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Ilrca Bnc`journeIlrca Bnc`journe L}cfnjcrnojL}cfnjcrnoj

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Cfjnorne Ia|nb Cjca~unuCfjnorne Ia|nb Cjca~unu~ Rmnu nu rml cjca~unu oi rml ia|nb tacelb nj cj cfhlx

ox c iona&eoylxlb rlur r|hl pmnem pcu cutnxcrlbixof rml cfjnorne ecynr~ oi c txl`jcjr pofcj*

~C 34 fa u~xnj`l nu |ulb ro crrcem ro c 84@

utnjca jllbal pnrm c ur~alr njulxrlb njro rmlcfjnorne ecynr~ cirlx rml ur~alr nu pnrmbxcpj

T|xtoul7

Ro blrler ilrca chjoxfcanrnlu! tcxrne|acxa~emxofouofca cjb jl|xca r|hl blileru

Ro blrler mlfoa~rne bnulcul oi rml jlojcrl*

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EmoxnojneEmoxnojne YnaanYnaan Ucftanj`Ucftanj`

~ Txljcrca rlur iox s|nek blrlernoj oi ilrca

emxofouofca cjb hnoemlfneca bnuoxblxu*

~ Tlxioxflb b|xnj` rml 3ur rxnflurlx*

~ Inj`lxankl txoglernoju rmcr u|xxo|jb rml

lfhx~ojne flfhxcjl cjb lyljr|caa~ `nylu

xnul ro rml taceljrc*

T|xtoul7

Ro cjca~wl iox ilrca chjoxfcanrnlu

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8/3/2019 Fetal Diagnostic Examination

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Eojrxcernoj Urxluu RlurEojrxcernoj Urxluu Rlur

~ Flcu|xlu ilrca mlcxr xcrl nj xlutojul ro

|rlxnjl eojrxcernoju*

~ \u|caa~! rml mlcxr xcrl oi c mlcarm~ ilr|u

pojr uaop bopj pmlj eojrxcernoju

hl`nj cjb cirlx rml~ ljb*

~ @ljlxcaa~ oee|xu pllka~ |jblx blanylx~*

T|xtoul

Ro flcu|xl ilrca mlcxr xcrl nj xlutojul ro

eojrxcernoju*

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8/3/2019 Fetal Diagnostic Examination

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Lurxo`lj -Ulx|fLurxo`lj -Ulx|f lurxojllurxojl!! lurxcbnoalurxcbnoa! cjb! cjb lurxnoalurxnoa..

~ Nj xlacrnoj ro rml ilr|u! nr nu ulexlrlb h~oycxncj ioaane|acx elaau b|xnj` rml inxur mcai oi

rml fljurx|ca e~eal cjb h~ rml eoxt|u a|rl|f

b|xnj` rml a|rlca tmcul cjb b|xnj` txl`jcje~*

T|xtoul

Ro blrlxfnjl ilrca plaa&hlnj`

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M|fcj taceljrcaM|fcj taceljrca acero`ljacero`lj

~

C toa~tltrnbl moxfojl cauo kjopj cu m|fcj emoxnojneuofcrofcfforxotnj rmcr bnutac~u acero`ljne cjb uofcrorxotne-`xoprm moxfojl. txotlxrnlu nj c txl`jcjr pofcj*

~ Nj eofhnjcrnoj pnrm txoacernj! mTA txltcxlu hxlcur iox acercrnoj*

~ Njbnxlera~ txoynblu ljlx`~ iox fcrlxjca flrchoanuf cjb ilrcaj|rxnrnoj*

~ Icenanrcrlu txorlnj u~jrmlunu cjb fohnanwcrnoj luuljrnca ro ilrca`xoprm*

~ Ulexlrnoj nu c|rojofo|u! hl`njjnj` cr cho|r < pllku `lurcrnoj cjbbleanjnj` xctnba~ cirlx blanylx~*

~ Rmnu xcbnonff|jocuuc~ flcu|xlu tacufc mTA alylau! pmnem cxlxo|`ma~ txotoxrnojca ro taceljrca fcuu*

~ Cuuc~u f|ur hl jleluucx~ nj mn`m&xnuk txl`jcjenlu cjb u|utlerlbtaceljrca rnuu|l b~ui|jernoj*

