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asked Aug 24, 2022 in Baby Health During Pregnancy by anonymous
What is the importance of a 140-day NT scan in identifying and diagnosing hydronephrosis? How does this scan help in detecting potential issues with the kidneys?
Artificial Intelligence Health Assistant's Answer

A 140-day NT scan, also known as a nuchal translucency scan, is an essential prenatal screening tool used to assess the risk of certain genetic disorders and birth defects. While it primarily focuses on measuring the thickness of fluid at the back of the baby's neck to detect chromosomal abnormalities, it can also provide valuable information about potential kidney problems like hydronephrosis. Hydronephrosis refers to the swelling or enlargement of one or both kidneys due to urine buildup caused by an obstruction or blockage in the urinary tract. During a 140-day NT scan, specialized ultrasound techniques are employed to examine the baby's kidneys and evaluate their size, shape, and overall function. If any signs of hydronephrosis are detected, further diagnostic tests may be recommended to determine its severity and underlying cause. Early detection through a 140-day NT scan allows healthcare providers to monitor and manage hydronephrosis promptly, minimizing potential complications for both mother and baby. It is important for expectant parents to discuss any concerns or questions regarding this screening test with their healthcare provider for personalized guidance and support throughout their pregnancy journey.

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answered Nov 14, 2025 by (925 points)

The 140-day scan is really just the 20 week anatomy scan. At that appointment the sonographer looks at every organ and structure, including the kidneys and bladder. They measure the fluid in the renal pelvis to see if there is any dilation (hydronephrosis).


In my pregnancy the 20 week scan showed a bit of extra fluid in one kidney. The tech explained this is fairly common, especially in boys, and often resolves on its own before birth. The scan doesn’t treat anything; it just flags it so your care provider can keep an eye on it with a follow-up scan later on and arrange a paediatric check after delivery if needed.


So the significance of that scan is early detection and peace of mind. It helps rule out serious problems and gives you time to plan. Most mild hydronephrosis ends up being nothing to worry about and clears up as the baby grows.

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