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What Is Cryptic Pregnancy?

Written by London Pregnancy Clinic on 23. January 2024. Posted in Blog, early pregnancy scan, Obstetrics, Ultrasound. No Comments on What Is Cryptic Pregnancy?

What Is Cryptic Pregnancy?

Understanding the Phenomenon of Silent Pregnancy

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Cryptic pregnancy is a fascinating phenomenon that has puzzled both medical professionals and expecting mothers alike. In this blog post, we will delve into hidden pregnancy, exploring its definition, signs and symptoms, causes, emotional impact, and more. Whether you’re an expecting mother or simply curious about pregnancy-related topics, join us on this enlightening journey.

It’s estimated that approximately 1 in 475 women will experience a cryptic pregnancy until 20 weeks of gestation. Hidden pregnancy is a condition where a woman remains unaware of her pregnancy until very late in the gestation period or even until delivery. While it sounds like something out of a movie, cryptic pregnancy is a real and relatively rare phenomenon. Despite its rarity, the impact on those who go through it can be significant.

What is Cryptic Pregnancy?

Cryptic pregnancy, also known as stealth pregnancy or denial of pregnancy, refers to a pregnancy that goes undetected by the woman herself and often by healthcare professionals as well. The reasons behind this lack of awareness vary, but it’s important to understand that it’s not a conscious decision to deny or ignore the pregnancy. It is characterised by irregular or absent menstrual periods, minimal or no pregnancy symptoms, and negative pregnancy tests.

Signs and Symptoms of Cryptic Pregnancy

One of the most intriguing aspects of cryptic pregnancy is the absence of typical pregnancy symptoms. While some women may experience certain symptoms such as weight gain, abdominal distension, or intermittent bleeding, many others will have no noticeable signs of pregnancy. The lack of these symptoms, combined with irregular menstrual cycles, can contribute to the confusion and disbelief surrounding this type of pregnancy.

Indicators to look out for

Missed period: While most individuals recognise pregnancy due to a missed period, this is not always the case. If your periods are irregular, you may not notice a missed period as a sign of pregnancy. However, people may experience spotting or light bleeding, which can be mistaken for a period.
Fetal movement: Most individuals do not feel the fetus move until about halfway through pregnancy, so around the middle of the second trimester. If you have an anterior placenta (located at the front of your belly), it may be more challenging to perceive kicks. In the case of cryptic pregnancy, this could be why you are unaware of being pregnant.
False negative pregnancy test result: This occurs when someone is actually pregnant, but the test indicates otherwise. If you do not use an at-home pregnancy test correctly, you may receive an inaccurate result. To be certain, it is always best to consult a healthcare provider to confirm pregnancy. Another way you can check whether you’re pregnant or not is by doing one of the pregnancy blood tests.
Weight gain or swollen belly: Some individuals may not realise they have gained weight due to pregnancy, or they may attribute an unusually bloated belly to a particular food.

Please note that this response does not constitute medical advice. If you have concerns or questions about pregnancy, consult a qualified healthcare professional.

Factors Contributing to Cryptic Pregnancy

Various factors, both physiological and psychological, can influence cryptic pregnancy. Hormonal imbalances or irregularities can disrupt the usual hormonal markers of pregnancy and lead to false-negative pregnancy tests. Certain medical conditions, such as polycystic ovary syndrome (PCOS) or uterine abnormalities, can also affect the accuracy of pregnancy tests. Additionally, psychological factors, such as subconscious denial or a lack of awareness about pregnancy symptoms, can contribute to a woman’s unknowingness.

Potential complications of a cryptic pregnancy?

Complications arising from a cryptic pregnancy stem from the lack of awareness about one’s condition. These complications may include:

Absence of prenatal care: Unaware of the pregnancy, individuals do not receive the necessary prenatal care, such as vital bloodwork, nutritional guidance, ultrasounds, and other essential support required for a healthy pregnancy. Furthermore, not knowing about the pregnancy could result in unassisted labour without the aid of skilled healthcare professionals.
Necessity for lifestyle adjustments: Smoking and consuming alcohol have detrimental effects on pregnancy. In the case of a cryptic pregnancy, individuals may unknowingly engage in these harmful practices or use medications and supplements that are generally unsafe for expectant mothers.
Elevated risk of medical conditions: Without proper care or diagnostic tests, conditions like gestational diabetes or preeclampsia may go undetected.
Heightened risk of congenital conditions: The fetus is at a higher risk of developing congenital conditions due to the lack of genetic tests, like NIPT, or other evaluations that aid in diagnosing the health of the baby.

It is crucial to highlight the potential risks associated with a hidden pregnancy to promote awareness and encourage individuals to seek appropriate medical support. This fact has been highlighted in studies saying that infants born from cryptic pregnancies are more likely to be born prematurely, placing them at risk of poor growth and respiratory issues.

Emotional Journey of Cryptic Pregnancy

The emotional journey of hidden pregnancy is complex and can vary greatly from woman to woman. Discovering that you are pregnant after an extended period of unknowingness can evoke a range of emotions, including shock, confusion, and even joy. It’s crucial for women experiencing cryptic pregnancy to seek emotional support from their partners, family, and healthcare professionals. Counselling and therapy can also be beneficial in navigating the emotional challenges that may arise.

Cryptic Pregnancy FAQs

Can stealth pregnancy be prevented?

Cryptic pregnancy, also known as hidden pregnancy, cannot be prevented as it is often caused by physiological or psychological factors that are beyond an individual’s control.
Can cryptic pregnancy occur in women who have regular periods?

Yes, cryptic pregnancy can occur in women with irregular or regular menstrual cycles. Irregular periods do not necessarily indicate cryptic pregnancy, and regular periods do not guarantee the absence of pregnancy.

It’s important to consult with a healthcare professional, such as a gynaecologist, for accurate information and personalised insights into cryptic pregnancy.

Expert Opinion: For professional insights into the medical aspects of cryptic pregnancy, including causes, symptoms, and diagnosis, you can talk to our in-house gynaecologist Dr. Prashant Purohit. Alongside LPC, he is a Consultant in Obstetrics, Gynaecology, and Reproductive Medicine based at Kings College Hospital NHS Foundation Trust and Kings Fertility, London. He specialises in the management of infertile couples, fertility preservation, fibroids, endometriosis, miscarriage, polycystic ovaries, menopause, menstrual bleeding disorders, and pelvic pain. His special interests include minimally invasive surgery like (key-hole) laparoscopic/ hysteroscopic surgery, Gynecological and early pregnancy ultrasound, and reproductive medicine.

Conclusion

Cryptic pregnancy is a unique and captivating phenomenon that challenges our understanding of pregnancy and the human body. While it may be rare, it’s important to acknowledge and support individuals who experience cryptic pregnancy, as their journey can be filled with confusion, uncertainty, and emotional complexity. By raising awareness and fostering understanding, we can create a more inclusive and supportive environment for all women navigating the intricacies of pregnancy.

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Ultrasound Scans During Pregnancy

Written by London Pregnancy Clinic on 11. January 2024. Posted in Blog, early pregnancy scan, Obstetrics, Scans, Ultrasound. No Comments on Ultrasound Scans During Pregnancy

Ultrasound scans during pregnancy

Discovering the importance of ultrasound scanning to demystify it.

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Unravel the mysteries of ultrasound scans during pregnancy. Understand their significance, what to expect, and their role in ensuring a healthy pregnancy. Experience the joy and reassurance that comes with seeing your baby’s first images.

Embarking on the journey of pregnancy is a thrilling yet complex adventure, filled with excitement, anticipation, and a myriad of questions. Among the most common queries we encounter at our clinic is the significance of ultrasound scans during this special time. Understanding the importance of these scans, often shrouded in mystery, can profoundly change perceptions, transforming them from just a clinical procedure into an invaluable and cherished part of the pregnancy experience. These scans can be done from week 6, as this is when we reach the first major developmental milestone.

The Role of Ultrasound in Pregnancy

Ultrasound scans, a window to your womb, offer a non-invasive peek at your developing baby. Ultrasound technology has revolutionised prenatal care since its inception. Initially utilised in the 1950s for gynaecological purposes, its application in monitoring fetal development during pregnancy was a groundbreaking discovery that has shaped modern obstetrics. The development of the first contact B-mode scanner opened a new window into the womb, allowing for the visualisation of the fetus and transforming prenatal care.

This innovation marked the beginning of using ultrasound to monitor the baby’s development, detect potential abnormalities, and even predict birth weight discordance in twin pregnancies. Today, ultrasound scans are a routine and indispensable part of prenatal care. Most women are offered at least two standard scans during their pregnancy. The first scan, usually conducted between 10 and 13 weeks, is crucial for confirming the due date and checking the baby’s heartbeat. The second scan, typically between 18 and 21 weeks, focuses on assessing the baby’s growth and anatomy in more detail.

What to Expect During an Ultrasound

Understanding what happens during an ultrasound can ease any apprehensions and make the experience more enjoyable. At London Pregnancy Clinic, we encourage patients to ask questions and see this as an opportunity to educate them about the wonders of ultrasound and pregnancy.

Procedure: You’ll recline on a comfortable bed in our serene scanning room. While ‘internal’ and ‘external’ aren’t official medical terms, they are commonly used to describe ultrasound methods. An internal scan, often a transvaginal ultrasound, involves a probe inserted into the vagina for detailed pelvic images. Whereas, the external scan is an abdominal ultrasound, where a transducer glides over the abdomen to visualise the baby and internal organs. Our specialists excel in both types of ultrasounds, providing thorough care and support throughout your pregnancy.

