3. Optional services prenatal care
The three maternity guideline required ultrasounds are enough to judge the development of the child. If there is a suspicion of fetal malformation or developmental delay, the general healthcare will cover any necessary additional special ultrasounds.
First trimester/NT-Procedure (Nuchal scan)
Within the 11th to the 14th pregnancy week the combination of a specialized ultrasound check-up and laboratory results can offer a risk assessment for certain congenital diseases the child might have. This procedure is generally not covered by the general healthcare. A thorough consultation is obligatory to discuss the procedures possibilities, restrictions and consequences.
Fees: € 127,- with blood test, only NT- Procedure € 61,-
Literature-Tipp: BZgA flyer: “Prenatal diagnosis – Information about consolation and help with questions about prenatal care.”
Noninvasive prenatal Test (NIPT)
NIPT is a DNA test on maternal blood to screen pregnancies for the most common fetal chromosome anomalies. The test gives a strong indication of whether the fetus is at high or low risk of having trisomy 21 (Down syndrome), trisomy 18 (Edwards syndrome) or trisomy 13 (Patau syndrome). It delivers results from as early as 10 weeks of pregnancy. The test does not provide information on other rare or structurel chromosomal abnormalities. The test does not provide information on physical defects, such as heart or brain abnormalities and spina bifida, or fetal growth. It is therefore advisable that you still have ultrasound scan.
Fees ca. € 320,- (In some special cases this is covered by the general healthcare.)
Antibody test for infections (e.g. Toxoplasmosis, Fifth Disease, Cytomegalovirus or Chickenpox) is not covered by the general healthcare.
After a toxoplasmosis infection the body retains toxoplasmosis antibodies and is protected from a further toxoplasmosis infection. Should it be evident that this protection is in place you can be relieved. If you do not have the antibodies it is important to be careful: No raw meat, no contact with cat faeces, garden work only with gloves etc.
In this case preliminary check-ups would be useful every 8-10 weeks. Because, despite all the precautions, should an infection take place, measures can be taken to protect the child and prevent deformations.
Fees: € 26 – 42,-