genome of the fetus is carried out, which can identify important abnormalities affecting the fetus’s health or the mother. They are reported under the name INCIDENTAL FINDINGS. An incidental finding can be a copy number change of an entire chromosome or microdeletion. Seven microdeletions are considered to be clinically significant, which the study can also identify:

Williams-Beuren syndrome (7q11)
1p36 deletion syndrome
Angelman and Prader-Willi syndrome (15q)
Wolf-Hirschhorn syndrome (4p)
Jacobsen syndrome (11q)
Cri-du-chat syndrome (5p)
Langer-Giedion syndrome (8q).

The NIPTIFY test is available from 10+ weeks of pregnancy until the end of the pregnancy. The test is for a singleton pregnancy. The test is also available in case of in vitro fertilization and using the donor egg(s). It is necessary to confirm the heartbeat of the fetus with an ultrasound. The mother’s blood sample is required for the analysis. The patient can eat and drink before the procedure. The exclusion criteria of the NIPTIFY test are multiple pregnancies or malignant tumors during pregnancy.

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