Scanning: While our specialists move the transducer, you may feel slight pressure, but it’s generally a painless process. Traditional 2D ultrasounds provide clear images of your baby’s structure, while advanced 3D and 4D technologies can offer more detailed views, such as facial features or specific organs.

Duration: A standard ultrasound typically lasts about 20 minutes. However, at London Pregnancy Clinic our scans, are more comprehensive and may take up to 30/45/60 minutes. Occasionally, obtaining clear ultrasound images can be challenging. Factors like the baby’s position, movement, body composition, or higher body weight might affect image clarity. However, this is usually no cause for concern. To enhance image quality, we might ask you to take a short walk. This can encourage the baby to shift position.

Results: At LPC we use Tricefy to share the images and reports with you. It’s important to note that ultrasounds are safe, with no known risks to either the baby or the mother. However, they are an important diagnostic tool, providing valuable information for any potential medical decisions.

What is an Ultrasound Probe

An ultrasound probe, or transducer, directly contacts your body during an ultrasound. It plays a crucial role in both sending and receiving sound waves to create clear images of your baby. Here are the key details you should know:

Piezoelectric Crystals Inside: These crystals change electrical energy into sound waves and back, enabling the probe to send and receive signals.

Varied Shapes and Sizes: Probes differ based on their use. They range in frequency and field of view. Lower frequencies (2.5-7.5 MHz) penetrate deeper, making them ideal for viewing internal structures. Higher frequencies (above 7.5 MHz) offer better resolution for closer, superficial areas.

Different Types for Different Uses: There are external, internal, and endoscopic probes. External ones glide over the skin, internal ones go inside body cavities, and endoscopic ones, attached to a tube, are inserted into the body for closer examination.

Handling with Care: Dropping or improper cleaning can damage probes. They require careful handling to maintain their precision and effectiveness.

In summary, ultrasound probes are essential for generating and receiving sound waves that provide us with valuable images of the internal body structures of your or your baby. Check out our YouTube video on ‘What are Ultrasound Probes‘.

NHS Ultrasound Scans

In England, the NHS provides crucial ultrasound scans during pregnancy at key stages. Hospitals in England offer at least two ultrasound scans, conducted by fetal medicine practitioners, which include the following:

12-Week Scan (Dating Scan): Offered between 11 and 14 weeks, this scan estimates your due date. It may include a nuchal translucency (NT) scan (this is an NHS scan not to be confused with our private Nuchal Scan), part of the combined screening test for Down’s syndrome (Trisomy 21). This screening includes a blood test and an ultrasound scan. The scan measures the fluid at the back of the baby’s neck, also known as nuchal translucency. However, unlike Non-Invasive Prenatal Testing (NIPT), it is not considered the most advanced and modern way to screen for Down’s and other chromosomal syndromes.
20-Week Screening Scan (NHS Anomaly Scan): Conducted between 18 and 21 weeks, this scan, also known as the anomaly or mid-pregnancy scan, checks for 11 physical conditions in the baby. These include Spina Bifida, Anencephaly, Cleft Lip, Diaphragmatic Hernia, Exomphalos, Serious Cardiac Abnormalities, Bilateral Renal Agenesis, Lethal Skeletal Dysplasia, Edwards’ Syndrome (Trisomy 18), Patau’s Syndrome (Trisomy 13), and Acrania.

LPC Ultrasound Scans

Following the essential scans offered by the NHS, the London Pregnancy Clinic presents a spectrum of specialised ultrasound scans for expectant mothers. While we endorse the significance of NHS scans, our clinic provides additional, detailed insights into your baby’s development. We are renowned for our proficiency in early anomaly detection but we offer an extensive scan list designed by Dr Fred Ushakov:

Viability Scan (6-9 week scan): First scan that can be done. Confirm pregnancy, check for heartbeat and check for vital signs of fetal development.
10 Weeks Scan and NIPT (10-11 week scan): In-depth screening for chromosomal and 10 main structural abnormalities.
Early Fetal Scan (12-16 weeks): Assess fetal growth and development before the NHS anomaly scan. Aims to exclude 100 anomalies.
Anomaly Scan (20-25 weeks): Works alongside the NHS anomaly scan for a more comprehensive analysis.
3rd Trimester Anomaly Scan (26-29 weeks): Detailed check on the baby’s growth in the later stages of pregnancy. Reassurance after your last NHS scan.
Wellbeing Scan (30-35 weeks): Monitors the overall health and wellbeing of the fetus.

Our clinic’s dedication to fetal medicine is evident in our use of the latest imaging technologies, including 2D, 3D, and 4D scans. These technologies allow us to screen various aspects of your baby’s growth and development, providing reassurance and a deeper connection with your baby throughout your pregnancy journey.

Ultrasound scans during pregnancy FAQs

Difference between internal and external ultrasound scans

Internal Scan (transvaginal scan) – involves inserting a specially designed probe into the vagina. Provides high-resolution images of the pelvic organs, including the uterus, ovaries, and in early pregnancy, the developing fetus. Commonly used in early pregnancy stages for clearer and more detailed images. In an abdominal ultrasound, a sonographer applies a water-soluble gel to your belly and uses a transducer to glide over the skin, sending sound waves that create images of the baby.

External Scan (abdominal scan) – this method involves moving a transducer over the abdomen’s surface. It captures images of internal organs, including the developing baby, placenta, and uterus during pregnancy. Used throughout pregnancy, especially in the second and third trimesters, to monitor the baby’s growth and development. In a transvaginal ultrasound, a longer and thinner transducer is gently inserted into the vagina to get closer to the uterus, offering detailed images, especially in early pregnancy.
How many ultrasound scans can I have during pregnancy?
During pregnancy, the number of ultrasound scans you can have varies:
- NHS Scans: Standard NHS care includes two scans. These check the baby’s size, detect abnormalities, determine the due date, and monitor growth.
- London Pregnancy Clinic Options: We offer additional scans for more comprehensive screening and reassurance:
  - Early Fetal Reassurance: Includes 2 early scans for early health screening.
  - NHS Complementing Scan: Features 3 scans alongside the standard NHS 12-week and 20-week scans.
  - Comprehensive Scan Package: Provides 6 scans, ideal for high-risk, IVF pregnancies, or those after a miscarriage.
While you can theoretically have as many scans as you wish, it’s about balancing the benefits with your time and energy. Our packages at London Pregnancy Clinic are designed to complement NHS care, providing peace of mind throughout your pregnancy journey.
Can an ultrasound scan harm me or my unborn baby?

Patients are often concerned about whether or not ultrasound scans harm the fetus during its development. Currently, there are no known side effects and it is widely accepted that ultrasound scans are a procedure safe for pregnancy. There are no known risks to the baby or the mother from having an ultrasound scan, but you must consider carefully whether to have the scan or not.
Why scan in early pregnancy?
We are specialists in early pregnancy scans. Undergoing an ultrasound scan early in pregnancy not only provides essential health information but also plays a vital role in future decision-making. If the scan reveals any anomalies or concerns, it can be a challenging time for you and your partner. Having this knowledge at an early stage allows you both more time to understand the situation, consider your options, and make informed decisions. It’s a process that requires care, support, and thoughtful consideration, and our team at the clinic is committed to providing compassionate guidance every step of the way. An ultrasound scan in early pregnancy is crucial for several reasons:
- Confirmation of Pregnancy: It confirms the existence of an intrauterine pregnancy, ensuring the pregnancy is developing in the right place.
- Establishing Gestational Age: It helps determine the gestational age of the fetus, which is key for calculating the estimated due date.
- Detection of Multiple Pregnancies: Ultrasound can reveal if you’re expecting twins, triplets, or more, which is important for managing a healthy pregnancy.
- Assessing Pregnancy Health: It checks the health of the pregnancy, including the heartbeat of the fetus, and can identify potential issues early on.
- Screening for Chromosomal Abnormalities: Early scans can be part of screening for chromosomal abnormalities like Down syndrome.
- Reassurance: An early scan provides reassurance, especially for those with a history of miscarriage, IVF, or fertility issues.
- Planning for Future Care: The information gathered assists healthcare providers in planning appropriate care throughout the pregnancy.
Why should I do a private ultrasound scan on top of my NHS scans?
Choosing to have a private ultrasound scan at the London Pregnancy Clinic, in addition to your NHS scans, offers several benefits that complement your comprehensive pregnancy care:
1. Early Reassurance: Our private scans can start as early as 10 weeks, providing early reassurance about the health and development of your baby. This early insight reduces the waiting time typically associated with NHS scans.
2. Comprehensive Anomaly Screening: We offer detailed and comprehensive screening for fetal anomalies. These in-depth scans supplement the standard NHS checks, offering a more thorough examination.
3. Post-20-Week Scans: After the standard 20-week NHS scan, our clinic provides additional scans to monitor your baby’s position, growth, and overall development. These scans can offer reassurance during the later stages of pregnancy.
4. Availability of NIPT: Non-Invasive Prenatal Testing (NIPT), a valuable screening for chromosomal abnormalities, is more readily available in our clinic. While the NHS offers NIPT under certain conditions, our clinic provides more accessible options for all expectant mothers.
5. Flexibility and Personalisation: Private scans offer increased flexibility with appointment scheduling, allowing you to choose the most convenient times and dates. This flexibility ensures that your appointments fit seamlessly into your lifestyle.
6. Comfortable and Personal Experience: We pride ourselves on creating a patient-centred experience, ensuring each visit is as comfortable and reassuring as possible.
It’s important to continue with your scheduled NHS scans for a complete overview of your pregnancy’s progress. Private scans at the London Pregnancy Clinic are designed to enhance and complement the care you receive through the NHS, offering additional peace of mind and a more tailored approach to your prenatal care journey.
How to prepare for a pregnancy scan?

