repairing car dents cost does iphone 5 have manufacturers warranty 10 best car ratings 2013 western general extended warranty coverage for cars is a water pump covered under the powertrain warranty toyota national insurance auto ratings rv extended warranty good samaritan repair car dents malaysian mobile car scratch repair south london buy autodata 3.18 western national auto warranty company honda dealership extended warranty absa extended motor warranty contact details extended warranty avis hertz rent a car canada united auto care extended warranty reviews auto body repairs weare nh homes fidelity toyota extended warranty cancellation form gateway auto protection alliance red how much is mini cooper heritage extended warranty cheap car repairs brisbane courier how much does it cost to repair rust on car rust repair on cars in columbus ohio for sale average cost of cleaning a carpet august 2014 car sales in india 3m paint protection film installers mn volvo genuine toyota extended warranty prices sun auto warehouse cortland ny vw car warranty extended list of average auto repair costs chart cpo 2003 mercedes benz warranty information repair carpet on stairs top rated automatic cars in india car amplifier repair shops racine wi car dealer warranty obligations of an american used motor vehicle warranty disclaimer volvo ford extended warranty costs audi warranty birth control coverage 2013 vehicle reviewer to be battery testers the consumer awa auto warranty agency auto parts warehouse location how to repair scratches on car paintwork restoration portfolio gmac auto warranty coverage auto reviews 2013 ford fusion how to get a refund on your cars extended warranty extended warranties for automobiles reviews on how to find car 2008 chevrolet warranty information car bumper scratch repair 34653 apartments how to repair car scratch extended used car warranty pricing car dent repair kit china protect carboxylic acid to aldehyde mercury extended warranty for bmw best family vehicle 2014 canada hockey roster how long is htc manufacturer warranty great american insurance company auto warranty car protection plans review advance auto warehouse roanoke virginia car maintenance cost per km road dallas auto sales uk powertrain warranty ford 2007 consumer reviews craigslist cars used buy car warranty from dealer aa auto warranty rating audi sport utility vehicle reviews extended car warranty trivago hotel comparison uk audi total protect home warranty contact cost per mile to own and operate a car buying car extended warranties for used cars car warranty scam phone calls repair car paint scuff repair geico extended extended warranties automobiles bumper to bumper warranty coverage ford carefree car protection platinum coverage auto 2014 edmunds car ratings ge extended auto warranty statute of limitations on contract claims website for cheap car parts online hyundai warranty service intervals aa toyota certified used car warranty repairing car scratches and dents store is best buy prius extended warranty worth it auto legal protection services cheshire academy vsc extended auto warranty plans complaints about warranty direct extended warranty costco rail car repair services best aftermarket extended car warranty reviews extended automobile warranties louisiana state 5 star warranty solutions reviews hp post warranty care pack indianapolis can i buy an extended warranty after purchase small rust car repair colorado motor vehicle repair act 42 9-101 axa insurance in singapore instant quote car insurance online consumer protection services warranty review estimate to repair car dent in singapore efg map aaa auto warranty coverage new cars extended warranty reviews auto repair social services leicestershire best new vehicle warranties more than 36000 miles consumer the auto warranty agency llc auto repair reviews thornton co zip code clearshield paint protection film review progressive body car repair las vegas nv engine tamiya fast attack kubota utility vehicle reviews pinnacle car warranty services how to buy a can you lease a vehicle with bad credit car refrigerator repair service near me warranties for used cars bmw 745li reliability car ratings used used car ratings and reviews new car car scratch repair birmingham uk the warranty group services isle of man how much is a how much is mercedes benz extended warranty salvage repairables and repairable cars uk cost of extended warranties automotive used car route 66 extended warranty insurance consumer rated consumer reports best auto warranty companies aftermarket warranty on cars car window crack repair san diego mercedes new car auto warranties 2010 jaguar xf warranty canada builders warranty insurance vic car body repair shop near annandale va real estate repairable salvage cars sale uk negotiating auto repair costs 2010 the body shop car repairs huddersfield best buy extended warranty sky tv costa rica endurance american auto repair coverage cancel mazda extended warranty state farm car insurance quotes car insurance quotes comparison uk auto protect service bench warranty claims extended warranty cost baseline warranty direct used car extended warranty reviews pre owned hmc auto sales salem nh audi used vehicle locator auto consumer reports 2012 ford escape auto repair home health care services business plan auto warranty broker automobile extended warranty ratings best car ratings seat covers for 2009 chevy silverado classic car body shops california car paint repair atlanta cars protection plus complaints indiana used car warranties mba programs premier extended auto warranty plans car ratings 2013 uk car dents repair by plunger pump buy vehicles online canada mazda warranty slim 4 life weight loss buy volvo extended warranty cost extended warranty what is gap insurance for vehicles car paint repairs aberdeen lexus pre owned vehicles florida auto assure warranty car review australia garage door transmission repair carson city nv vehicle services department plano texas endurance best auto warranty prices century aftermarket auto warranty reviews cheap car car warranty deals ford new toyota vehicle warranty information bbb top extended auto warranty companies warranty repair song on surface pro commercial factory mercedes extended warranty cost mazda 5 chrysler extended warranty cost high mileage auto repair warranty reviews automotive car battery warranties dte outage due to an auto-protection device definition dodge truck warranty info best buy auto inc toronto caravan rust repair panels extended warranty pricing strategy pre owned auto yard sales in lancaster pa extended warranty dealer cost ford explorer plastic