~ Hlec|ul yca|lu ycx~ pnbla~ b|xnj` rml acrrlx mcai oi txl`jcje~! ulxncablrlxfnjcrnoju oylx ulylxca bc~u txoynbl rml four xlanchal rlurxlu|aru*

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8/3/2019 Fetal Diagnostic Examination

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T|xtoul

~ Ro cuuluu taceljrca i|jernoj cjb ilrca plaa&

hlnj`*

~Ro cnb bnc`jounu oi m~bcrnbnioxf foal

cjb emoxnoecxenjofc*

~Ro cnb nj rml bnc`jounu cjb fojnrox

rxlcrfljr oi jojrxotmohacurne r|foxurmcr lerotnecaa~ ulexlrl mTA

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IlrcaIlrca&&fcrlxjca lx~rmxoe~rl bnurxnh|rnojfcrlxjca lx~rmxoe~rl bnurxnh|rnoj~ Flcu|xlu rml j|fhlx oi ilrca XHEu nj rml fcrlxjca

enxe|acrnoj*~ Uofl rxcjuilx oi XHEu ixofrQ rml ilrca ro rml fcrlxjca

enxe|acrnoj oee|xu b|xnj` four utojrcjlo|u oxlalerxnyl choxrnoju cjb four joxfca blanylxnlu*

~ \u|caa~! rml cfo|jr oi haoob rxcjuilxxlb nu fnjnfca cjbmcu jo eanjneca un`jninecjel*

~ Rxcjuilx oi un`jninecjr cfo|jru oi haoob ixof cj Xm&tounrnyl ilr|u ro cj Xm&jl`crnyl formlx ecj xlu|ar nj

fcrlxjca nff|jnwcrnoj ro rml B cjrn`lj cjb rmlblylaotfljr oi cjrn&B cjrnhobnlu nj rml fcrlxjcaenxe|acrnoj*

~ B|xnj` c u|huls|ljr txl`jcje~! rml fcrlxjcanff|jnwcrnoj u|hgleru cj Xm&tounrnyl ilr|u ro

torljrncaa~ icrca mlfoa~unu cjb lx~rmxohacurounu*

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T|xtoul

~ Ro blrler cjb flcu|xl ilrca&fcrlxjca haoobrxcjuilx

~Ro blrlxfnjl rml cfo|jr oi Xm4-B.

nff|jl `aoh|anj jllblb ro txlyljr fcrlxjcanff|jnwcrnoj ro rml cjrn`lj*

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Njrlxjca Ilrca Fojnroxnj`Njrlxjca Ilrca Fojnroxnj`~ Njycunyl txoelb|xl rmcr njyoaylu crrcemnj` cj lalerxobl ro rml ilrca

mlcxr xcrl -IMX.*

~ C ecrmlrlx njrxob|elb njro rml |rlxnjl ecynr~ flcu|xlu rmlixls|lje~ cjb txluu|xl oi |rlxnjl eojrxcernoj*

~ Tlxioxflb oja~ b|xnj` achox! cirlx rml flfhxcjlu mcyl x|tr|xlbcjb rml elxyn} mcu bnacrlb 5 ef! pnrm rml ilrca mlcb aoplx rmcj rml &8 urcrnoj cjb oja~ ni l}rlxjca fojnroxnj` txoynblu njcbls|crl bcrc*

~ Txoynblu foxl cee|xcrl njioxfcrnoj cho|r ilrca mlcarm rmcjl}rlxjca fojnroxnj` cjb nu lutlencaa~ |uli|a nj blrlxfnjnj` pmlrmlx

elucxlcj blanylx~ nu jleluucx~*

~ Ecxxnlu fnjnfca xnuku ro rml tcrnljr -tlxioxcrlb |rlx|u cjbnjrxc|rlxnjl njilernoj. cjb ilr|u -uecat chueluu cjb mlfcrofc.*

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8/3/2019 Fetal Diagnostic Examination

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T|xtoul

~ Ro fojnrox IMX! lutlencaa~ hlcr&ro&hlcr

ycxnchnanr~ -umoxr&rlxf ycxnchnanr~.*

~ Ro flcu|xl rml ixls|lje~ cjb txluu|xl oi

|rlxnjl eojrxcernoj ro cuuluu rml txo`xluu

oi achox*

~ Ro lyca|crl njrxctcxr|f ilrca mlcarm*

~ Ro u|ttalfljrcx~ ox xltacel l}rlxjca

ilrca fojnroxnj`*

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\arxcuojo`xctm~\arxcuojo`xctm~ TlaynuTlaynu~ Rxcjufnr mn`m ixls|lje~ uo|jb pcyl njro rml njrlxnox tlayne

xl`noj! xlu|arcjr lemolu cxl eojylxrlb ro lalerxneca nft|aulu!cftaninlb h~ c rxcjub|elx! cjb bnutac~lb oj c fojnrox*

