Prenatal appointments and testing for abnormalities

Prenatal appointments

Below is a schematic overview of the prenatal appointment schedule. At every appointment, various checks are performed.

Around 8 weeks	First pregnancy appointment Blood collection
Around 12 weeks	First pregnancy scan First trimester screening
Around 16 weeks
Around 20 weeks	Second pregnancy scan Structural ultrasound
Around 24 weeks	Diabetes test
Around 28 weeks
Around 32 weeks	Third pregnancy scan Growth scan
Around 36 weeks	GBS screening
Around 38 weeks
Around 40 weeks

Scans during your pregnancy

For each pregnancy, three ultrasound scans will be reimbursed, one for each trimester. Various aspects are checked during these ultrasound scans:

12 weeks of pregnancy	18-22 weeks of pregnancy	32 weeks of pregnancy
Growth and development of the child	Extensive examination of all body parts of the baby	Checking growth and position of the baby and the amniotic fluid volume
Nuchal translucency measurement and NIPT: screening for potential disorders such as Down’s Syndrome.	Screening for serious anomalies

Chromosomes and chromosomal abnormalities

What are chromosomes?

Chromosomes are the carriers of our genetic material. There are 46 chromosomes in each cell of our body. These chromosomes are arranged in pairs, with a total of 23 pairs. In each pair, one chromosome comes from the mother and one from the father. The first 22 pairs of chromosomes are the same in men and women. Only the 23rd pair, the sex chromosomes, is different in men and women: a woman has two X chromosomes, a man has one X and one Y chromosome.

The reproductive cells, especially the egg cells and the sperm cells, are produced after a special division (meiosis) and contain only 23 chromosomes. When an egg cell is fertilised by a sperm cell, a new cell (the first fertilised egg cell) with 46 chromosomes is produced. Sometimes something goes wrong during this division process. If this happens, the baby may have one too many (trisomy) or one too few (monosomy) chromosomes. Usually the pregnancy ends spontaneously in a miscarriage before the twelfth week. However, it is also possible that no miscarriage occurs, but that a baby is born with a chromosomal abnormality.

Other problems can also occur during fertilisation, resulting in there being too many or too little smaller pieces of chromosomes in the foetus.

Screening for anomalies

The vast majority of children that are born here are completely healthy. Are there any congenital abnormalities in your own close family? Make sure you let your physician know as soon as possible, and preferably before you intend to become pregnant. That way, we can investigate whether it will be useful to take certain steps during your pregnancy. However, be aware that although medical science has made great progress in screening for anomalies, no test exists that gives you a 100% guarantee of a healthy child.

We carry out the following tests to screen for potential anomalies:

Nuchal translucency measurement - around 12 weeks of pregnancy
NIPT - around 12 weeks of pregnancy

In the leaflet below, you can read everything about nuchal translucency measurements and NIPT:

Only available in Dutch:

12 weken echografie en NIPT

Download

The NIPT or combined-screening test only provides an estimated increased risk of abnormalities, not a definitive result. If an abnormal result is found in a nuchal translucency measurement or NIPT, this always requires confirmation through one of the tests below. These tests do provide 100% certainty. After an abnormal NIPT result, we always carry out an amniocentesis, not chorionic villus sampling.

Amniocentesis - around 15 weeks of pregnancy
Chorionic villus sampling - from 11-12 weeks of pregnancy

In the leaflet below, you can read more about amniocentesis and chorionic villus sampling:

Only available in Dutch:

Vruchtwaterpunctie en vlokkentest

Download