Prenatal and Gynecological Diagnosis
The Ruesch Clinic provides its patients with specialized medical teams and high-profile equipment making the facility a benchmark for diagnostics in Southern Italy.
Prenatal diagnostics is a branch of medicine and in particular of obstetrics that deals with and studies all the techniques capable of revealing the state of good health or the presence of pathologies in the fetus and uses both invasive and less invasive techniques.
The tests for prenatal diagnoses require several preventive investigations before being able to understand how to proceed and what is the best route to take to be able not to damage the fetus, even if there is always a minimum risk margin.
Generally when you are faced with a pregnancy, it would be great to start inquiring as soon as possible on all the tests to be done. Furthermore, we need to ask ourselves what we want to know from our investigations (for example through amniocentesis it is possible to know in advance if the fetus is suffering from Down Syndrome, but not if it is affected by autism) and more must always take into account the risks that they involve invasive tests, first of all abortion. Therefore, contact a competent person who knows how to address well the parent or both parents in the choice of tests to be done is an indispensable practice.
Prenatal & Gynaecology Diagnostics
Ruesch Thueris is the Centre of Gynaecology and Prenatal Diagnostics at the Ruesch Clinic in Naples.
The centre takes its name from Egyptian culture, where Thueris was the god who protected women, children and pregnancy.
The idea of the Centre is to support the woman in all phases of her life, offering a wide range of diagnostic services; from screening and prevention through to fuller, more detailed examinations.
The services that the Ruesch Thueris Centre offers are aimed solely at women and mothers.
The Ruesch Thueris Centre specialises in the diagnosis of the most common gynaelogical problems like infertility, endometriosis, neoplasia.
For Mothers and for Couples:
To help ensure that the pregnancy is as relaxed as possible for both mother and father, the specialists at the Ruesch Thueris Centre use the most up to date prenatal diagnostics and most efficient technology & equipment for ultrasound, biochemical and genetics.
It is possible to have a detailed understanding of the health of the unborn baby from the first trimester of pregnancy.
Depending on specific obstetrical situations the specialists will advise on which diagnostic proceedure is most suited (age of mother, previous chromosome or genetic illnesses , infections during pregnancy, fetal deformity).
Thanks to the highly specialized team, the multi-disciplined approach and advanced and reliable ultrasound technology, the Centre offers personalized diagnostic services based on the historic clinical record of each patient.
The Centre guarantees the admission to the clinic for patients who undergo invasive procedures (like amniocentesis, CVS), for a closer monitoring of possible complications. In advance there will be an appointment to provide all the correct information & medical notes as well as a review of the most recent and suitable genetic examinations (QF-PCR, array CGH, non invasive pre-natal tests (NIPT)) for each specific case. These will be reviewed by the relevant specialists at the clinic.
Examination of Deep Endometriosis
Analysis of 2D & 3D Morphology
Ultrasound First Trimester (6-11 weeks) – sonogram
Examination of First Trimester screening (11-14 weeks)
Ultrasound Early Anatomic (12-14 weeks)
Ultrasound Genetic (17-20 weeks)
Ultrasound Standard Anatomic Second Trimester(20-22 weeks)
Ultrasound Third Trimester with flussimetria (30-34 weeks)
Fetal Biophysical Profile
Uterus Flowmetry with pre-eclampsia screening
Chromosome & Genetic Tests
Combined Test (Duo Test)
Invasive Prenatal Tests (Amniocentesis and CVS)
Conventional foetal cariotyping
Non invasive prenatal testing (NIPT)
Comparative genomic hybridisation (Array CGH)
Fetal DNA on maternal blood
MPS on Foetal cells
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What are the invasive tests?
The invasive tests involve a collection of fetal material on which the subsequent tests can be conducted and therefore genetic analysis, investigating the possible transmission of hereditary diseases and chromosomal analysis, but unlike the non-invasive tests give a certain diagnosis of these pathologies, although it involves the risk of abortion (with a rather low estimate, on 1-2% of pregnancies).
- Amniocentesis: amniocentesis is the examination of amniotic fluid and is a practice that should be performed between the 15th and 17th week of gestation. It allows us to understand not only which congenital diseases and chromosomal abnormalities meet the child, but also if he has contracted infectious diseases.
- Villocentesis: villocentesis is a collection of the chorionic tissue and has the same characteristics as amniocentesis, but is performed under strict ultrasound control and is more recommended in case there is a high risk of transmission of diseases (for example if parents are affected by particular diseases, etc.).
What are the non-invasive tests?
The non-invasive tests are all those tests considered safe for the mother and the unborn child, but despite this they do not give a certain result but rather provide an estimate of what is the risk of abnormalities in the fetus, especially all chromosomal abnormalities. These tests are so-called screening and if their result should be positive then it will be appropriate to proceed with a more invasive test such as amniocentesis, otherwise the risk that the fetus has problems is very low but it is not completely canceled.
- Test of fetal DNA: this is an analysis conducted on fragments of DNA of fetal origin that circulate in the mother’s blood already after the second month of pregnancy and provides information on the risk of chromosomal abnormalities. This is an exam that is often combined with the bi-test, but unlike this it is always paid.
- Bi-test: this practice is made by two steps, the first an ultrasound to measure the nuchal translucency of the fetus and then a blood sample to measure the hormones of placental origin. This is an examination performed very early, already around the third month of pregnancy and still allows to be able to estimate what is the risk of chromosomal diseases (in particular trisomy 13 and 18 and Down syndrome) in the fetus or possible cardiac malformations, bones or diaphragmatic.
- Tri-test: this type of test is a blood sample that serves for the determination of certain molecules of placental origin that offers an estimate not only of the chromosomal abnormalities but also of the possibility of being diagnosed with spina bifida, and is an examination that is done between the 15th and the 18th week of pregnancy.
The gynecological diagnostics concerns all the investigations that have to be done regarding the investigations on the diagnosis of diseases of the female reproductive system and of the breast and fall into a wide range of examinations.
Prenatal and gynecological diagnosis Naples
We provide the best diagnostic services for all patients, also from neighboring cities, who want to reserve the best specialists and the best technologies for their health care.