Some people think it’s a silly question but we don’t think so! For us preparing for a pregnancy scan is as straightforward as:

Being Comfortable: Wear loose, comfortable clothing like a top with trousers or a skirt. This choice aids in easy access for abdominal scans and comfort during transvaginal scans. Avoid dresses for pelvic ultrasounds. Instead, choose separates that can be easily adjusted or removed as needed.

Bringing a Partner: You’re welcome to bring your partner for support during the scan.

Conclusion

Understanding the importance of ultrasound scans demystifies this crucial aspect of prenatal care. It’s more than just a medical procedure; it’s a journey of discovery and connection with your baby. For more information or to schedule your ultrasound, visit our scans page. Our team at London Pregnancy Clinic is here to guide and support you every step of the way, ensuring a healthy and joyful pregnancy experience.

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Minimalist flat design illustration of a 6-week fetus resembling a small tadpole next to a large yolk sac, representing an ultrasound image for a private early pregnancy scan at the specialist London Pregnancy Clinic, capturing the essence of a 6 weeks pregnant ultrasound.

Week 6 of Pregnancy

Written by London Pregnancy Clinic on 3. January 2024. Posted in Blog, early pregnancy scan, Obstetrics, Pregnancy Breakdown, Ultrasound. No Comments on Week 6 of Pregnancy

Week 6 of your Pregnancy

Discovering your baby’s progress since week 5

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Having progressed from the foundational moments of Week 5, Week 6 ushers in a new chapter of pregnancy. It’s a time when your little one, just past the size of an apple seed, shows the first signs of a heartbeat, symbolising vibrant growth and transformation. This period marks an exciting phase of development, building upon the crucial milestones of Week 5.

Welcome to Week 6 of your pregnancy journey, an exhilarating time filled with significant milestones. This week often marks the first opportunity for mothers-to-be to witness the wonders of their growing baby through early scans. As the heartbeat begins and the baby continues to develop, understanding the changes and knowing what to expect can provide comfort and excitement during this special time.

Key Concepts: fetal heartbeat

The First Beat: Around 6 weeks, your baby’s heart begins to beat with a rhythm that will continue to guide their growth throughout the pregnancy. This is a critical milestone in cardiac development, indicating healthy progression.

Observing the Heartbeat: During a 6 week ultrasound, often called a Viability/Dating Scan, you might be able to see the fetal heartbeat for the first time. It’s a profound moment for many parents, symbolising the new life growing inside.

Understanding the Rate: A fetal heartbeat at 6 weeks can range between 90-110 beats per minute and will increase in the coming weeks. This rapid rate supports the fetus’s growing need for oxygen and nutrients as development accelerates. The heart rate is a vital indicator of fetal health. A strong and clear heartbeat offers reassurance of the pregnancy’s viability and normal development.

Pregnancy Checklist at 6 Weeks

If you haven’t already, now is the time to schedule your first private early pregnancy scan. This will confirm the pregnancy’s viability and provide valuable information about the baby’s development. You can read more on what to expect during your ultrasound scan here.
Continue focusing on nutrition, especially foods rich in folic acid, iron, and calcium. Stay hydrated and get plenty of rest to support your body’s increased needs.
Be aware of common symptoms such as morning sickness, fatigue, and breast tenderness. Find strategies that help manage these symptoms, whether it’s through dietary changes, rest, or gentle exercise.
As your body continues to change, consider comfortable clothing options and start planning for future needs. Also, begin to think about discussing your pregnancy with your employer to understand any potential work adjustments or benefits. Sharing your news will come naturally when you’re ready, but taking care of yourself and planning ahead? Now that’s just blooming smart!

Developmental Milestones: Week 6

As you enter Week 6, your baby is rapidly growing and developing. Here are some of the key milestones:

Embryonic Growth: The baby, now about the size of a sweet pea, is growing quickly. The length may be around a quarter of an inch or 3-4mm. At this stage of pregnancy, the baby will continue to grow at a pace of 1mm a day. This is a critical period for organ formation. The brain, heart, and other vital organs begin to take shape and grow.

Yolk Sac Development: At 6 weeks of pregnancy, the yolk sac plays a pivotal role in the development of your baby. During this time, it’s normal for the yolk sac to be slightly larger than the fetus. Typically, it continues to grow, usually in a linear fashion until around 10 weeks of gestation. It’s responsible for providing nutrients to the developing fetus and assisting in blood cell formation until the placenta is fully developed and ready to take over this role.

Heart Development: One of the most monumental moments in early pregnancy occurs — the detection of the fetal heartbeat. While it might still be early, and not all scans will reveal a heartbeat at this stage, many parents can witness the rhythmic flickering of their baby’s tiny heart on the ultrasound screen.

Baby Features Development: Tiny indentations where the eyes will develop and small buds that will grow into ears start forming, laying the foundation for your baby’s face. Likewise, limb buds begin to emerge, signaling the future development of arms and legs. These developments are subtle yet signify a period of rapid and complex growth as the basic structures and organ systems start forming.

What is seen on the Ultrasound: Week 6?

As you progress into Week 6 of your pregnancy, the ultrasound experience evolves, bringing new developments into view. Building upon the foundational observations of Week 5, the Week 6 ultrasound typically offers a more detailed glimpse into your baby’s development.

The gestational sac continues to house and protect your developing baby and its increased size from the previous week is a positive indication of ongoing growth and development. Moreover, the yolk sac will still be visible and may have increased in size, mirroring the embryo’s growth. It continues to perform its vital role until the placenta is ready to take over.

One of the most significant and emotional moments that happens when you are doing the 6 weeks pregnant ultrasound is the detection of the heartbeat. Unlike Week 5, where the embryo and its heartbeat are usually not yet visible, the viability scan often provides the first visual confirmation of the baby’s heartbeat. This is seen as a rhythmic flickering on the ultrasound screen.

In addition to the heartbeat, you might also start to see the fetal pole, which represents the early development of your baby. The fetal pole often referred to interchangeably with “embryo” in early pregnancy. Visible as a small structure near the yolk sac during an ultrasound, the fetal pole’s presence and size provide important information about the pregnancy’s progress.

Gestational sac and yolk sac at 5 weeks of pregnancy as seen on ultrasound scan.
Gestational sac, fetal pole and yolk sac at 6 weeks of pregnancy as seen on ultrasound scan.

Thinking ahead: Week 7?

Looking ahead to Week 7, anticipate more pronounced development in your baby’s structure and form. This week, the embryo continues to grow and refine its features, including the brain and facial characteristics. Your body will also adapt further to pregnancy, with symptoms evolving and deepening. As you prepare for this next stage, consider discussing upcoming screenings (we offer free counselling during our Viability Scan for NIPT) and nutritional adjustments with your healthcare provider to support this critical growth phase.

Week 6 of Pregnancy FAQs

Is no heartbeat at 6 weeks normal?

At 6 weeks, not detecting a heartbeat can be quite common, often due to the limitations of ultrasound technology. At London Pregnancy Clinic, we utilise the latest technology to enhance detection rates. Sometimes, a lack of heartbeat might simply indicate an early scan, possibly within the 5th week of pregnancy rather than the 6th. Early pregnancy ultrasounds might not be sensitive enough to pick up the heartbeat of a very small embryo. In such early stages, a transvaginal ultrasound, being more sensitive than a transabdominal one, is usually preferred. Typically, cardiac tissue begins to pulse at around 5–6 weeks of pregnancy, appearing as a heartbeat on the ultrasound, even though the heart itself is not fully formed.
Why is there bleeding at 6 weeks of pregnancy?

Experiencing light bleeding or ‘spotting’ at 6 weeks of pregnancy can be quite normal. This is often just implantation bleeding, occurring as the embryo embeds itself in the womb lining, typically around the time your period would have been due. Changes to the cervix due to pregnancy hormones might also lead to light bleeding, particularly after intercourse.

However, it’s crucial to distinguish between harmless spotting and more severe conditions like miscarriage or ectopic pregnancy, which require immediate medical attention. If you’re experiencing severe symptoms, contact your nearest A&E. Remember, while light spotting can be part of a normal pregnancy, always consult with your healthcare provider for any concerns.
At 6 weeks pregnant where is the baby located?

During week 6 of pregnancy, an ultrasound scan will typically show the gestational sac, yolk sac, fetal pole, and perhaps the heartbeat – these will all be part of your 6 week scan photos. Physically, your 6-week pregnant bump might not be noticeable to others, but you might start feeling some changes like cramping and bloating, making your belly feel a bit larger.
What does 6 weeks pregnant look like?

Your little one is in the early stages of development, assuming the classic fetal position, curled up with leg buds folded inward. Looking somewhat like a tiny tadpole, complete with a small tail, the fetus is nestled securely in the uterus, not ready to move any time soon.
What to do when you’re 6 weeks pregnant?

When you’re 6 weeks pregnant, focus on nutrition that’s rich in calcium, iron, and folate. Include foods like dairy, dark leafy greens, fortified cereals, and beans in your diet. Steer clear of potential hazards like raw meats, deli meats, raw seafood, and raw eggs. If you’re experiencing light bleeding or discomfort, consider booking a viability scan from around 6 weeks to check for any issues and confirm the ongoing health of your pregnancy. The ideal time for this scan is at 7 weeks, but earlier scans might be necessary for some women to ensure everything is progressing as it should.

Conclusion

As you prepare for your first private early pregnancy ultrasound, remember that seeing your baby’s heartbeat for the first time is a special milestone — one of many you’ll experience in your journey through pregnancy. It’s a time of celebration and joy, as well as a reminder of the incredible journey that lies ahead. To calculate when the best time for your scan use our pregnancy calculator.

Stay tuned on what your baby’s week-by-week growth will look like on our blog.