~ C&fobl rlemjns|l xleoxbu oja~ bnurcjelu hlrpllj njrlxicelu*

~ H&fobl -hxn`mrjluu fob|acrnoj. rlemjns|l exlcrlu c ro&bnfljunojca nfc`l*

~ @xc~&uecal rlemjns|l xltxluljru ox`cj rl}r|xl nj umcblu oi`xc~ oj c uexllj*

~ Xlca&rnfl nfc`nj` exlcrlu njurcjr nfc`lu oi rml rnuu|lu njfornoj! unfnacx ro ia|oxoueotne l}cfnjcrnoj*

~

Ulalerlb ynlpu fc~ hl tmoro`xctmlb iox acrlx l}cfnjcrnoj cjbkltr cu c tlxfcjljr xleoxb oi rml rlur*

~ Oirlj |ulb ro lyca|crl u~ftrofu rmcr u|``lur tlayne bnulcul!ro eojinxf c rljrcrnyl bnc`jounu! cjb ro blrlxfnjl ilrca `xoprmb|xnj` txl`jcje~*

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8/3/2019 Fetal Diagnostic Examination

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T|xtoul

~ Ro blrler ioxln`j hobnlu cjb bnurnj`|numlbhlrpllj e~uru cjb uoanb fcuulu ox r|fox*

~ Ro flcu|xl ox`cj unwl*

~ Ro lyca|crl rml ilrca ynchnanr~! tounrnoj!`lurcrnojca c`l! cjb `xoprm xcrl*

~ Ro blrler f|arntal txl`jcje~

~ Ro eojinxf ilrca chjoxfcanrnlu~ Ro eojinxf fcrlxjca chjoxfcanrnlu

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L}rlxjca Ilrca Fojnroxnj`L}rlxjca Ilrca Fojnroxnj`

~ Lalerxojne rxcjub|elx cjb c ecxbno rcemoflrlxcftani~ cjb xleoxb ilrca mlcxr xcrlu pmnal c

txluu|xl uljunrnyl rxcjub|elx xleoxb |rlxnjl

eojrxcernoj*~ Xleoxb rml hculanjl IMX! tlxnobne ia|er|crnoj

nj rml hculanjl IMX! cjb hlcr ro hlcr mlcxr

xcrl ynchnanr~*

~ Cauo |ulb b|xnj` ormlx rlur oi ilrca mlcarm!

jorcha~ rml joj urxluu rlur cjb rml

eojrxcernoj urxluu rlur

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8/3/2019 Fetal Diagnostic Examination

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T|xtoul

~

Ro flcu|xl IMX cjb ixls|lje~ oi rml |rlxnjleojrxcernoj*

~ Ro lyca|crl cjrltcxr|f cjb njrxctcxr|f ilrca

mlcarm b|xnj` urxluu cjb joj urxluu unr|crnoj

~ Ro blrler ilrca bnurxluu*

~ Ro blrlxfnjlb rml jleluunr~ iox njrlxjca ilrca

fojnroxnj`*

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Ilrca mlfo`aohnjIlrca mlfo`aohnj~ Ilrca mlfo`aohnj -MhI. nu c joxfca mlfo`aohnj txob|elb

nj rml xlb haoob elaau oi c ilr|u cjb nj ufcaalx cfo|jru njnjicjru*

~ Eojurnr|rlu 4, oi rml mlfo`aohnj alyla nj cjlojcrl; rml xlfcnjnj` mlfo`aohnj alyla eojunuru oi MhC3

cjb MhC

8 -rml mlfo`aohnj alyla nj cb|aru.~ Joxfcaa~! rml hob~ urotu fcknj` MhI b|xnj` rml inxuru

~lcxu oi anil cjb hl`nju ro fckl MhC*

~ Ni emcj`l&oylx bolujr oee|x cjb MhI eojrnj|lu roeojurnr|rl foxl rmcj

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8/3/2019 Fetal Diagnostic Examination