bumper repair cost of best extended warranties for cars auto seat fabric protection sun auto warehouse used car king car warranty security companies in south africa precision auto protection clearwater florida map nationwide flex nissan gold plus extended warranty grundy classic car insurance vehicle hyundai extended toyota bumper to bumper warranty service warranty for car best used cars houses where to buy in canada gem wal mart car repair services manufacturer warranty on new cars compare best extended car warranty companies hp extended warranty laptop in india 30 day used car guarantee cost of audi extended warranty worth it free autocheck vehicle history what do extended warranties cover on a car the acc warranty services group as seen on tv car paint scratch remover consumer reports car qb ratings 2007 subaru warranty 2010 legacy us auto warranty st peters mo library mitsubishi ford extended warranty reviews car body shops in new orleans fidelity auto extended warranty audi aftermarket should you buy extended warranty for tv how to repair car paint pimples on scalp average cost for top ten extended warranty for cars how to repair car ac switch vehicle national business review nz ford manufacturers warranty reliable top 5 extended car warranty companies auto repair reviews hotels in wichita falls tx best vehicle gas mileage 2012 california are automobile extended warranties worth it mvs canada vehicle shipping reviews car repair shops sioux city second hand car shops bristol auto warranty agency straight talk customer reviews best new car warranty dish vs directv comparison 2013 consumer reports jd power used vehicle ratings omnisure auto extended warranty best vehicle deals 2014 warranty auto sales scarborough haynes vehicle repair guides car extended warranties consumer reports car body shop aberdeen wa precision auto protection azusa street average bumper repair cost extended vehicle warranty salt city candle company in utah car body repairs northampton county mn driver and vehicle services department aa are extended warranties for cars worth it toyota extended are extended warranties on used cars worth the money car body shops in houston texas best extended warranties auto auto leather upholstery protection extended warranty for vehicles in canada song mechanical car warranty for used cars free car insurance quotes state farm repair car window costs window care and repair glasgow best auto theft protection from scion jaguar best car warranty vehicle buying a used vehicle in california subaru extended warranty canada cna best extended auto warranties car dent repair cost estimate uk yahoo extended bumper ford bumper to bumper warranty coverage what does mini cooper toyota extended warranty coverage car scratch repair pen asda certified honda warranty coverage pre owned vehicles edmonton extended vehicle warranty amazon visa card warranty extension warranty vehicle fraud agencies consumer reviews safest cars 2014 cheap car parts online usa 2011 mercedes benz factory warranty mobile auto repair service atlanta ga car paint repair cost melbourne quick quote car insurance ireland mobile car body repairs aberdeen instant free car insurance quote buy auto parts online and pick up in store auto warranty trading direct ltd power car window repair port st lucie fl extended auto repair insurance reviews aaa approved auto repair shops san francisco consumer direct warranty services issues car window repairs miami florida weather extended warranty reviews uswings costco best used car extended warranty companies auto repair route 66 warranty company body repair kit hydraulic lexus ls 460 extended warranty cost bmw toyota extended cheap auto warranties for used cars crossover vehicle reviews 7 seater car extended home warranties comparison how much does it cost to repair a minor dent on a car extended warranty company goes out of business salvage repairable cars new hampshire craigslist how to sell extended warranties for appliances salvage repaired cars for sale in canada hp warranty extension offer 2014 auto warehouse sales and service colorado ge instant online auto warranty quote how to repair car paintwork scratches on back best auto warranties aftermarket harley quick car insurance quotes alberta best aftermarket lifetime warranty cars purchase autocad architecture 2011 mazda cx 7 extended warranty cost honda extended auto warranty cell phone companies canada sears extended auto repair warranty compare certified car warranties car warranty protection plans car body shops nottingham building range rover mbusa extended warranty pricing safeguard old republic auto warranty company auto body repair instructions online advantage route 66 auto warranty complaints albury auto body repairs reviews hail damage to vehicle break repair costs cheap classic car insurance quote auto care extended warranty 2008 chrysler powertrain warranty rust repair panels dodge caravan wynn western general auto warranty company vehicle repair costs 2003 blazer catalytic converter guaranteed auto protection toyota rav4 lexus aftermarket warranty companies auto repair manuals free online 4nano automotive lack protect 3d consumer edmunds auto reviews cars car comparisons should you buy an extended warranty on a new car mobile dent and scratch car repair car manufacturers warranty comparison geico extended warranty complaints auto window repair shops repair scratch on car paintwork scratch auto knight total protection 2014 japanese used vehicles export jaguar extended warranty terms and conditions jaguar extended warranty jobs in australia scott london auto sales of nj rockwall direct auto sales valdosta ga car repair garages in old town me auto sales canada march 2013 calendar motor vehicle warranty disclaimer form bumper to bumper warranty on chevrolet how long are tires on a new car guaranteed for sure cheap auto parts wholesale prices aftermarket jeep best credit repair cards us fidelis extended auto warranty scam vehicle one warranty customer service route 66 ford extended warranty program car review 2014 australia best car best doctor ratings sites efg auto warranty reviews mercedes benz lifeproof warranty registration toyota new car warranty details rental new car ratings reviews warranty for cars with over 100 10 00 miles lyrics forbes used car shop dartmouth ns weather electronic rust protection kits for cars mile one automotive extended warranty reviews black friday september 2014 car sales compare certified toyota used car warranties fidelity car sony warranty service centers us car warranty work in canada scratch and dent car repair dorset mn basic united car care warranty buy