Related Experiment Video
Updated: May 23, 2026

12:32
Chromosome Screening of Human Preimplantation Embryos by Using Spent Culture Medium: Sample Collection and Chromosomal Ploidy Analysis
Published on: September 7, 2021
Increased nuchal traslucency in normal karyotype fetuses
Roberta De Domenico1, Marianna Faraci, Entela Hyseni
1Policlinico Universitario "G. Martino", Department of Obstetrics and Gynecology, University of Messina, Italy.
Journal of Prenatal Medicine
|March 23, 2012
Summary
Increased nuchal translucency (NT) in chromosomally normal fetuses does not significantly increase risks for adverse pregnancy outcomes or developmental delays. Parents can be reassured about the low residual chance of anomalies.
Area of Science:
- Maternal-fetal medicine
- Prenatal diagnostics
- Genetics
Background:
- Nuchal translucency (NT) measurement is a key first-trimester screening tool for chromosomal abnormalities.
- Increased NT, even with normal karyotyping, is linked to adverse pregnancy outcomes and fetal malformations.
- Many structural anomalies associated with increased NT are not detectable by standard prenatal screening.
Purpose of the Study:
- To evaluate the pregnancy outcomes and neurodevelopmental status of chromosomally normal fetuses with increased NT.
- To provide reassurance to parents regarding the risks associated with isolated increased NT.
Main Methods:
- Retrospective analysis of pregnancies with NT measurements between 11-14 weeks' gestation.
- Inclusion of cases with normal karyotyping and detailed ultrasound/echocardiography.
- Comparison of outcomes and neurodevelopmental data with the general population.
Main Results:
- Increased NT thickness, particularly ≥3.5 mm, correlates with higher risks.
- Chromosomally normal fetuses with enlarged NT, even without detectable anomalies, show no statistically significant increase in adverse outcomes or developmental delay.
- Uneventful outcomes are common in this group.
Conclusions:
- Isolated increased nuchal translucency in chromosomally normal fetuses generally carries a low risk for significant adverse outcomes.
- Parents of these fetuses can be confidently reassured about the low residual risk of structural anomalies and abnormal neurodevelopment.
Related Concept Videos
Karyotyping
Overview
Teratogenicity
The ability of a drug to produce structural deformations and functional abnormalities in the developing embryo or the fetus is called teratogenicity, and the drug producing this effect is known as a teratogen. Teratogenic effects include stillbirth, miscarriage, intrauterine growth restriction, and neurocognitive delay. A teratogen may affect the embryo at different stages of development, which is important in determining the type and extent of the damage. During blastocyst formation, the early...
Nondisjunction
Nondisjunction is the failure of homologous chromosomes or sister chromatids to separate correctly and move to the opposite poles of the cells. This produces daughter cells with abnormal chromosome numbers. Nondisjunction is common during anaphase I or anaphase II of meiosis. Mutations in synaptonemal complex proteins that attach homologous chromosomes increase the chances of nondisjunction in anaphase I of meiosis I. In contrast, mutations in topoisomerases and condensins that hold sister...
Nondisjunction
During meiosis, chromosomes occasionally separate improperly. This occurs due to failure of homologous chromosome separation during meiosis I or failed sister chromatid separation during meiosis II. In some species, notably plants, nondisjunction can result in an organism with an entire additional set of chromosomes, which is called polyploidy. In humans, nondisjunction can occur during male or female gametogenesis and the resulting gametes possess one too many or one too few chromosomes.
Meiosis I
Meiosis is a carefully orchestrated set of cell divisions, the goal of which—in humans—is to produce haploid sperm or eggs, each containing half the number of chromosomes present in somatic cells elsewhere in the body. Meiosis I is the first such division, and involves several key steps, among them: condensation of replicated chromosomes in diploid cells; the pairing of homologous chromosomes and their exchange of information; and finally, the separation of homologous chromosomes by a...