Week 5 of
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Week 7 of
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Week 5 of Pregnancy

Written by London Pregnancy Clinic on 7. December 2023. Posted in Blog, Fertility, Obstetrics, Pregnancy Breakdown, Ultrasound. No Comments on Week 5 of Pregnancy

Week 5 of your Pregnancy

Discovering your baby’s progress since week 4

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Having journeyed through the early whispers of Week 4, we now step into the heart of your pregnancy story: Week 5. It’s a chapter filled with vibrant growth and transformation. Imagine your little one, still as tiny as an apple seed, beginning a significant journey into the embryonic period.

Week 5 of pregnancy, it’s all about growth and transformation. Your little one is busy developing, cell by cell, quickly growing from the size of a poppy seed in week 4 (watch video here) to an apple seed. We’ll explore these changes together, learn how to take care of yourself during this time and get a peek into your baby’s development with early ultrasounds. So, let’s dive into Week 5, where every day brings something new and amazing in your pregnancy journey. So let’s navigate the changes unfolding, how to care for yourself, and what to expect from medical check-ups.

Key Concepts: embryonic period

During Week 5 of your pregnancy, a crucial phase begins as your baby, the size of an apple seed, enters the embryonic period. This week marks the foundation for major organs and systems. Hormonal changes, especially increases in progesterone and human chorionic gonadotropin (hCG), are vital in supporting this stage. These hormones maintain the uterine lining and ensure the continuation of progesterone production, crucial for pregnancy health. As a result, you might notice early symptoms like fatigue and nausea. Understanding these changes is key to navigating the early stages of your pregnancy journey.

Pregnancy Checklist at 5 Weeks

While it’s still early in your pregnancy, there are some important steps you can take:

Confirm your pregnancy with a test if you haven’t already.
Schedule your first prenatal appointment to discuss your health and pregnancy. At London Pregnancy Clinic it’s called the Viability/Dating Scan. Use our pregnancy calculator to work out the best time for your scan.
Begin focusing on a pregnancy-safe diet and lifestyle, emphasising foods rich in folic acid and essential nutrients.

Developmental Milestones: Week 5

Growth of the Gestational Sac: This week, the gestational sac, housing your developing baby, continues to grow. It’s a clear sign of your pregnancy’s progression, providing a protective and nourishing environment for the embryo.

Yolk Sac Development: The yolk sac plays a crucial role at this stage, providing essential nutrients before the placenta is fully operational. It also contributes to the early stages of the circulatory system by producing blood cells, supporting the developing embryo’s needs. This process is essential for supporting the growing needs of your embryo and is closely tied to the growth of the gestational sac.

Heart Development: Now your baby’s heart begins its incredible journey. Initially emerging as a simple tube-like structure, it’s preparing to pulsate and evolve into a sophisticated four-chambered heart in the coming weeks. Although it’s not beating just yet, this early stage sets the stage for one of life’s most vital rhythms.

Brain and Spinal Cord Formation: Alongside the heart, the neural tube, which will become the brain and spinal cord, starts to take shape. This tube forms the bedrock of the entire nervous system, integral for everything from physical movements to cognitive functions. It’s a complex process that lays the foundation for your baby’s future mental and physical capabilities.

Emergence of Other Organs: Week 5 also marks the beginning of other organ formations. Organs like the kidneys and liver start to form, albeit in their very preliminary stages much like the heart.

What is seen on the Ultrasound: Week 5?

During the Week 5 ultrasound, expect to see the gestational sac (which has dramatically increased in size since Week 4), the first structure visible on an ultrasound, indicating your pregnancy is progressing well. This small, fluid-filled sac is where your baby will develop. Inside it, the yolk sac may also be visible, which is crucial for providing nutrients to the developing embryo and for blood cell production in these early stages. However, it’s important to remember that at this stage, the embryo itself and its heartbeat are usually not yet detectable.

It’s common not to see the embryo or hear a heartbeat during a Week 5 ultrasound. The embryo is still very small, and the heartbeat typically becomes detectable around the 6th or 7th week of pregnancy. While we know it’s tempting to have an early ultrasound, we at London Pregnancy Clinic recommend waiting until at least week 6 for your first scan. This crucial ultrasound provides a tangible glimpse into your pregnancy, offering reassurance and joy as you embark on this extraordinary journey.

Gestational sac at 4 weeks of pregnancy as seen on ultrasound scan.
Gestational sac and yolk sac at 5 weeks of pregnancy as seen on ultrasound scan.

Thinking ahead: Week 6?

Looking forward to Week 6, expect continued development of your baby’s facial features. You may also start experiencing more pronounced pregnancy symptoms like nausea and fatigue. It’s a time to start preparing both mentally and physically for these changes.

Week 5 of Pregnancy FAQs

How common is it for my baby to have a heartbeat at 5 weeks?
Your baby is an embryo (not a fetus just yet) and can have a heartbeat at 5 weeks of pregnancy, but it is not very common. The fetal heartbeat usually starts to beat between 5 and 6 weeks gestation, and it may be detectable via ultrasound around this time.

Here are some reasons why the heartbeat might not be detected on an ultrasound at 5 weeks:
- The embryo is too small.
- The heartbeat is too faint.
What if there is no yolk sac at 5 weeks?

Patients have asked us why is there no sac seen when 5 weeks pregnant. The yolk sac is usually visible on an ultrasound between 5 and 6 weeks gestation. If there is no yolk sac visible on an ultrasound at 5 weeks, it could be a sign of a miscarriage.

However, it could be a sign that the estimated gestational age is wrong. This could happen if your last menstrual period was inaccurate or if you were ovulating later than you thought.

In this case, we may recommend a follow-up ultrasound in a week or two to see if the yolk sac has developed.

Conclusion

Week 5 of your pregnancy is a time of rapid and incredible changes. While you might start feeling different physically and emotionally, remember, these are signs of your baby’s healthy development. Stay informed, take care of yourself, and prepare for the exciting journey ahead. If you have any concerns, our team at London Pregnancy Clinic is always here to guide you.

Stay tuned on what your baby’s week-by-week growth will look like on our blog.

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Meet Diane Nzelu, our prenatal expert, committed to providing expectant mothers with exceptional care, tailored scans, and informed counselling for a healthy pregnancy journey.

Diane Nzelu Prenatal Expert

Written by London Pregnancy Clinic on 27. November 2023. Posted in Blog, Obstetrics, Ultrasound. No Comments on Diane Nzelu Prenatal Expert

Welcoming Ms Diane Nzelu

Our newest Expert Team member at London Pregnancy Clinic

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Discover the newest addition to our London Pregnancy Clinic team, Ms Diane Nzelu: Prenatal Expert. Learn about her expertise in prenatal care and how she’s set to enhance your pregnancy journey with compassionate, professional support.

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“I’m absolutely delighted to join the London Pregnancy Clinic team. It’s a real honour to continue working alongside Dr. Daniel Stott and Dr. Fred Ushakov, my esteemed colleagues from UCLH. I’m eager to bring my passion and expertise to the clinic, ensuring every mother-to-be receives the finest prenatal care.”

– Ms Diane Nzelu

At London Pregnancy Clinic, we’re thrilled to welcome Ms Diane Nzelu, a seasoned expert in prenatal care. Diane joins our team with a remarkable 13 years of expertise in fetal medicine. Her experience spans across extensive fetal scanning and handling medically intricate pregnancies. She’s always prioritised bespoke care, ensuring her advice and support are tailored to each expectant mother, actively involving them in their care journey.

Her academic pursuits are notable, with a keen focus on researching pregnancy-induced hypertension. This has led to numerous published works and presentations at both national and international fora. Beyond her UK-based work, Diane is actively engaged in global health projects, dedicated to advancing maternal health in various parts of the world.

Meet Ms Diane Nzelu: A Passion for Prenatal Care

Joining us with a wealth of knowledge and years of experience, Diane Nzelu: Prenatal Expert. She is a highly qualified prenatal specialist and her background in providing comprehensive care during pregnancy sets her apart. Diane’s passion for prenatal care stems from a deep commitment to ensuring the well-being of both mother and baby during this crucial time.

Enhancing Your Pregnancy Journey

Diane’s approach to prenatal care is both personal and professional. She understands that each pregnancy is unique and offers tailored advice and support to meet your individual needs. Whether it’s your first pregnancy or you’re adding to your family, Diane’s guidance will be invaluable in helping you navigate this special time with confidence and peace of mind.

A Commitment to Compassionate Care

At the heart of Diane’s practice is a strong commitment to compassionate care. She believes in creating a supportive and understanding environment for all her patients, ensuring that they feel heard, respected, and well cared for. Her empathetic approach not only enhances the quality of care but also strengthens the trust and relationship between practitioner and patient.

Conclusion

Join us in welcoming Diane Nzelu, Prenatal Expert, to our exceptional team at London Pregnancy Clinic. Ms. Nzelu brings a wealth of expertise and a heartfelt commitment to providing the best prenatal care. Whether you’re seeking a comprehensive 3rd Trimester Anomaly Scan, a detailed Week 20-25 Anomaly Scan, or a reassuring Wellbeing Scan, Diane is here to guide you with professional care and support. Don’t miss the opportunity to experience her unique approach to prenatal health. Schedule your appointment with Diane Nzelu today and embark on a pregnancy journey that’s not only medically sound but also emotionally supportive and enriching.

Publications

(1) “Validation of the BPro radial pulse waveform acquisition device in pregnancy and gestational hypertensive disorders” – Jakes, A., Wade, J., Vowles, Z., Seed, P. T., Shennan, A. H., Chappell, L. C. & Nzelu, D., 14 Jun 2021, (E-pub ahead of print) In: BLOOD PRESSURE MONITORING. p. 380-384 5 p.