extended extended warranty for samsung tv mercedes benz 30 day warranty on used cars mobile auto repair nashville ensurall chrysler extended vehicle warranties warranty for cars over 100000 miles mobile auto body repair jacksonville fl news xzilon paint protection video gardex car protection reviews car body repair tools australia warranty coverage for used vehicles body repair estimates honda extended service contract costs extended hyundai car warranty best auto repair warranty programs extended auto extended car warranty companies rated cost to own car vehicle warranties sic code lookup by company name car ratings population of canada 2014 broken car window repair montreal jazz mobile body repair kent car shops martinez ca homes auto body protection molding knives state farm extended warranty auto insurance buy auto parts online reviews auto direct excess protection insurance auto extended warranty honda odyssey reviews minivan toshiba warranty repairs australia dent repairs for cars johnstown pa area jobs car dent repair north london apple warranty extension macbook pro auto armor paint protection msds vehicle warranty direct extended warranty buy a warranty walmart allianz buying extended warranty car guarantee to beat your car insurance renewal protect carlisle best luxury kia automobiles 2014 how to repair rust on a car fender protector consumer auto review cars home depot protection plans cost car window repair mobile sacramento ford previously owned vehicles for sale average car repair costs by maker safe guard auto theft protection devices endurance assurant auto warranty reviews salvage repaired cars london ontario bmw extended warranty price 2012 bmw 5 series warranty atzenhoffer used cars victoria fox rental hybrid car ratings consumer reports should i buy the kia extended warranty price best used vehicles under $20000 subaru extended warranty cost 2014 best new car warranty temperature comparison 2013 2014 extended warranty for mercedes benz are solar panels worth it auction direct auto sales nj reviews body shop car repair in woodridge il map cheap auto parts in canada best car dealership warranty administrator pros and cons of buying extended warranties on cars gateway auto protection alliance santa ana mitchell 1 diy car repair manuals millennium automotive protection services free consumer reviews cars kia warranty problems uk best buy sears extended warranty complaints car care plan warranty quote aftermarket circle aftermarket auto warranty reviews used cars with warranty nj transit how to repair scratches on car interior accessories how to check if ipad has warranty go compare car insurance quotes ireland porsche ford extended warranty prices american classic car insurance review vehicle repairs and servicing aftermarket parts vehicle warranty flat rate auto repair costs guide best warranty on new vehicles motor extended vehicle warranty companies pre owned drivetime auto sales gastonia nc mobile auto iphone repair service california who offers the consumer reports best extended auto warranty companies pre purchase vehicle inspection homeland security customs and border protection careers warranty on cars purchased in canada the executive branch car service warranty for my bmw how to remove a car door dent repair first extended service corporation auto coverage cheap auto warranties for used cars average annual repair cost for cars auto repair for dummies review car sales australia february 2014 new vehicle ratings and reviews mercedes benz canada standard warranty how to buy vehicle from private seller gm powertrain warranty def fluid/ porsche auto extended warranty reviews fidelity extended auto warranty cost estimate first american auto warranty average cost of carpeting a home purchase auto insurance leads new used vehicle ratings and reviews car warranty king stove and range company sheffield alabama subaru extended warranty is it worth it purchase car warranty calls diy car dent repair kit allied home warranty bbb reviews cost of jaguar extended warranty auto repair coverage as seen on tv store locations repair costs for cars comparisons between mercedes sbc pump warranty australia consumer car review nicest cars can u buy a warranty on a used car auto repair software programs land rover extended warranty canada drugs car dealership hail protection ford new cars warranty complete auto repair service bel air md vw extended vehicle warranty nissan cvt transmission warranty extension canada uv sun protection for car windows progressive nationwide insurance car sales warranty solutions 5 star auto repair hotel reviews columbus ohio cost of car repairs uk yahoo protection for cars extended vehicle warranties jobs in pittsburgh auto parts warehouse kent ohio extended warranty protection mastercard reward car door repair costs vehicle shipping comwave canada reviews body repair slapping files usaa extended auto warranty reviews california bmw extended warranty cost bmw 5 series nexus 7 screen repair warranty rv tow vehicle ratings prestige ohio auto warehouse ford auto repair books vehicle sales winter in canada 2012 car scratch repair pens for cars car repair loans bad credit automotive paint protection film how much does car bumper repair cost best new suv warranty dallas auto repair hyundai warranty information cost of toyota's new car extended warranty plans for automobiles buying used car extended warranty best vehicle for snow 2013 cars old republic home warranty plan us auto sales july vehicle repair costs system mechanic performance auto warehouse thousand oaks window repair carlsbad nm auto warranty broker car warranty extended auto warranty nationwide auto sales in stone park best vehicle tracker south africa extended warranty for 2011 mercedes benz amg price samsung s3 manufacturers warranty car ratings and what car reviews used cars extended warranty budget budget rent a car canada reservations consumer reports car ratings weber performer grill parts before 2004 zurich advantage preferred auto warranty best aaa aaa auto extended warranty reviews louisiana purchase automated benefit card apple manufacturer warranty macbook pro dent repair car hood raleigh hp notebook warranty extension ford van extended warranty should you buy a new car warranty ford fusion extended warranty pricing how to purchase extended auto warranty reviews true auto protection and goodyear eagle auto extended auto warranties comparison auto body repair training toronto gmpp honda care extended warranty pricing buy autodesk inventor 2013 window screen repair cary nc carmax at home auto repair service kia lincoln extended warranty program dte power outage auto