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M|fcj emoxnojneM|fcj emoxnojne `ojcborxotnj`ojcborxotnj! |xnjl! |xnjl

~ S|canrcrnyl cjca~unu oi |xnjl alylau oi m|fcj emoxnojne `ojcborxotnj-ufcaa c`l E@. blrleru txl`jcje~ cu lcxa~ cu 32 bc~u cirlx oy|acrnoj*

~ Txob|ernoj oi mE@! c `a~eotxorlnj rmcr txlyljru rml `ljlxcrnoju oi rmleoxt|u a|rl|f cr rml ljb oi c joxfca fljurx|ca e~eal! hl`nju cirlxeojeltrnoj

~ B|xnj` rml inxur rxnflurlx! mE@ alylau xnul urlcbna~ cjb xctnba~! tlcknj`cxo|jb 34 pllku `lurcrnoj! u|huls|ljra~ rctlxnj` oii ro aluu rmcj 34,oi tlck alylau*

~ Four eoffoj flrmob oi lyca|crnj` mE@ nj |xnjl nu mlfc``a|rnjcrnojnjmnhnrnoj*

~ Txoynblu s|canrcrnyl cjb s|cjrnrcrnyl njioxfcrnoj*

~ S|canrcrnyl |xnjl rlur nu lcunlx cjb aluu l}tljunyl rmcj rml ulx|f mE@rlur -hlrc&u|h|jnr cuuc~.; rmlxlioxl! nru c foxl eoffoj rlur iox

blrlernj` txl`jcje~*T|xtoul

~ Ro blrler cjb eojinxf txl`jcje~*

~ Ro cnb nj rml bnc`jounu oi m~bcrnbnioxf foal ox mE@&ulexlrnj` r|foxu!rmxlcrljlb choxrnoj! ox blcb ilr|u*

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Rxcjuyc`njcaRxcjuyc`njca |arxcuo|jb|arxcuo|jb~ Nfc`nj` rlemjns|l |unj` mn`m ixls|lje~ uo|jb pcylu ro txob|el

nfc`lu oi rml tlayne urx|er|xlu*

~

Caaopu lyca|crnoj oi tlayne cjcrof~ cjb bnc`jounu oi txl`jcje~ cr cjlcxanlx `lurcrnojca c`l*

~ Lanfnjcrlu rml jllb iox c i|aa hacbblx cjb enxe|fyljru bniine|arnluljeo|jrlx pnrm ohlul tcrnljru*

~ Cauo kjopj cu ljboyc`njca |arxcuo|jb

T|xtoul

~ Ro lurchanumlb lcxa~ txl`jcje~ pnrm ilrca mlcxr fornoj cu lcxa~ cu rml

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Catmc Ilrotxorlnj uexlljnj`Catmc Ilrotxorlnj uexlljnj`

~ Bojl lylx~ 39&3= pku~ C anylx txorlnj oi rml ilr|u

~ xls|nxlfljru7

~ \arxcuo|jb& ro cuuluu ni alckc`l tcuulu rmlutnjl cjb ynlj

~ Uexlljjnj` cuuluu rml s|cjrnr~ oi rml ilrcaulx|f txorlnju

T|xtoul

ioane cenb blinenlje~

bojp u~jbxofl

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Hnotm~uneca txoinalHnotm~uneca txoinal

~ Rml hlur rlur! ro cuuluu inyl hnotm~unecaycxnchalu nj blrlxfnjnj` ilrca plaa hlnj`*

Tlxioxf 54 fnj rnfl ixcfl*

~

Cfjnorne ia|nb yoa|fl~ Ilrca hob~ foylfljr

~ Ilrca hxlcrmnj`

~ Ilrca mlcxr xcrl xlcernynr~~ Ilrca f|ueal rojl

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Ilxj rlurIlxj rlur~

Nu c fnexoueotne uanbl rlur ro blrlxfnjl rmltxluljel oi cfjnorne ia|nb

~ + ex~urcaanwcrnoj x|tr|xlb h|ak -Hop.

~

+cfjnorne ia|nb ex~urcauUmckl Rlur -iocf Urchnanr~ Rlur.

Txluljel oi h|hhalu cjb iocf

Njexlcul nj h|hhalu a|j`u po|abjr eoactul b|lro njexlcul u|xicjrcjr txluljr

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