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Preeclampsia screening

There are several names for pre-eclampsia: toxemia of pregnancy, pregnancy-induced hypertension, and preeclamptic toxemia.

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Preeclampsia screening

What is preeclampsia?

It can appear after the 20th week in any pregnant woman, without any warning signs. The most typical symptoms are suddenly developing high blood pressure (over 140/90 Hgmm), while increased protein in the urine (over 0.3 grams daily), persistent edema can also be warning signs. The greatest danger of preeclampsia is that is can have extremely severe consequences for both the mother and the baby: the mother can develop kidney and liver failure, or stroke, while the fetus can suffer from developmental problems resulting from premature birth, because once the condition develops, there usually is no other option but to induce the delivery.

It is especially important to us at RMC Fetal Medicine Center that we keep up with and are active participants in progress made in fetal diagnostics. This is why we have available in our office a new screening method that has only been around for a short time: the test based on the uterine artery and PLGF - PAPP-A. According to data in the latest professional literature, 96% of high-risk cases can be detected using this method, with a 10% false positive rate. It’s also good to know that if an expectant mother has a high risk, there is a treatment option to reduce the likelihood of or delay developing it, by taking low doses of aspirin (75-100 mg) daily beginning prior to the 16th week.

Patients can request the new preeclampsia screening as a supplementary test to the first semester extended screening. It cannot be requested alone.

We regret that the test is currently not available for twin pregnancies.

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RMC Clinics - Fetal Medicine Center

Reviews

Reviews
  • I had an appointment with Dr Tibor Elekes for my third trimester ultrasound. It was a real experience: he commented on each step and was very thorough and precise. I will recommend him to people I know. You can see that not only expectant moms are in safe hands with Doctor Elekes.
    35-year-old  expectant women
  • Thank you very much for the incredibly precise work. I would especially like to thank Doctor Tibor Elekes and his assistant for the incredible amount of time that they devoted to us during the day yesterday, and that they kept going.
    43-year-old  expectant women
  • I was completely satisfied with the care provided. The staff members are incredibly kind and considerate. During the examination, Doctor Elekes was extraordinarily thorough, and explained everything in detail. Thank you for providing such a high level of care.
    42-year-old  female patient
  • Thank you for everything, I was completely satisfied with the care, the attention, the work of the nurses, the people working at reception and the phone service too! Thank you for your work!
    41-year-old  female patient
  • Every doctor and assistant is very kind and a good professional. I have been going to Dr Csermely for 20 years. I am satisfied with both him and Gabriella, his nurse.
    31-year-old  female patient
  • I am incredibly satisfied. Everything went very well during the examination. I encountered very professional and kind, attentive professionals. Even on the first phone call, I felt like this was a great place. Thank you very much for the great care. I can only recommend RMC, and I will!
    31-year-old  female patient
  • I was extremely satisfied with the care. The staff are extremely kind and attentive. During the examination, Dr. Weidner was very thorough and explained everything in detail. I would like to take this opportunity to thank you for providing such a high standard of care.
    43-year-old  mother
Reviews
Reviews

Our related doctors

András Weidner, M.D.
András Weidner, M.D.
Fetal Medicine Foundation-Certified Ultrasound Specialist, Obstetrician-Gynecologist
Gyula Csermely, M.D., Ph.D.
Gyula Csermely, M.D., Ph.D.
Fetal Medicine Foundation Certified Ultrasound Specialist, Obstetrician-Gynecologist
László Molnár, M.D.
László Molnár, M.D.
Clinical Geneticist, Fetal Medicine Foundation-Certified Ultrasound Specialist, Obstetrician-Gynecologist

Any questions before booking an appointment?

If you are unsure which doctor to see or what examination you require, we are here to help!

Simply request a free callback from one of our colleagues, who will help you find the right specialist based on your specific issue.

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Our related feeds All news

Who is the sonographer, and what do they do?
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Who is the sonographer, and what do they do?
In our clinic, mothers do not see audited ultrasound specialists only; in some cases, they are also examined by sonographers. In this blog post, we would like to introduce these two professions and explain the differences between them.
Why you shouldn’t undergo a maternal-fetal medicine screening without a test for preeclampsia
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  • 2017. 09. 18
Why you shouldn’t undergo a maternal-fetal medicine screening without a test for preeclampsia

FAQ

  • Non-invasive prenatal tests (NIPT) is done from the mother’s blood, which makes is completely safe for the pregnancy. The first trimester extended screening test, which consists of a blood test and an ultrasound exam, is recommended for every expectant mother. If this examination shows that the risk is low, then we recommend that the next tests be the 20th week, followed by the 30th week screening tests. If the risk is high, then further tests are necessary.
     