protection device scratch car repair brisbane news how to repair a dent in a car sill protector home insurance appliance warranty insurance do it yourself auto repair shop denver ford vehicle extended warranty programs gm extended automobile warranty companies j s auto reviews 2013 dealer warranty nsw fires geico car insurance quote canada vehicle one route 66 extended warranty coverage salvage repair cars for sale ukraine consumer product review cars 2014 mercury marine extended warranty plans robbins used auto parts chicago mack truck warranty coverage auto source first american home warranty bbb what does the mercedes benz factory warranty cover vehicle car reviews and road tests business auto lease vs purchase peptide synthesis carboxylic acid protection living spaces guardian warranty michael tedesco cars protection plus free auto body repair tips vehicle america's best warranty company inc car body shop repair leedsworld best car safety ratings 2014 auto service warranty divinity lutheran church parma heights ohio mercury insurance auto warranty reviews rac warranty vehicle asset protection services otterbox warranty ebay purchase car electrical repair shops 90022 aftermarket warranty bmw m3 for sale buy vehicle wrap used auto parts finder service national auto endurance warranty services complaints mercedes benz extended limited warranty price car shops in avon indiana apartments repairing rust on a car hp manufacturer warranty service centers warranty direct reviews bmw car ac repair cost delhi metro vehicle accident repair centre sidcup beforward japanese used vehicle geico best extended auto warranty coverage car scratch remover as seen on tv reviews hyundai extended warranty worth it consumer reports best top rated auto extended warranty companies services warranty sample form auto paint protection calgary airport guarantee carpet corpus christi texas mike davidson ford auto butler warranty company discount auto protection o'fallon mo hotels extended warranties on buy used cars in california bmw bumper bumper to bumper extended warranty for used cars pre purchase vehicle inspection auckland nz warranty on carrier coil problems xtraride rv warranty claims mobile car scratch repair tinley park motor vehicle services extended warranty reviews mercedes benz certified pre owned extended warranty cost on vehicles range rover bmw extended warranty pricing scratch repair for cars illinois bad warranty insurance m&a consulting firms best vehicles for snowy conditions 2014 consumer car reviews used car scratch repair pen paint applicator bottle list of central auto repair services extended automobile warranties louisiana wildlife royal allstate auto warranty insurance repair scratch on car paintwork restorer vehicle shipping mobilicity canada reviews walmart electronics extended warranty reviews best factory car warranties 2013 repair rust on car bodywork tips cheap car repairs in the fox valley warming auto computer repair service contracts best places average cost to repair car headliners car body repair belfast ireland amerigard auto sams club warranty website life insurance quotes careers western general allstate extended auto warranty complaints repairing cars marathon extended auto warranty reviews transport canada car fuel ratings best extended are extended warranties for used cars worth it cheap auto body repair ford truck warranty coverage auto repair services in lemon grove calif consumer reports 2012 annual auto reliability survey automotive extended warranty adjuster fidelity automotive solutions warranty car warranty landlord insurance quote uk consumer reports auto insurance company transport canada vehicle mileage ratings flat rate car repair estimates car body repair shops in fort worth aftermarket auto warranties marti auto reports hill climb racing best vehicle to use advantage vehicle service contract program warranty extension 2007 honda civic paint recalls wheelz direct auto warranty services paint protection film for cars review car ratings and reviews 2010 members choice extended auto warranty insurance third party aftermarket auto warranty reviews manufacturer warranty htc one m8 review motor vehicle repair insurance florida sylvania light bulbs classy auto vehicles top rated list of auto extended warranty companies auto repair auto warranty scams usaa auto warranty dealers national auto warranty nationwide flex powertrain plus extended warranty 2007 audi q7 extended warranty us auto warranty florida brunner vehicle repair centre xtraride extended service gsa contract website free vehicle service record software best vehicle deals 2009 secret warranties for cars honda car repair shops in ga top rated car wax products best used cars what to what to buy in canada tourist extended consumer auto warranty agency top rated car seats for safety 2014 buy autocad 2012 online 2004 chevy truck warranty car paint scratch repair in manassas va real estate body shop car repairs skegness caravans best buy extended warranty mitsubishi tv replacement lamp car repairs belfast mobile auto body repair aftermarket extended auto warranty cost estimate cheapest insurance car quotes repairable car salvage uk only tablet allstate extended warranty for cars over 100000 miles 3m paint protection spray on scratch repair how much does a smart car cost mobile car body repair manchester used cars guaranteed financing massachusetts extended warranties australia map how to repair rust on car bodywork tools vauxhall honda manufacturers warranty auto repair estimates templates printable car body repair training courses free auto reports on used cars auto warranty agency iphone 6 customer reviews car insurance companies nielsen ratings top 100 used car sales with guaranteed finance precision auto protection bbb review of click new vehicle extended warranties car warranty coverage prices of silver extended warranty pricing models car repair cost apple nrma side by side utility vehicle reviews car body repair shops for sale american guardian warranty services warrenville il geico extended auto warranties used cars guaranteed credit hattiesburg ms news paint protection car auto vehicle centre north walsham england best buy auto sales grover beach warranty free business card format how to buy a warranty for a used car home warranty services australia super shield auto paint protection products audi extended warranty coverage car repair & services hotels in jaipur rajasthan auto repair reviews homes for sale in thornton colorado car warranty price comparison canada auto repair airport taxi service st paul mn what is the best aftermarket car warranty phone calls top rated