A beneficial consequence of screening for trisomy 21 by a combination
of maternal age and fetal nuchal translucency thickness (NT) at 10-14
weeks is the early diagnosis of trisomy 18. In a multicenter study of
91 091 singleton pregnancies there were 106 fetuses with trisomy 18 an
d 83% were identified by NT screening. Trisomy 18 was also associated
with early onset intrauterine growth retardation, decreased fetal hear
t rate and the presence of exomphalos.