(2) Chronic hypertension: first-trimester blood pressure control and likelihood of severe hypertension, preeclampsia and small for gestational age – Nzelu, D., Dumitrascu-Biris, D., Nicolaides, K. H. & kametas, N. A., 2 Jan 2018, (E-pub ahead of print) In: American Journal of Obstetrics and Gynecology.

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Week 4 of Pregnancy

Written by London Pregnancy Clinic on 19. November 2023. Posted in Blog, Fertility, Obstetrics, Pregnancy Breakdown, Ultrasound. No Comments on Week 4 of Pregnancy

Week 4 of your Pregnancy

Your Baby’s Remarkable Beginning

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This blog post is part of a series that breaks down early pregnancy week by week. Today we will be talking about Week 4 of your pregnancy journey! Within this article, we’ll delve into the astonishing advancements occurring during this initial phase of pregnancy. Although your baby remains incredibly minuscule, measuring at no more than 1 millimeter (similar to a poppy seed), a realm of growth and transformation is already well underway.

Key Concepts: Gestational Weeks vs. Post-Conception Weeks

Understanding the difference between gestational weeks and post-conception weeks is crucial for accurately tracking the progress of your pregnancy.

Gestational Weeks: Gestational age refers to the age of the pregnancy and is measured from the first day of the mother’s last menstrual period (LMP). This is the standard method used by healthcare providers to track pregnancy. For example, at 4 weeks gestation, the embryo is about 2 weeks post-conception. Gestational age is crucial for determining the due date and monitoring the baby’s development.

Post-Conception Weeks: Post-conception age, also known as embryonic age, is measured from the time of conception. It provides a more precise timeline of the baby’s development. For instance, at 4 weeks post-conception, the embryo is undergoing significant developments, such as the formation of the placenta and the beginning of the amniotic sac.

Pregnancy Checklist at 4 Weeks

While it’s still early in your pregnancy, there are some important steps you can take:

During the initial 4 weeks of pregnancy, you may not experience noticeable symptoms. To verify your pregnancy, consider taking a pregnancy test.
Once you’ve confirmed your pregnancy you may think about your first prenatal visit with your doctor, even though it may not occur for another couple of weeks. With us, this would be our Viability/Dating Scan. During this visit, our specialists, like Miss Shaz Khojasteh, will check for single/multiple pregnancies, date the pregnancy and check the main structures of the gestational sac. We believe early pregnancy scans are essential for peace of mind and early reassurance for parents.
Focus on adopting healthy diet and lifestyle habits. Say goodbye to smoking and alcohol, opt for nutritious foods, and stay well-hydrated.
The NHS provides valuable recommendations for expectant mothers, including considering the importance of taking supplements during pregnancy. Additionally, it’s essential to recognise how emotional changes that often accompany pregnancy can impact your relationships.

Developmental Milestones: Week 4

By Week 4, your baby develops from being a single-cell zygote to a blastocyst. Rapid cell division shapes the future. At this stage, your embryo completes its journey from the fallopian tube to the uterus, burrowing into the uterine lining. Half becomes your future child, and the other forms the placenta—a vital nutrient carrier.

The amniotic sac, often called the “bag of waters,” forms around the embryo, along with the yolk sac, important for your baby’s digestive system.

Your embryo now consists of three unique cell layers:

The endoderm—nurturing your baby’s digestive system, liver, and lungs.
The mesoderm—laying the foundation for your baby’s heart, sex organs, bones, kidneys, and muscles.
The ectoderm—shaping your baby’s nervous system, hair, eyes, and outer skin layer.

What is seen on the Ultrasound: Week 4?

One of the common queries we receive at the London Pregnancy Clinic is whether having an ultrasound at 4 weeks gestation is a requirement. At this stage, around the fourth week of pregnancy, significant developments are occurring. The blastocyst is in the process of dividing into an embryo and placenta. However, it’s crucial to understand that an ultrasound of your uterus during this early stage will typically reveal what appears to be a minuscule dot known as the gestational sac, and it’s important to note that a heartbeat is not typically detectable at this early point of development. Detecting a more advanced pregnancy may require waiting until a later stage.

Thinking ahead: Week 5?

The next steps in your pregnancy journey involve preparing for your first ultrasound appointment. It’s completely normal to eagerly anticipate your first ultrasound, but it’s essential to be aware that at 4 and 5 weeks of gestation, the gestational sac is typically too small to be easily visible on the scan. For a clearer image of your pregnancy, it is generally advisable to wait until around 6 weeks or later, when the development progresses. However, it’s worth noting that in certain cases, skilled sonographers with extensive experience may be able to discern subtle indications of pregnancy by closely observing changes in the uterine lining. You can use our Pregnancy Calculator to work out your optimal scan date range by entering your Last Menstrual Period(LMP).

Week 4 of Pregnancy FAQS?

Is 4 weeks pregnant too early to test

At 4 weeks, it’s not too early to take a pregnancy test. Most home pregnancy tests are designed to be sensitive enough to detect the pregnancy hormone, human chorionic gonadotropin (hCG), in your urine by this time. This is typically around the time your period is due, which is when hCG levels are sufficiently high to indicate pregnancy.

While you can confirm pregnancy with a test and even start calculating your due date, it’s indeed too early for an ultrasound scan. At 4 weeks, the baby is very small, and significant developmental milestones like the heartbeat, which typically becomes detectable around 6 weeks of gestation, have not yet occurred. Therefore, while a home pregnancy test can provide early confirmation, an ultrasound scan at this stage wouldn’t offer much information. For more detailed and visual insights into your baby’s development, waiting until at least the 6th week or later is advisable when the heartbeat and other embryonic structures start to become visible.
What to do when you’re 4 weeks pregnant?
- Confirm Your Pregnancy: A home pregnancy test can confirm your suspicion of being pregnant. It’s best to take the test after you’ve missed your period for the most accurate result.
- Schedule a Doctor’s Appointment: Even though it’s early, getting in touch with a healthcare provider is a good idea. They can confirm your pregnancy through a blood test and start guiding you through prenatal care.
- Document Your Journey: Consider starting a pregnancy journal or diary to record your experiences, thoughts, and feelings. This can be a wonderful keepsake for the future.
- Rest and Relax: Early pregnancy can bring fatigue and other symptoms. Ensure you’re getting enough rest and practising stress-relief techniques.
What does 4 weeks pregnancy look like?

At 4 weeks of pregnancy, external changes to your body are typically minimal and not yet noticeable to others. However, internally, a remarkable series of events is unfolding. Your embryo, though only about the size of a poppy seed, is rapidly developing. This tiny cluster of cells is already beginning the incredible process of forming what will become vital organs and structures.

Conclusion

Week 4 of your pregnancy signifies the remarkable commencement of your baby’s journey. While ultrasound visuals may not reveal much at this early stage, rest assured that a realm of development is quietly unfolding within your body. Join us as we look forward to exploring the upcoming stages of your pregnancy journey, complete with the changes and milestones that await.

It’s crucial to remember that every pregnancy is unique. Therefore, we recommend consulting your healthcare provider for tailored guidance and attentive care during this special period. Our team is here to provide support throughout your exciting pregnancy journey!

Once again, heartfelt congratulations on your pregnancy. Stay tuned for further updates as we continue to monitor your baby’s week-by-week growth.

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Graphic of 10 week Scan. An illustration of a mother thinking about the normal development of her baby.

10 Week Pregnancy Scan Explained

Written by London Pregnancy Clinic on 8. November 2023. Posted in Blog, NIPT, Obstetrics, Ultrasound. No Comments on 10 Week Pregnancy Scan Explained

The 10-Week Scan

Answering your questions about the Earliest Anomaly Scan At 10 Weeks

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This blog post discusses the benefits of the 10-week scan, how it is done, and frequently asked questions. It also highlights that the 10-week scan is the best scan to combine with Non-invasive prenatal testing (NIPT), which is a blood test that can be done at 10 weeks to screen for common chromosomal abnormalities. At the London Pregnancy Clinic, We have a unique and individual approach in that we do not ‘leave any stone unturned’ – we provide the most comprehensive assessment of the development of your baby possible at each stage of pregnancy.

Understanding the 10-week Scan:

Typically, the 10-week scan is performed using either a transabdominal or transvaginal ultrasound. A skilled sonographer will place a transducer on your abdomen or within your vagina. This transducer emits sound waves into the uterus, bouncing off the fetus to create a real-time image on the ultrasound screen. The entire procedure generally lasts between 15 to 30 minutes.

Comprehensive Screening:

In the realm of prenatal care, knowledge is power. The 10-week pregnancy scan, often regarded as the earliest anomaly scan, holds a special place in the hearts of expecting parents. It’s an opportunity to unveil critical insights into your baby’s development, offering early detection of potential fetal anomalies and precise pregnancy dating. This pivotal examination, conducted through either a transabdominal or transvaginal ultrasound, is an indispensable tool in ensuring a smooth and informed journey towards parenthood.

Benefits of the 10-week Scan:

The advantages of the 10-week scan are numerous and profound:

Early Detection of Fetal Abnormalities: At the 10-week mark, this scan can identify up to 10 major fetal anomalies, providing parents with vital information to make informed choices about their pregnancy.

Accurate Pregnancy Dating: Precise dating of the pregnancy aids parents in planning for their baby’s arrival and arranging future prenatal appointments with confidence.

Reassurance for Parents: Pregnancy is a time of great joy but can also bring anxiety. The 10-week scan offers peace of mind, assuring parents that their pregnancy is progressing as expected.