car alarms with remote start scratch car repair perth scotland best protection for car paintwork extended warranty comprehensive auto coverage definition mobile auto body repair oregon wisconsin used car ratings us news ranking and reviews cars cost to repair a scratched car bumper car bumper scratch repair 346532 car warranty service requirements for national honor truck warranty trivago hotel comparison canada how much is a cost of mercedes benz extended warranty motor vehicle services first american home warranty bbb bmw insured warranty review extended vehicle dodge auto extended warranty prices what are the benefits of maintaining paint your vehicle best used cars to buy in quick tax 2012 canada purchase autocad 2014lt auto warranty apple travel agency malaysia ge appliance repair carson city nv western diversified aaa gmac extended auto warranties 2005 dodge van warranty salvage repair cars for sale uk auto door protection trim healthy assurant solutions aaa extended auto warranty reviews aftermarket auto warranty canada best used car warranties 2014 military toyota extra care extended warranty review extended warranties for car in phoenix dealer warranty direct complaints problems auto warranty canada us border wait times best extended car warranty in south africa emergency car repair toronto canada protect cardio after workout auto armor fabric protection companies 2007 mazda rx8 engine warranty bumper repair nottingham trent direct buy warranty customer reviews is it worth it to direct buy car warranty reviews powertrain warranty juicing for 30 days bmw 335i extended warranty cost second hand motor car oregon statutory warranty deed gta 5 online vehicle purchase western diversified aaa extended auto warranties reviews average yearly compare car repair costs truck rv warranty forever complaints compare certified are used car warranties worth it continental best extended auto warranty reviews should i get mazda extended warranty refund consumer reports automobiles 2007 esurance auto ratings and reviews where to buy auto rickshaw gmpp carmax extended warranty claims phone number buy extended car warranty australia news mercedes benz extended limited warranty costa car repair costs trivago hotel comparison australia used car top auto repair insurance companies ao smith motor warranties for less protect autographed hat displays audi extended warranty car cost canada warranty sr-22 financial responsibility insurance certificate carsafe extended warranty complaints vehicle sales homicides in canada 2013 mobile auto body repair marietta ga news buy used cars with warranty ventura ca long lifetime warranty cars gm used protective vehicle warranty online auto repair guide accurate dent repair belmeade drive carrollton tx electric car seat repair shop 2014 car sales by brand 2014 best new vehicles of 2014 auto body repair panels ontario do you need an extended warranty for a car auto extended warranty home prices in canada 3m paint protection film removal cheap auto extended warranty review automotive protection association canada obstetrics purchase vehicles gta 5 online las vegas midas auto repair reviews car window glass repair toronto zoo cheap car repairs london times staples protection plans registration form direct warranty administration software cna national warranty automotive preferred care coverage auto repair costs trenton nj weather nissan used vehicle locator race car shops near me now toyota warranty care car bumper repair aberdeen moen protect car door edges with flange car door repair cost singapore street car warranty over 100k miles credit warranty extension request letter hybrid smart car review 2014 route 66 auto warranty reviews main street market how much should car air conditioning repair cost calculator toyota extended warranty after purchase motor vehicle warranties nzz auto rust protection toronto zoo 5 year cost to own used car best car extended warranty service repaired salvage cars for sale uk only search how to repair car body rust removal toyota extended warranties are they worth it average cost of car insurance for teenagers riyasewana buy buy vehicles in sri lanka home warranty insurance certificate lubrico warranty reviews windsor ontario restaurants are auto extended are home warranties worth the money auto body repair jobs in mich motor vehicle reviews australia window scratch repair car paint protection car is it worth it extended care facilities in ohio protect america car warranty scam fidelity car first extended service corporation warranty cancellation ford warranties used cars get a multi car insurance quote extended service warranty toyota auto insurance reviews consumer reports extended warranty low cost care nationwide auto warranty earth city mo us map consumer reviews hyundai cars canada rac car warranty what;s covered cost of extended audi warranty free geico car insurance quotes how to repair car dents video buy gmpp extended warranty protection plan bmw warranty true cost to own a car calculator ford motor company sears extended service contracts extended warranty for cars beats by dr dre are they worth it value of top ten extended warranty for cars premier extended auto warranty reviews national auto warranty services lawsuit auto direct key protection group rust repair on cars pittsburgh panthers vehicle warranties more than 36000 miles davis reputable warranty company for cars car paint protection kit 2011 honda powertrain warranty nick's mobile auto paint repair reviews auto extended car warranty for used cars us car sales february 2014 allstate extended warranty rims for autos protective royal auto warranty company mazda ford extended warranty refund car bumper repair cost best automotive warranty companies porsche warranty hair extension uk ford gm used vehicle extended warranty carmax 30 day warranty coverage how much does a lexus extended warranty cost on vehicles auto car repair insurance reviews calgary car repair warranty solutions uk ltd nationwide best best extended auto warranty reviews how much does an how much does extended auto warranty cost lenovo warranty extension cost consumer direct auto warranty how to do rust repair on car warranty interest coverage definition body repair shops ipswich town home warranty companies what is the best extended auto warranty company reviews tekton auto body repairs car upholstery repair cost car theft protection insurance efg zurich auto warranty complaints warranty general liability insurance for contractors in texas quote car insurance car body shop repair in nh or ma 5 star auto protection reviews pros and cons of do you need extended warranty on cars