J Med Assoc Thai 1998; 81 (4):297

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Nomogram of Nuchal Fold Thickness of Thai Fetuses Saknan Manotaya, M.D .. Somchai Tanawattanacharoen, M.D ..
Uerpairojkit B Mail, Tannirandorn Y , Charoenvidhya D

The aim of the study was to establish normal values of nuchal fold thickness during 14-21
weeks of pregnancy. Three hundred Thai pregnant women before 12 weeks of gestation were
recruited. Gestational age was determined by last menstrual period and confirmed by crown-rump
length. Subjects with date-size discrepancy of more than 7 days were excluded from the study.
Nuchal fold thickness was measured twice, first during 14-17 weeks, and then during 18-21
weeks. Five hundred and nine measurements were obtained. Nomogram of nuchal fold thickness
was constructed. Mean values of nuchal fold thickness increased steadily from 2.59±0.77
millimeters (mm) at 14 weeks to 4.12±0.98 mm at 21 weeks. Average rate of increase were 0.22
mm per week. In conclusion, nuchal fold thickness increased with advancing gestational age
from 14 to 21 weeks of pregnancy. Different normal cut-off levels for each gestational week
may be more appropriate for screening of fetal Down syndrome in Thai pregnant women.

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