Optimal Pairing with NIPT: When combined with NIPT, the 10-week scan offers the most accurate information on the baby’s health. NIPT, a blood test conducted at 10 weeks, screens for common chromosomal abnormalities, such as Down syndrome, trisomy 13, and trisomy 18, complementing the 10-week scan perfectly.

IS THE 10-WEEK SCAN FOR ME?

Many pregnant women in the UK are anxious about the health of their babies in the early weeks of pregnancy. This may be due to a number of factors, including:

Previous miscarriage
IVF pregnancy
Unintentional alcohol consumption
Missed doses of folic acid
Use of certain medications
Severe morning sickness
Bleeding
Unhealthy diet
Sudden loss of pregnancy symptoms

If you are concerned about any of these issues or others, our 10-week scan is the perfect solution for you. It is designed to provide early reassurance for expectant parents.

The 10-week scan is also ideal for any pregnant woman who wishes to have NIPT at the earliest possible stage. Many parents choose to screen for the risk of Down syndrome in the first trimester. This is now possible with a non-invasive blood test at 10 weeks. However, the majority of fetal abnormalities are structural (physical), and some of these may be more severe than Down syndrome.

Unfortunately, NIPT will miss all structural abnormalities. That is why we take the opportunity to conduct an early screening of the baby’s structures to rule out 10 major structural abnormalities before performing NIPT.

Should I Delay My NIPT until 12-14 Weeks, Post NHS NT Scan?

Opting to delay your NIPT until after your NHS (National Health Service) Nuchal Translucency (NT) scan at 12-14 weeks is an approach that is becoming increasingly outdated. We firmly believe that the most effective method is to perform both the dating scan at 10 weeks and the NIPT at 10-11 weeks. This approach offers several advantages, particularly regarding early testing.

Admittedly, some fetal structures and organs may not be fully visualized at the 10-week mark, and certain structural anomalies may remain undiagnosed due to the fetus’s ongoing development. However, the benefits of conducting both tests as early as technically feasible outweigh these limitations.

IVF pregnancy
Unintentional alcohol consumption
Missed doses of folic acid
Use of certain medications
Severe morning sickness
Bleeding
Unhealthy diet
Sudden loss of pregnancy symptoms

If you are concerned about any of these issues or others, our 10-week scan is the perfect solution for you. It is designed to provide early reassurance for expectant parents.

Your Frequently Asked Questions About 10-week Scan

Do I need a full bladder for the 10-week scan? No, a full bladder is not necessary for the 10-week scan.

What sets the 10-week scan apart from the nuchal translucency scan? In comparison to the nuchal translucency scan, the 10-week scan is more comprehensive. While both can measure the fluid at the back of the baby’s neck, the 10-week scan extends its scope to assess various aspects of the baby’s development, including the heart, brain, and spine.

Is the 10-week scan safe? Yes, the 10-week scan is a safe and well-established procedure. Ultrasound technology has been a trusted method for safely imaging babies in the womb for many years.

Conclusion

If you’re considering delaying your first scan or wish to explore further options, the London Pregnancy Clinic provides innovative Early Ultrasound Screenings. These include the Early Fetal Scan, conducted between 12 and 16 weeks, which can exclude more than one hundred serious anomalies. Moreover, our Early Fetal Echocardiography is designed to identify up to 80% of detectable severe fetal heart defects. We highly recommend this scan for all babies with increased nuchal translucency (NT) measurements, fetal anomalies, or other unusual findings detected at the 11-13 week scan.

In conclusion, the 10-week pregnancy scan is an essential early step in ensuring the health and well-being of your growing family. It empowers parents with valuable insights and peace of mind, setting the stage for a smooth journey into parenthood. And remember, at the London Pregnancy Clinic, we offer a range of pioneering early ultrasound screenings to cater to your specific needs, ensuring the best possible care for your precious one.

Book NIPT + Scan from £490

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Understanding NT’s 95th Percentile

Written by London Pregnancy Clinic on 31. October 2023. Posted in Blog, Nuchal Translucency (NT), Obstetrics, SMART TEST, Ultrasound. No Comments on Understanding NT’s 95th Percentile

Understanding NT’s 95th Percentile:

Nuchal Translucency (NT) Thickness Measurements in the 1st Trimester and What to Do if NT is Increased?

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Nuchal Translucency (NT), developed over 30 years ago in the early 1990s, remains a pivotal screening marker for evaluating early fetal well-being. Widely used, it screens for chromosomal and genetic conditions, as well as heart defects and other structural anomalies in the developing fetus. To get an understanding of NT’s 95th percentile we will discuss the importance of NT measurements, variations in cutoff values, and what to do if your baby’s NT measurement falls above the 95th centile but below the 3.5mm threshold.

The Significance of Nuchal Translucency Measurements:

NT refers to measuring the clear fluid space at the back of the baby’s neck during an ultrasound scan. According to NHS guidelines, it is measured between the 11th and 14th weeks of gestation. Presently, it is a cornerstone of the NHS Chromosomal Syndromes Screening Program conducted through Combined Screening Testing (CST). This program relies on the enduring significance of NT to assess the risk of chromosomal syndromes in the first trimester of pregnancy. Elevated NT measurements can indicate potential chromosomal abnormalities such as trisomy 21 (Down syndrome) and genetic conditions like Noonan syndrome, as well as heart defects and other structural anomalies. However, there is a significant level of uncertainty regarding what constitutes an abnormal NT measurement.

Variations in Cutoff Values:

One of the challenges with NT measurements is determining what constitutes an abnormal measurement. There is considerable variation in the cutoff values used by different research papers and guidelines. The majority of research studies and international society guidelines use the 95th centile as the threshold for abnormal NT measurements. This means that if your baby’s NT measurement falls below the 95th centile, it is considered normal. However, the NHS guidelines use a more conservative cutoff of 3.5mm. This 3.5mm cutoff is equivalent to the 99th percentile, representing a higher threshold for what is considered abnormal by NHS.

The Importance of Gestational Age:

It’s crucial to understand that the 95th centile for NT measurements varies with gestational age. Younger fetuses at 11 weeks tend to have naturally smaller NT measurements compared to those closer to 14 weeks. Therefore, determining whether your baby’s NT measurement is normal or not depends on both the absolute measurement and the gestational age.

Understanding NT’s 95th Percentile Measurements:

We understand that expectant parents might find it challenging to locate validated data concerning the 95th centile cutoff for their baby, as such data is not readily accessible online. To provide support, we have developed an NT thickness reference table based on highly esteemed international data from the study conducted by Wright et al in 2008¹. Additionally, we have cross-referenced data on normal NT measurements for the 10-11-week gestational period from Grande et al.’s publication in 2014², which closely aligns with Wright’s findings. Consequently, we have assembled a table that delineates the limit of an increased NT (95 centile) for each week from the 10th to the 14th week, utilising gestational age data recommended by the British Medical Ultrasound Society (2009)³.

Gestational Weeks 10+0 10+1 10+2 10+3 10+4 10+5 10+6 11+0 11+1 11+2 11+3 11+4 11+5 11+6 12+0 12+1 12+2 12+3 12+4 12+5 12+6 13+0 13+1 13+2 13+3 13+4 13+5 13+6 14+0 14+1

NT 95th centile mm 2.3 2.3 2.4 2.4 2.4 2.4 2.3 2.2 2.2 2.2 2.2 2.2 2.2 2.2 2.3 2.3 2.4 2.4 2.5 2.6 2.6 2.7 2.7 2.7 2.8 2.8 2.8 2.8 2.8 2.8

^{Our chart represents the distribution of increased NT measurements (> 95th centile) in relation to the gestational age. It’s important to note that, at every stage of gestation, normal NT measurements remain below 2.8 mm. Therefore, any NT measurement equal to or greater than 2.8 mm is considered elevated.}

What occurs when there is a significant elevation in NT measurements?

If NT thickness is 3.5mm or more (>99th centile) you will be referred to the fetal medicine unit (FMU) of your NHS hospital or FMU of a large regional NHS trust, where doctors will scan your baby to exclude structural anomalies associated with increased NT and offer further tests (CVS or NIPT). They will also offer fetal echocardiography at 16-20 weeks to exclude associated CHD.

What to Do if NT Measurement is Above the 95th Centile but Below 3.5mm (99th centile)?

The NHS adopts a conservative approach and does not acknowledge the 95th centile raised NT cutoff. Consequently, additional scans and tests are not scheduled for these babies before the routine 20-week anomaly scan conducted by the NHS. However, when the NT measurement surpasses the 95th percentile, it is advisable to proceed with further testing. In such instances, considering Non-invasive Prenatal Testing (NIPT) and an Early Fetal Anomaly Scan (Early Fetal Scan) are recommended.

SMART TEST – A Comprehensive Screening Option

For babies with elevated NT (between 95-99th centile), we have introduced the SMART TEST, which stands as the most advanced early reassurance package available. It comprises two expert early anomaly scans, Early Fetal Echocardiography, and the most comprehensive state-of-the-art NIPT panel. The SMART TEST can effectively rule out the majority of severe congenital heart defects (CHDs) and other structural anomalies associated with elevated NT, and reduce the probability of your baby being affected by chromosomal, genetic, or structural abnormalities.

While the SMART TEST is expensive, it is the most comprehensive early reassurance package available in the UK. For parents unable to afford the SMART TEST, there is a more affordable option of the Early Fetal Scan and an extended Panorama Test. The Early Fetal Scan screens for CHDs, but does not include a detailed examination of the fetal heart. You can further upgrade the scan and Panorama Test NIPT package to include eECHO.

If you have received concerning news about your baby’s increased nuchal translucency, we strongly recommend discussing the SMART TEST with one of our specialists.