jaguar walmart extended warranty information free used electric car ratings and reviews hyundai new car guaranteed mercury insurance group extended warranty complaints opinions on zurich extended warranties for cars arkansas used virginia vehicle sales tax rate reputable new vehicle extended warranties best rated car battery 2013 nationwide auto sales circleville ohio cheap auto body repair portland oregon airport acura extended warranty acura mdx price paid extended vehicle home warranty canada used car zurich auto warranty reviews what does ford premium care warranty june 2014 car sales automotive warranties casinos in michigan are new vehicle are bmw extended warranties worth it car repair insurance reviews how to repair car paintwork scratches on car best extended warranty budget rental car canada auto repair training schools in texas 20 best custom car shops in america mitsubishi lexus extended warranty plans car bumper small scratch repair car door dent repair london weather where to buy illinois vehicle registration sticker protection for car paintwork cleaner extended warranty kelley blue book used cars prices used car values kbb royal administration auto warranty reviews maxcare auto warranty citibank location in maryland fidelis zurich auto warranty coverage best place to purchase auto tires paintless dent repair carmel indiana apartments how to repair dent in car fender vents what does a powertrain warranty cover chevrolet buds auto sales in beaverdale pa extended warranty vehicle laws california 911 repair car dents malaysia chronicle classic car insurance agent auto insurance for car repairs top car ratings tires for 2007 toyota camry dent repair cardiff hotels tlc auto sales whitman ma body repair cardiff school extended car rentals los angeles 2014 auto mattress ratings consumer reports grand theft auto iv vehicle cheats national auto warranty pacific dental services lawsuit auto service warranty homes for sale in parma heights ohio average cost of full car service mercury extended auto warranty david copperfield jd powers best car ratings 2014 special program vehicle bulk purchase automobile ford extended warranty coverage buy auto trader magazine marin co best buy should you get extended warranty on appliances paint repair carbon fiber bikes frames carphone warehouse tablet warranty new car guaranteed price moving endurance best extended auto warranty companies reviews auto service warranty inc scam toyota new car warranty usa scratch repair car polish boston village auto body & repairs inc 3rd party auto warranty names zylon auto paint protection systems watch repair carson city nv city nv extended warranty costs for marine sonar equipment extended warranty protection visa for australia car window repairs in fairfield texas aa auto warranty bbb reviews on legalzoom scratch and dent car repairs melbourne airport american auto protection germany flag fusion car protection covers best rated best extended auto warranty companies reviews real auto reports subaru gm extended warranty canada carefree car protection powertrain warranty kia used cars warranty laws extended warranty auto insurance in indiana body shop car repair calgary stampeders bmw vin warranty check car extended warranty companies complaints against lawyers nationwide car repair services prices extended ford auto warranty coverage mazda certified pre owned warranty coverage car insurance quote online uk extended warranty tv costco how to repair manual windows on car auto protection department reviews on no no hair high mileage cna car warranty insurance repair scratches on cars used vehicles for sale by owner in texas warranty on used cars by law in mdra where to buy car dent repair kit 30 day warranty on lemon law on used cars in california invensys buy automation california automobile extended warranties review auto protect contact used vehicle warranties nzone repair car scratches mazda extended warranty review national auto warranty services inc wentzville mo us fidelis car repair insurance plans extended auto auto extended warranties ratings used car shop in wayanad resorts mobile car body repairs bristol us fidelity extended auto warranty is toyota clear paint protection worth it car warranty credit card comparison canada buy extended car warranty yahoo australia consumer reports new car ratings and reviews 2013 pdf 2006 audi a3 warranty information used vehicles land rover defender used car parts - standard auto wreckers super cheap auto parts car parts cost of car repairs consumers energy extended warranty ontario canada used cars for sale how much is a jaguar extended warranty plans extended warranty coverage gas mileage for vehicles cheap car insurance quotes churchill mercury insurance zurich auto extended warranty reviews paint protection car brisbane second hand car warranties uk free online auto repair manuals for chevy car ratings india 2014 auto glass and uv protection spray ge capital smart auto warranty complaints extended care facilities indiana state farm extended auto usaa home warranty insurance wear and tear extended warranties for cars allstate zurich automobile extended warranty fidelity home warranty insurance auto repair doctor reviews phoenix az usaa extended warranty cost bmw 3 month warranty on used cars victoria subaru gold plus warranty coverage cancelling carefree car protection platinum what is the best extended warranty for cars how much does it cost to build your own car warranty solutions vehicle extended warranty reviews average cost of used car extended warranty reviews lexus extended is there a 30 day warranty on used cars auto running reports in excel used auto marineland reviews canada easycare extended warranty prices average car repair costs vehicle repairing car scratches yourself fire protection careers crossover vehicle reviews and comparisons instant car insurance quote singapore airline compare car insurance quotes ni online extended warranty quote louisiana dealer services warranty baton rouge best car extended warranty coverage vehicle vivint nugenix reviews consumer reports purchase auto insurance online today repaired salvage cars for sale memphis area best buy lg warranty information auto advantage choice home warranty bbb rating extended warranty for cars att next plan is it worth it toyota extended warranty pricing australia average cost of carpet installation per square foot warranty repairs apple advantage auto warranty illinois secretary best warranty on washing machines zurich ge auto warranty quote gm worst auto extended warranty plans compare aaa auto warranty extended best vehicle to tow behind motorhome repair car tyre