The incidence of aneuploidy being 1:200 live births has made us rethink the shifting of prenatal care from the second to the first trimester. Earlier the suspicion, earlier the diagnosis and if needed earlier the termination in cases of aneuploidies. This leads to a marked reduction in pregnancy related complications. Correct technique and a proper approach along with incorporation of maternal age increases the sensitivity of detecting chromosomal abnormalities. What next is the query which needs to be answered whenever you have a thick Nuchal Translucency. Should we go ahead with biochemical tests or an invasive testing is required has to be meticulously planned. Not only is the Nuchal Translucency to be measured but the assessment of Nasal Bone, Ductus venosus and Tricuspid Regurgitation will enhance our suspicion index for Aneuploidies and unnecessary invasive procedures can be avoided. 

Dr. Kuldeep Singh has been practicing ultrasound for over 30 years in Delhi, INDIA. He is known for his ultrasound skills in Anomaly Scanning, Color Doppler Scanning and High risk pregnancy evaluation. He has more than 800 lectures in various national and international conferences. He has more than 100 articles and chapters to his credit and has authored 16 books on Ultrasound in Obstetrics, Gynecology and Infertility. His books have been translated into Spanish, Chinese and Portugese. The IMAGING SCIENCE AWARD was honored to him at the AICOG 2008. He has been appointed as associate director of Ian-Donald Inter University School of Medical ultrasound. DELIVERED THE PRESTIGUOUS (LATE) DR VN SHIRODKAR ORATION IN SOLAPUR