Conclusion

Nuchal translucency measurements play a crucial role in assessing fetal well-being during the first trimester of pregnancy. Understanding the variations in cutoff values, gestational age, and available screening options is essential for making informed decisions if your baby’s NT measurement falls above the 95th centile but below the 3.5mm NHS threshold (99th centile). The SMART TEST, with its comprehensive NIPT panel and early fetal echocardiography, offers a valuable non-invasive screening option for parents seeking more information about their baby’s health. We are committed to offering you the best possible care, and you are always welcome to have a personal consultation with us to decide on the most suitable approach based on your individual circumstances.

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Graphic of Early Spina Bifida Diagnosis. A baby that is getting its spine scanned at 10 weeks.

Possibility of Early Spina Bifida Diagnosis from 10 Weeks.

Written by London Pregnancy Clinic on 21. October 2023. Posted in Blog, Obstetrics, SMART TEST, Ultrasound. No Comments on Possibility of Early Spina Bifida Diagnosis from 10 Weeks.

Spina Bifida Early Diagnosis from 10 Weeks of Pregnancy

An Interview with Dr. Fred Ushakov

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In honour of UK Spina Bifida Awareness Week, Dr. Ushakov, Founder and Managing Director of London Pregnancy Clinic, discusses the possibilities of early diagnosis of spina bifida. He is an internationally renowned expert in fetal medicine, with a primary focus on fetal spina bifida and is also currently affiliated with FMU UCLH. In recognition of UK Spina Bifida Awareness Week, we have had the privilege of asking Dr. Ushakov several vital questions about spina bifida.

Dr. Ushakov was interviewed by, our Specialist Sonographer in Fetal Medicine, Gynaecology & Fertility, Ms Shaz Khojasteh.

What sparked your interest in spina bifida?

“In 1980, as a young obstetrician heavily involved in attending deliveries and particularly interested in ultrasound technology, I performed a scan on a young pregnant woman. I noticed something unusual about the baby’s brain, although I couldn’t quite discern the exact issue. Subsequently, I was present at her delivery, and to my surprise, the baby was born with spina bifida. This experience was truly shocking. It occurred over 35 years ago during the early stages of ultrasound technology when both knowledge and technology were limited.”

What actions did you take next?

“After that shocking experience, I became genuinely intrigued by effectively detecting spina bifida. I dedicated significant effort to mastering scanning techniques for identifying spina bifida in babies. Over time, I evolved into an expert in this field, with a particular focus on spotting it as early as 10 weeks into the pregnancy. And naturally, I made it a point to share this knowledge with my colleagues, advocating for early spina bifida detection.”

How many babies with spina bifida have you encountered?

“I’ve seen hundreds of fetuses with spina bifida during my career. It’s become a routine part of my work – conducting early scans to detect spina bifida and performing expert scans for babies already diagnosed with this condition. Spina bifida is actually relatively common. In the UK, it’s estimated that around 1 in every 1,000 pregnancies is affected by spina bifida. Even though it might not be as well-known as some other conditions, its effects on those who have it can be quite substantial. This is why early detection and awareness are so important.”

Why is spina bifida so important?

“Open spina bifida holds immense significance due to its prevalence as a major fetal structural defect. It adversely affects essential bodily functions, such as bowel and bladder control. Walking becomes a challenge for most babies born with open spina bifida, and some may also exhibit brain abnormalities. While treatments can enhance outcomes, a complete cure remains elusive. Many babies survive, but their lives are profoundly impacted by long-lasting disabilities. In essence, it’s a severe condition with enduring consequences.”

What do you consider the main issue with spina bifida?

“The primary concern regarding spina bifida, from my perspective, is the alarming lack of awareness. This lack of awareness extends not only to patients but also to primary healthcare providers. From my experience, many pregnant women take folic acid supplements without fully grasping their significance. It’s imperative to raise awareness and educate both the general public and healthcare professionals about this condition, its risk factors, and the crucial role of folic acid supplementation during pregnancy and early first-trimester spina bifida screening. Unlike the widely recognized Down’s syndrome, spina bifida remains relatively obscure. This is a significant concern because, for some babies with spina bifida, the potential outcomes can be even more challenging than those for Down’s syndrome.”

Fred, could you clarify why it’s essential to start taking folic acid immediately upon discovering pregnancy?

“Yes, immediate folic acid supplementation upon discovering pregnancy is of paramount importance. Neural tube formation is an early pregnancy event, usually concluding by the end of the 6th gestational week, approximately 28 days after conception. In babies with spina bifida, the neural tube fails to close correctly, leading to spinal cord and spine bone issues. This anomaly develops extremely early when the baby is less than 1 cm in size and has just initiated its heartbeat.

Folic acid plays a pivotal role during the critical period before and during the first six weeks of pregnancy when the baby’s spine is forming. In practical terms, most people discover their pregnancy around 4 weeks after conception, and by that point, they are already 4 weeks into the pregnancy. This leaves just two weeks during which folic acid can exert its most significant impact. Taking early action is the key to providing essential support for your baby’s neural tube development and minimizing the risk of spina bifida.”

Let’s delve into early Spina Bifida diagnosis during pregnancy. When can you identify this condition?

“With my level of expertise and the use of advanced 3D ultrasound scanners (Fig 1), I can diagnose the majority, probably over 90%, of open spina bifida as early as 10 weeks into the pregnancy. To put it differently, personally missing a diagnosis of spina bifida at that stage would be a great disappointment to me, and I would be highly motivated to conduct a thorough investigation into why such a diagnosis was missed.

Fig 1 – 3D ultrasound image of the baby at 10 weeks: All main structures are visible
It’s important to note that achieving a 100% accuracy rate in diagnosing spina bifida through ultrasound is a challenge. There can be significant variations in the presentation of spina bifida, and in some rare cases, the anomaly may go undiagnosed until delivery. While early detection is highly valuable, there are instances where the condition’s subtleties make it difficult to diagnose definitively with ultrasound.”

How can you diagnose spina bifida so early? Are you inspecting the baby’s spine?

“No, actually, it’s quite challenging to directly visualize spinal abnormalities at this early stage. What I’m primarily focused on is the fetal head and brain (Fig 2). In cases of open spina bifida, there’s a distinct phenomenon at play. There is a leakage of fluid from the brain through the hole in the spine, and this leakage creates a very specific brain anomaly known as Chiari 2 malformation. I’m essentially searching for the earliest evidence of this phenomenon in the ultrasound images. It’s a highly specific indicator – when this particular brain anomaly is present, it’s a strong indication that the baby has spina bifida.

Certainly, at 10 weeks, I also examine the fetal spine. The spine is not yet ossified, so it appears as dark lines running along the baby’s back, and often I can even discern individual vertebrae as bright dots (Fig 3). This level of detail means that very severe spinal deformities can be visible. Sometimes, spina bifida can manifest as a small bubble on the baby’s back at this early stage (Fig 4).”

Fig 2 – Normal brain at 10 weeks: this baby has no spina bifida
Fig 3 – Baby’s spine at 10 weeks: no deformities
Fig 4 – Baby with spina bifida at 10-11 weeks: spina bifida marked by the circle

Can other professionals detect spina bifida early?

“Yes, there are indeed many research studies indicating the possibility of early detection. One of the most significant research efforts comes from King’s College Hospital in London. Sonographers at this hospital have scanned over 100,000 babies at 11-13 weeks of pregnancy and were able to detect more than half of the fetuses with spina bifida. This achievement is truly impressive, although it’s important to note that it may not be applicable to all NHS trusts. King’s College Hospital has a dedicated unit, established protocols, and a comprehensive training program. Only a handful of other hospitals across the UK, including UCLH that I work for, have similar protocols in place.”

What is the situation like in an average NHS hospital?

“In NHS hospitals, there is a screening ultrasound program called the anomaly scan, which is typically conducted at 19-20 weeks into the pregnancy. During this scan, sonographers check for spina bifida among other anomalies.

Unfortunately, there isn’t a routine first-trimester screening for spina bifida, and the majority of cases are detected during the second trimester. In a 2019 survey of ultrasound units performing scans in the first trimester (11-13 weeks) in England, it was found that only 16% of them included a check of the fetal spine in their protocols.”

Tell us about the “crash sign” and its significance.

“Yes, indeed. Many research groups have proposed various methods for detecting spina bifida in the first trimester. In our case, we’ve come up with a marker that represents the ultrasound appearance of Chiari 2 malformation in the early fetal brain. It’s pretty obvious when you have a top-notch ultrasound scanner.

Now, why ‘CRASH’? We actually have a video up on YouTube that demonstrates it, and once you watch it, the name will make perfect sense.”

Any advice for patients seeking early spina bifida ruling out?

“If you’re keen to know early on, I’d suggest considering booking a 10 Week Scan with a professional having a special interest in this area. For those with previous pregnancies affected by spina bifida, arranging a 10 Week Scan at Fetal Medicine Unit at UCLH with a referral from your primary NHS care provider is an excellent choice. Alternatively, you can book a 10 Week Scan privately at London Pregnancy Clinic. At our clinic, we can combine this scan with non-invasive prenatal testing (NIPT). Please inform our admin staff about your worries, and we will arrange a proper scan for your baby.

If you prefer to stick with NHS services, ask your sonographer during the 11-13 weeks scan if they’re actively screening for spina bifida. Some hospitals in London may have established protocols for this. However, if your NHS provider doesn’t routinely check for spina bifida (which is the case for most hospitals), you might want to consider an early anomaly scan (Early Fetal Scan) at 13-16 weeks through a private provider. For those going the private scan route, it’s a good idea to check if the clinic screens for spina bifida at early stages. Advanced private ultrasound clinics are typically well-equipped, and their staff may have special training in fetal medicine.