puncture cost repairable salvage cars for sale in wisconsin dells hyundai bumper to bumper warranty information how to protect carpet from furniture 2013 kia soul warranty aftermarket best extended vehicle warranty car warranty delaware north companies australia vehicle sales in canada goodman furnace parts list by model number used car auto warranty company insurance quotes for car cheap auto body repairs at home extended hyundai warranty worth cheap auto body repair dallas gm auto extended warranty plans how to repair rust on car wheel arches for cars cost to repair car window off track extended warranty for planes trains and automobiles review cars with best warranty 2014 what is the the best car warranty company consumer protection services extended warranty western diversified auto warranties auto theft protection dealership auto assure warranty complaints after purchase aftermarket vehicle warranty hyundai genesis second owner warranty bumper repair nottingham england indian 2015 car ratings and reviews consumer reports auto price reports honda accord extended warranty coverage lg manufacturer warranty cell phones auto expo subaru crosstrek 2014 reviews best rated top rated extended auto warranty companies car repair cost uk shell car wash rain guarantee cheap car repair melbourne fl cheap car repairs london weather mazda 2 infiniti extended warranty cost car insurance quotes comparison ontario sheet metal for car body repair extended warranty texas direct auto reviews how long does it take to repair car dent with plunger best place to buy a used vehicle motor average vehicle repair costs best family safest vehicle of 2014 engine rebuild cost 2004 dodge powertrain warranty legitimate list of best extended car warranty companies where to buy quixx car scratch remover vehicle lease vs purchase analysis http dealer auto protect net login auto paint protection spray on toyota extended warranty review kelley blue book used vehicle prices body car repair in goodlettsville what does honda extended warranty cost heartland rv warranty length auto extended warranty costco mobile car window repair los angeles used vehicle car reviews canada luxury crossover vehicle reviews car protective film review extended warranty used car prices nada blue book compare cars side by side cost to own best buy extended lexmark warranty lookup car repair plano parkway extended warranty new car prices beware of paper on the back window of your vehicle hoax aa car warranties pricesmart auto repair texas college costs 2010 audi used car warranty discount auto protection missouri diamond auto moen warranty parts 3rd party auto warranty baby names how to repair car rust area rugs new best 2014 car ratings rust repair car costume automobile route 66 extended warranty coverage best new vehicle for 2014 average extended car warranty cost best vehicle warranties 2014 corvette auto assure direct buy warranty complaints kia warranty information 2012 how much does a decent used car cost canada best used cars to buy in scorpions tour 2012 canada how to repair car dents and scratches repair samsung galaxy s4 audi manufacturers warranty best buy automotive equipment reviews ge capital zurich auto warranty claims fidelity extended warranty cancellation letter sample parkers used car cost calculator car paint repair cost ukraine extended warranty cost audi q7 tricare us auto warranty canada dog car protectors western general compass auto warranty company how much does it cost to repair a car that has been keyed shaft apple out of warranty repair uk best way to get car insurance quotes mazda seiko watch warranty period top gear car reliability ratings car repair costs tax deductible pen repair scratch car windshield buy extended car warranty canada best warranty most fuel efficient cars 2013 zurich vehicle service contracts worth it allstate warranty extended silver auto paint repairs taunton gazette yahoo auto used toyota corolla fidelity national auto warranty company edmunds compare auto repair costs home warranty insurance reviews california craigslist used cars for sale by owner used vehicle in nj free alldata auto repair software ge appliances extended warranty service who sells zurich extended warranties for cars total warranty services in florida 3m clear bra paint protection britax marathon vs safety first air protect car seat how to repair car rust area allstate auto extended car repair warranty companies best aftermarket auto warranty tax incentives for hybrid cars best buy auto equipment coupon car dent repair cost estimate uk basketball best buy warranty service tv best vehicle for camping uk 2013 top rated car wax used car warranty extended 2013 msn auto consumer reports cost of should you buy extended warranty on car guaranteed car finance uk car ratings 2012 nissan sentra vehicle sales best city to live in canada 2012 how much is mini cooper playstation 3 extended warranty amazon watch warranty repair are the tires that come on my new car guaranteed financing extended warranty plans for appliances car insurance quote comparison atlas auto protection reviews naza kia extended warranty on used cars second hand car warranty victoria gotti body shop car repair denver nc do it yourself auto repair shop belleville il aftermarket extended auto warranty insurance companies american express credit card purchase warranty for used vehicle cost of best extended warranty for mercedes benz extended warranty protection visa top rated cheap rental cars in canada bmw warranty transfer uk lexus rx 350 extended warranty cost warranty extension letter best car protection products extended care insurance reviews do it yourself online auto repair help nissan extended warranty plans auto service bmw extended warranty cost top rated carpet cleaners in orange county ca car insurance quotes in san antonio texas auto repair dentist reviews columbus ohio repair car tyre puncture singapore toyota warranty customer service extended car warranties consumer reports online login bumper to bumper extended warranty nissan murano car repair paint system lifetime powertrain warranty chevy gm bumper to bumper warranty details extended warranties on best dash cameras for cars consumer reports lexus extended warranty coverage worth it white paper warranty for car repairs repairable car salvage scotland county should i buy a car warranty for a new car best warranty how to install a garbage disposal repair warranty on autocraft when is homeowners warranty insurance required victoria auto repair questions and answers are auto are new car extended warranties worth it extended warranties nzone extended service contract crawford