The primary wish of every parent to take the little puppy in her health is undoubtedly, but sometimes things may not go as expected. A possible problem, joy and excitement can be replaced by sadness and anxiety. Fortunately, in such a case, rapid developments in technology and medicine are in the rescue. A possible disease in the womb of the baby can be diagnosed early by intensive screening and follow-up programs and action is taken to ensure the baby's health. Acıbadem Maslak Hospital Gynecology and Obstetrics, Perinatology Specialist Assoc. Dr. Hülya Dede said, olasılığı The probability of abnormalities in pregnancy is between 3-5%. An intensive screening and follow-up program is used to detect abnormalities in babies during pregnancy. A new generation of ultrasound devices with high screen resolution and obtaining the baby's DNA from mother's blood are among the new screening methods. ” The method of obtaining the DNA of the baby in mother's blood, which has been used in recent years; Asserting that it is possible to use from the 8th week of pregnancy. Dr. Ly About 20 cc of blood taken from the mother in very small amounts is enough baby DNA and the risk of Down Syndrome can be estimated with 99 percent accuracy, Hü says Hülya Dede. Assoc. Dr. Hülya Dede talked about the problems that can be detected in the womb in recent years and gave important warnings and suggestions. Kidney DiseasesRenal abnormalities can be detected during fetal anomaly screening. There are many kidney anomalies, from the small kidney to the absence of kidneys and the inactive kidney. Although most common kidney anomalies are not life-threatening, they can cause kidney disease in later years. Today, many kidney anomalies can be treated. Lung diseaseThere are many congenital diseases of the lungs in the unborn baby. For example, diseases such as cysts in the lungs, incomplete formation of lungs, connection between the respiratory and esophagus can develop. These diseases do not present in the mother, but can be diagnosed by careful ultrasonographic examination. Treatment can be given after birth depending on the situation. Heart diseases20th week of pregnancy is important in baby's heart development. Therefore, 19-22. The most ideal fetal anomaly screening time for the heart between weeks. There are many genetic or environmental factors that are at risk for cardiac anomaly. From the fact that the expectant mother has diabetes, she uses risky drugs during pregnancy; rubella, mumps can cause many reasons such as the disease. Among the most common cardiac anomalies; fallot tetrology (purple infant disease), transposition of the great arteries, large heart holes, the lack of development of one side of the heart due to reversal or severe stenosis in the main vessels. Today, many cardiac anomalies can be detected during pregnancy. Rabbit Lip (Cleft Palate-Lip)Publicly known as 'rabbit lip' cleft palate-lip anomalies are seen in 1 of 1000 babies. The exact cause is unknown. Medications taken by the mother during pregnancy, x-rays, consanguineous marriages, use of harmful substances and some traumas during pregnancy can cause this disease. After the birth, plastic surgery can be corrected by two surgeons, lip surgery in the first months after birth, palate surgery is done before the age of infants. Dwarfism and crooked feetIn the womb, problems such as adhesion of the fingers of the baby, the number of fingers to be more or less, the length of the limbs too long or short can be detected and these can be fixed with small operations and prostheses that develop every day. Hip dislocation, crooked foot, neck curvature, dwarfism, severe limb and spine developmental disorders are some of the more important skeletal anomalies. Skeletal anomalyDefects in the skeletal structure of the baby during pregnancy can be detected clearly during fetal anomaly screening, but the cause is often not detected. One of the biggest factors is estimated to be caused by the lack of vitamins in the mother. While the mother's use of cigarettes, alcohol and substance during pregnancy can lead to skeletal anomalies in the baby, it can sometimes be genetic. In such a case, the physician should inform the family and take precautions accordingly. Head and brain anomaliesHead and brain anomalies are among the most common anomalies that can be diagnosed early by ultrasonography. Some of the most common problems are the lack of development of the skull, exposure of brain tissue, lack of details in the brain tissue, excessive dilatation of fluid-filled vesicles, and lack of development of brain tissue. Since most of these anomalies are incompatible with life, the baby is lost shortly after birth. In this case, according to the fate and severity of the disease, a path is chosen according to the preferences of the family and within the framework of professional principles and ethics. Abdominal wall anomaliesSome of the abdominal wall diseases can be treated surgically after the baby is born. Abdominal herniation of the intestines and / or other abdominal organs (sometimes even the heart) out of the umbilicus, or prolonged sagging of the intestines and sometimes the liver due to deficiency in the abdominal wall are among the most common abdominal anomalies. Neural Tube DefectThe tubular structure that forms the brain and spinal cord means disability due to the closure of the mother's womb. Most babies with a Neural Tube Defect cannot survive; living babies become paralyzed or cannot perform important functions such as bowel and bladder control. It is important for mothers to take folic acid in a controlled manner before and after pregnancy, as the most important reason is the lack of folic acid in the mother. Down SyndromeAssoc. Dr. Hülya Dede said, Down Down syndrome is a genetic difference, not a disease. 11-14. Within weeks, the risk of the baby's nasal bone and nuchal thickness can be determined by ultrasonography and then several parameters can be determined from the mother's blood. In the 4th month, ultrasound findings and some hormonal parameters in the mother's blood can be determined by considering the age of the mother, smoking status, and some disease histories. We can also contribute to this possibility by examining some ultrasound markers. ”New method for detection of Down SyndromeWhen the probability of Down's Syndrome is higher than expected after the tests, some diagnostic tests are on the agenda. According to the week of pregnancy with the help of a needle in the baby's fluid (amniocentesis) or by taking samples of the baby's chromosome examinations are done. These tests give 99 percent results for Down Syndrome. However, premature birth, water, bleeding, the loss of the baby, such as the very low rate of the possibility of some problems occur in the mother is unsettled. A recently developed new technology has opened a new door in this regard. Assoc. Dr. Hülya Dede said, “It is possible to reproduce the free circulating DNA particles in the mother's blood and to understand the genetic structure of the baby (whether it is Down's Syndrome). These tests cannot replace amniocentesis because they do not give 100 percent accurate results, but they can predict 99 percent of the presence and absence of Down Syndrome. ”Watch out for risky pregnancy!Asserting that mother-to-be should be in perinatologist follow-up if there is a risky pregnancy, Assoc. Dr. Dr. Hülya Dede, high blood pressure from pregnancy sugar, recurrent loss of pregnancy, heart disease, asthma and allergies to blood incompatibility, many causes can cause risky pregnancy, he says.