{"id":659,"date":"2014-06-12T14:43:36","date_gmt":"2014-06-12T14:43:36","guid":{"rendered":"http:\/\/praenatal-zuerich.ch\/?page_id=659"},"modified":"2019-02-27T13:05:20","modified_gmt":"2019-02-27T13:05:20","slug":"erstes-screening","status":"publish","type":"page","link":"https:\/\/praenatal-zuerich.ch\/?page_id=659","title":{"rendered":"Erstes Screening"},"content":{"rendered":"<p><a href=\"http:\/\/praenatal-zuerich.ch\/wp-content\/uploads\/2014\/07\/Information-f\u00fcr-Schwangere-zu-Suchtests-und-genetischen-Untersuchungen-in-der-ersten-H\u00e4lfte-der-Schwangerschaft-2017-07.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">Screening auf Trisomie und &#8222;Gentest&#8220; (ggf.&nbsp;Pflichtleistung der Versicherung)<\/a><\/p>\n<p>Das so genannte erste Screening wird zwischen 11 und 14 Wochen durchgef\u00fchrt. Viele Untersucher halten 12 abgeschlossene Wochen f\u00fcr eine idealen Zeitpunkt.<\/p>\n<p>Vor jeder Untersuchung sollte eine an die Massnahme angepasste genetische Beratung erfolgen.<\/p>\n<p>Der erste wichtige Punkt der Ultraschalluntersuchung beim&nbsp;Ersten Screening ist die Best\u00e4tigung des Sitzes der Schwangerschaft in der Geb\u00e4rmutter.&nbsp;Aber das erste Screening umfasst noch viel mehr: Es werden die Konturen von Kopf, R\u00fccken&nbsp;und&nbsp;Bauch und orientierend die Extremit\u00e4ten untersucht, um schwerwiegende Fehlbildungen schon fr\u00fch zu erkennen. Der fetale Herzschlag kann in dieser Untersuchung immer best\u00e4tigt werden. Dar\u00fcber hinaus versuchen wir immer, zumindest den so genannten Vierkammerblick einzusehen, also die beiden Herzkammern und die Herzvorh\u00f6fe als Hinweis auf eine normale Herzstruktur.<\/p>\n<p>Das wichtigste Mass f\u00fcr die Gr\u00f6sse des Fetus ist die Scheitel-Steiss-L\u00e4nge (kurz: SSL), also die Gr\u00f6sse vom Kopf und Rumpf. Die&nbsp;SSL-Werte beim ersten Screening liegen zwischen 45mm und 84mm.<\/p>\n<p>Falls Sie es nach entsprechender Aufkl\u00e4rung w\u00fcnschen, k\u00f6nnen wir durch die Messung der so genannten Nackentransparenz und von zwei Blutwerten sowie allf\u00e4lligen &#8222;Zusatzmarkern&#8220; Ihr individuelles Risiko f\u00fcr das Vorliegen einer kindlichen Chromosomen-St\u00f6rung untersuchen. Diese Untersuchung wird auch als &#8222;Ersttrimestertest&#8220; bezeichnet. Diese individuelle Risikoermittlung erfolgt nach den Richtlinien und unter den Qualit\u00e4tskontrollen der &#8222;Fetal Medicine Foundation&#8220; (FMF). Schweizerische Fachinformationen finden sie <a href=\"http:\/\/praenatal-zuerich.ch\/wp-content\/uploads\/2014\/06\/ETT-d.pdf\">hier<\/a>. Eine zusammenfassende Beschreibung der Untersuchung mit 11-14 Wochen in einfachen Worten, die von der FMF London auf englisch&nbsp;zu Verf\u00fcgung gestellt wird, finden Sie <a href=\"http:\/\/www.fetalmedicine.com\/nuchal-scan\" target=\"_blank\" rel=\"noopener noreferrer\">hier<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Screening auf Trisomie und &#8222;Gentest&#8220; (ggf.&nbsp;Pflichtleistung der Versicherung) Das so genannte erste Screening wird zwischen 11 und 14 Wochen durchgef\u00fchrt. [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":22,"menu_order":2,"comment_status":"closed","ping_status":"closed","template":"page-templates\/full-width.php","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ngg_post_thumbnail":0,"footnotes":""},"class_list":["post-659","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/praenatal-zuerich.ch\/index.php?rest_route=\/wp\/v2\/pages\/659","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/praenatal-zuerich.ch\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/praenatal-zuerich.ch\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/praenatal-zuerich.ch\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/praenatal-zuerich.ch\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=659"}],"version-history":[{"count":15,"href":"https:\/\/praenatal-zuerich.ch\/index.php?rest_route=\/wp\/v2\/pages\/659\/revisions"}],"predecessor-version":[{"id":3105,"href":"https:\/\/praenatal-zuerich.ch\/index.php?rest_route=\/wp\/v2\/pages\/659\/revisions\/3105"}],"up":[{"embeddable":true,"href":"https:\/\/praenatal-zuerich.ch\/index.php?rest_route=\/wp\/v2\/pages\/22"}],"wp:attachment":[{"href":"https:\/\/praenatal-zuerich.ch\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=659"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}