  • During the first trimester screening, NIPT may still be considered if your pregnancy is considered to be low risk (above 1:1,000), and is recommended if your pregnancy is medium (1:150-1000) or high risk (above 1:150) (if there is no genetic contraindication). If the risk is higher than 1:10, it is recommended to perform an invasive test according to professional rules, the opinion of which will be given in the framework of genetic consultation. Of course, parents can request the test without any medical reason, but only following the ultrasound exam, because NIPT does not replace the ultrasound exam, as several disorders and problems that cannot be detected with this test can be detected using ultrasound.
     
  • After a positive NIPT result, at the request of a high-risk expectant mother, or with other genetic  indications, an invasive test (chorionic villus sampling or amniocentesis) is recommended.
The first trimester test consists of a blood test and ultrasound exam. You do not need to arrive with an empty stomach, unless you are a pre-natal patient here and you are also having blood draw for other tests. The second and third trimester screenings consist only of ultrasound exams. Because we do the screening exams without any time limit, in some instances the 60 minute exam can take up to several hours, and the next patient will need to wait. Of course, as is the case for every visit, we make every effort to keep the scheduled appointment times, but never at the expense of professionalism.

We make every effort to save time wherever we can – for example, we try to reduce time spent on paperwork. Every patient coming in for the first trimester test receives an email prior to the appointment, in which we ask that she read the material listed below prior to the appointment and bring it in already signed, if possible. This is one way we would like to reduce the amount of time spent with paperwork.
  • Examination consent form
  • Medical history
  • Research consent form
  • Service contract, if this is your first time at our office.
We do not send emails to patients coming in for second and third trimester screenings because these require less paperwork. But we also ask them to arrive 15 minutes before the appointment time in order to take care of the required paperwork.

Determining the need for non-invasive prenatal tests and invasive tests and evaluating the results of those tests occurs within the framework of a genetic consultation.  Our assistants give appointments for these tests during the visit.
All of the doctors in our center are specialist obstetrician-gynecologists with a certification in prenatal diagnostics. As senior physicians, Dr. Tibor Elekes, Dr. Gyula Csermely and Dr. László Molnár support the younger doctors of our institute in deepening their expertise in the field of prenatal diagnostics on the basis of the internationally recognized senior-junior procedure. This means that both the senior and junior doctor will deal with the patients during the examination. Both of them will devote enough time to answering the patient's questions and taking into account any needs that arise. This methodology provides even more optimal care and gives our patients even more opportunities to get answers to their important questions.
The vast majority of fetuses are healthy and no abnormalities are detected on the ultrasound. Nevertheless, all of our screening tests are extremely comprehensive and detailed, because we believe it’s important to know as much as we can. Reassuring the mother that her fetus is okay is just as important to us as helping anxious expectant mums with mild or severe ultrasound abnormalities by providing them with differential diagnostic knowledge and sufficient time for the scan. For these reasons, we apply a 'from-to' price range for our services. The amount paid by our patients at the end of the visit – which is based on an ethical pricing policy – depends to a large extent on the medical significance of any abnormality discovered, the need for documentation and consultation, and the nature of any legal liability incurred. You can find further details about the policy at this link.
Our center is not only at the forefront of fetal medicine, we also actively contribute to the development of the related body of knowledge. At RMC, we are currently carrying out the research outline below, which our patients can participate in on a voluntary basis. We thank participants for their help with a gift package, the details of which you can find in an information leaflet attached to the preliminary email for the service.

RMC research: The results of the research contribute to a better understanding of the nature of early pregnancy conditions, which may allow for a more accurate understanding and prognosis in this field in the future.

SOTE–RMC MMK research: In 2014, the No. 2 Department of Obstetrics and Gynecology at Semmelweis University (SOTE) launched a study looking at new ways to predict a condition known as preeclampsia. This condition occurs in approximately 3.8% of pregnancies. In most cases, with early identification and close monitoring, usually under controlled conditions, it is possible to reduce the risk of this process. Though early detection is becoming more effective, preeclampsia still causes the highest number of deaths during pregnancy. The screening method used in RMC Clinics is the most reliable of the methods used today. The aim of this research is to find an even more accurate method to predict preeclampsia, and that can also be used for monitoring purposes too. Only single pregnancies can be included in this research.
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