Please note that the majority of sonographer-run clinics that provide NIPT or perform non-medical gender scans do not screen for spina bifida.”

It seems like you prefer screening for spina bifida at 10 weeks rather than at the time of the standard NHS scan around 12 weeks. Is that accurate, and could you tell us why?

“Yes, you’ve got it right. In the past, I used to advocate for spina bifida screening during the conventional nuchal translucency scan at around 12-13 weeks. But with the introduction of NIPT, which can be done as early as 10 weeks, I’ve started scanning for spina bifida even before the blood test. At 10 weeks, the little ones are really tiny, measuring less than 1.5 inches (around 35 mm).

Interestingly, with the help of state-of-the-art ultrasound technology (and we’re lucky to use the most advanced machines), many fetal structures are surprisingly easier to examine at 10 weeks compared to 12 weeks. The brain and spine, in particular, stand out as more visible structures.

I won’t bore you with all the technical stuff, but it’s somewhat paradoxical that I feel that an early screening at 10 weeks is actually probably more effective. Plus, it’s a relief for parents who are understandably anxious and want reassurance as soon as possible. But it’s essential to recognize that this type of screening demands a high level of expertise and top-notch ultrasound technology to be done effectively.”

Can other professionals detect spina bifida early?

“Yes, indeed. There are internationally renowned groups in Melbourne, Nice, and Berlin, among others, who also have experience in diagnosing spina bifida before the 11th week of pregnancy. At present, our joined expertise is largely based on anecdotal cases. This is because the incidence of spina bifida is relatively rare, occurring at a rate of 1 in 1,000 pregnancies. To establish statistically significant numbers and determine the detection rate of a 10-week scan, one would need to scan thousands and thousands of babies.”

What is the SMART TEST, and does it include screening for spina bifida?

“The SMART TEST is an innovative concept in prenatal care developed and offered by the London Pregnancy Clinic. It combines extended NIPT with expert ultrasound. The SMART TEST is unique in that it covers a wide range of structural anomalies, chromosomal conditions, and genetic diseases, and it can do so as early as 10 weeks into the pregnancy.

A primary target of the SMART TEST is indeed the earliest possible screening for spina bifida. The test incorporates advanced 2D and 3D ultrasound technology to thoroughly examine the fetal brain and spine at a stage when the baby has just transitioned from an embryo to a fetus. This comprehensive approach ensures early detection and peace of mind for expectant parents.”

Why do you believe that early detection of spina bifida is so crucial? After all, the condition can be diagnosed by the NHS anomaly scan at 20 weeks.

“I’m a strong advocate for early detection of spina bifida, and let me explain why. Spina bifida is a highly serious structural anomaly associated with severe disabilities. While we’ve made significant progress with in-utero surgical treatments, it’s important to understand that these treatments don’t cure the condition.

Moreover, it’s essential to highlight the significance of the surgical aspect. At UCLH, I’m part of the Fetal Surgery for Spina Bifida team, which is led by Professor Jan Deprest, an internationally renowned expert in fetal surgery. Our centre is the sole one in the UK commissioned by the NHS to provide this cutting-edge treatment. In my role, I conduct scans on the baby before and after the surgery. I take great care to evaluate the spinal lesion, perform a thorough examination of the baby’s brain, and perform a comprehensive top-to-toe scan of the entire baby. I’ve had the privilege of scanning hundreds of babies with spina bifida before and after surgery, contributing to their care.

Performing surgery on a baby with spina bifida while they’re still in the mother’s womb is an incredible feat. This complex procedure requires a skilled international team of doctors and medical professionals from the UK and Belgium. The delicate balance of providing life-changing treatment for the baby while ensuring the safety of both the baby and the mother is a remarkable achievement in fetal medicine.

However, almost half of mothers are not eligible for this ground-breaking surgical treatment, often due to the severity of the baby’s condition or additional fetal problems. For these parents, making difficult decisions about the pregnancy becomes a reality, often after 20 weeks. Even for parents eligible for surgery, the journey is challenging. They go through numerous tests, counselling, and procedures in a short time, adding to the stress.

All of this can be alleviated with early diagnosis. Early detection provides parents with the time and information they need to make informed decisions. For the most severe cases of spina bifida that are not operable, early detection helps parents understand their options from the start of the pregnancy. That’s why I advocate for screening for spina bifida as early as 10 weeks or at least at 12 weeks.”

Fred, as a conclusion, what advice or suggestions would you like to offer to future parents?

“If you are in the planning stages of pregnancy, consider starting to take folic acid supplements. Folic acid is most effective when taken before conception and during the first few weeks of pregnancy when the baby’s spine is forming. This simple step can contribute to the healthy development of your baby and reduce the risk of spina bifida.

Additionally, I’d like to emphasize the importance of early screening for spina bifida, which can now be done as early as 10 weeks into the pregnancy. This can provide you with valuable information, peace of mind, and ample time to make informed decisions about your baby’s health. If you have concerns or a history of spina bifida in your family, consider the SMART TEST at the London Pregnancy Clinic. It’s a comprehensive approach that combines NIPT and advanced ultrasound technology to screen for a wide range of conditions, including spina bifida.

Remember that knowledge is power. Being informed and seeking early detection can make a significant difference in the journey of your pregnancy. Stay well-informed, ask questions, and don’t hesitate to seek expert guidance. Your baby’s health is our priority, and we are here to help you every step of the way.”

References

(1) Karim, J., Pandya, P., McHugh, A. and Papageorghiou, A.T. (2019). OC23.06: Significant variation in practice for first trimester anatomy assessment: results from a nationwide survey. Ultrasound in Obstetrics & Gynecology, 54(S1), pp.60–61.

(2) Ushakov, F., Sacco, A., Andreeva, E., Tudorache, S., Everett, T., David, A.L. and Pandya, P.P. (2019). Crash sign: new first-trimester sonographic marker of spina bifida. Ultrasound in obstetrics & gynecology : the official journal of the International Society of Ultrasound in Obstetrics and Gynecology, [online] 54(6), pp.740–745.

(3) University College London Hospitals NHS Foundation Trust. (n.d.). Management of Fetal Spina Bifida. [online] Available at: https://www.uclh.nhs.uk/patients-and-visitors/patient-information-pages/management-fetal-spina-bifida [Accessed 21 Oct. 2023].

(4) Syngelaki, A., Hammami, A., Bower, S., Zidere, V., Akolekar, R. and Nicolaides, K.H. (2019). Diagnosis of fetal non‐chromosomal abnormalities on routine ultrasound examination at 11–13 weeks’ gestation. Ultrasound in Obstetrics & Gynecology, 54(4), pp.468–476.

(5) Rolnik, D.L., Wertaschnigg, D., Benoit, B. and Meagher, S. (2020). Sonographic detection of fetal abnormalities before 11 weeks of gestation. Ultrasound in Obstetrics & Gynecology, 55(5), pp.565–574.

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Spina Bifida Awareness Week

Written by London Pregnancy Clinic on 18. October 2023. Posted in Blog, Obstetrics, Ultrasound. No Comments on Spina Bifida Awareness Week

Spina Bifida Awareness Week:

What is it? and how we can screen for it?

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This week is Spina Bifida Awareness Week, a time to shine a light on this important condition. We look at what Spina Bifida is, how it can be detected and charities that spread awareness about it.

Comprehensive Screening:

From the 16th to the 22nd of October, we shine a light on Spina Bifida Awareness Week. But first, let’s break it down. What exactly is spina bifida? It’s a condition where the spine doesn’t fully develop in the womb. It occurs when the spine and spinal cord fail to develop properly in the womb, resulting in a gap in the spine. This incomplete development can lead to both physical and intellectual challenges.

A surprising fact? As many as 10% of people might have a milder form of spina bifida. Most aren’t even aware of it. On the more severe end of the spectrum, open spina bifida impacts about 700 babies in the UK every year.

Now, here’s the uplifting part. Taking folic acid during the early stages of pregnancy can significantly reduce the risk of a baby developing spina bifida. However, many women still don’t know about this simple preventative measure. It’s essential for healthcare providers to share this knowledge.

Early Detection Makes a Difference!

At our clinic, we’re proud to offer a specialised Ten-week Anomaly Scan. This scan is designed to detect signs of spina bifida at a very early stage. By identifying it early, families can make informed decisions and medical professionals can provide the best care options. Early detection can dramatically improve outcomes for affected pregnancies. Surgeons from UCLH and GOSH carried out the first procedure on babies in the womb in the UK back in 2018. This international team received their training at UZ Leuven¹

While many might be more familiar with conditions like Down Syndrome, it’s vital to bring spina bifida to the forefront as well. Its prevalence is notable, and with the right measures like early detection and folic acid intake, we can make a difference.

Join Our Mission in Boosting Awareness:

Knowledge is power. By understanding spina bifida, its risks, and the preventive steps, we can safeguard future generations. Let’s raise the bar of awareness together by educating ourselves and supporting charities like Shine.

Shine Charity is a UK-based charity that supports people with spina bifida and hydrocephalus. The charity’s vision is a society where all those affected by spina bifida and/or hydrocephalus are empowered and enabled. Shine’s mission is to make a positive difference to the lives of people affected by these conditions.

Shine’s goals for 2022-2027 include:

Enabling babies and children with spina bifida and/or hydrocephalus to achieve their potential
Empowering young people with these conditions
Ensuring that adults with these conditions have the choices and opportunities to live healthy and independent lives

Watch the explainer video on the 10 week scan:

References

(1) GOSH Hospital site. (n.d.). First UK surgery in the womb for babies with spina bifida. [online] Available at: https://www.gosh.nhs.uk/press-releases/first-uk-surgery-womb-babies-spina-bifida/ [Accessed 16 Oct. 2023].

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