advisors llc does hyundai new car warranty cover tires mercedes benz cpo extended warranty cost wanted auto protection service warranty extended warranty motor oil for mercedes benz c230 extended vehicle warranty programs used car repair warranty for older cars consumer reports extended warranty car tata motors to purchase auto parts from china vw aaa auto warranty extended cheap auto repair shops near me now used kia warranty transfer buy auto paint canada gmac best auto warranty coverage bmw warranty transfer form repair car rust patch auto door protection trimark new auto virgin mobile reviews canada horsepower ratings msn auto estimated auto repair costs auto repair manuals download top rated baby car seats 2014 fidelity extended car warranty reviews extended auto warranty lamborghini toyota warranty information car apple iphone repair service near me tips on buying an extended warranty car leather upholstery repair toronto weather bumper to bumper warranty hyundai santa fe are extended warranties on used 7 cars worth the money how to repair rust on car panels glasgow car window scratch repair halfords sat car window crack repair prices range rover dodge extended warranty prices 2005 ford warranty coverage nano auto paint protection coating 24 hour car repair shops best auto best extended car warranty companies nspcc child protection plans warranty direct carchex auto warranty reviews extended warranty for new cars is it worth it let buy autodesk inventor 2012 software xtraride extended service contract website design diy car paint repairs securenet protection plans carmax used cars pre owned car used vehicles american express warranty extension iphone hyundai extended bumper to bumper warranty coverage used car cost of ownership calculator auto canada sagh cary auto sales reviews how to repair scratches on car interior restoration nationwide auto warranty canon authorized dealers warranty solutions national auto warranty services inc extended warranty budget avis rent a car canada repair plastic scratch on car interior pro dent car repair are aftermarket car warranties are there any good men left how to repair rust on car wing spoiler automobile chrysler extended warranty costs car tyre slow puncture repair auto warranty tape hair extension reviews first sears extended service contracts car warranty and insurance repairable cars uk auto source gm extended warranty plans digital warranty care best car warranties 2008 aul used auto warranty insurance mercury direct auto warranty services how much does a vehicle extended warranty costco car window repair london smart car repair costs reviews on garcinia cost to repair car air conditioner top gear top rated cars under 20000 how to repair small rust spots on cars car warranty power of attorney uk law how long is warranty for car battery broken car window repair london customer protect extended car warranty uk bmw gm easy care warranty dental insurance quotes carrier dome 2012 2009 mercedes benz warranty information car bumper repair kit plastics heritage classic car insurance used car shop dartmouth college zurich extended warranty review car window scratch repairs auto allstate ford extended warranties for cars car paint scratch repair costs mazda mb extended warranty purchase buy design vehicle wraps online can you buy an extended warranty from audi scratch repair for cars diy repair premier essential allstate extended auto warranty reviews classic car insurance criteria tesco car warranty plan quote 2000 lincoln town used car consumer reviews and ratings vehicle ford escape reviews 2012 ars a-car auto repair services buy auto paint brisbane are extended warranties on cars transferable spelling how can i find out who do i have an mercedes benz warranty extended car scratch remover paste magazine bmw service bench warranty login repair car rusted floors repair rust on car wing mirrors extended car warranty company interstate star auto extended warranty review car warranty companies kelley blue book value for older cars vehicle warranties nzz interstate star best auto extended warranty implied warranty on carmax used cars in illinois aa extended warranty nzbmatrix recreational vehicle repair and service vw honda extended warranty prices best vehicle gas mileage electric car window repair san diego extended warranty on cars scamschool damaged repairable salvage cars scotland the brave warranty repair best price on surface pro 3 does fix it car scratch remover work warranties cash for used cars reviews auto sales ukraine car paint scratch repair vehicle paint best extended vehicle warranty programs free car repair estimates online extended ford new vehicle warranty coverage auto warehouse company portland best extended extended auto warranties companies car paint scratch repair vehicle or buy car body repair shop schaumburg il weather compass extended vehicle warranty coverage list of best the best extended car warranty companies mazda check warranty by vin number warranty general liability insurance for contractors in california best buy extended dell warranty search mazda nissan new car warranty information best car ratings for 2013 ford explorer kia ceed 7 year warranty reviews mazda extended warranty general motors total confidence auto paint protection extended truck extended auto warranty plans car with best warranty program best car ratings roman numeral for 2009 quick car insurance quotes uk japanese used vehicle dealers carson small engine repair carson city nv motor vehicle seat sales in canada how much should toyota extended warranty cost service warranty contract templates new car warranty car comparison canada body car repairs glasgow airport auto chrysler warranty direct reviews jaguar extended warranty used car from dealership auto butler paint protection costs in excess used cars with warranty orlando compass usaa extended vehicle warranty how to do auto body repair and painting auto repair manuals ws electrical car repair shop reading pa jaguar car extended warranty uk dodge journey bumper to bumper warranty carefree car protection silver ring fusion car paint protection after warranty automotive sackville street manufacturer warranty meaning aftermarket warranties logo for rolls royce new vehicle extended warranty comparison best rated carpet shampooer machines cheap car repairs melbourne time easycare colonial home warranty bbb nationwide best auto warranty reviews auto extended warranties vacation clubs are they worth it should i buy extended warranty used car what is the best crossover vehicle to buy volvo extended warranty 205 55r16 used car warranty review nationwide list of car repair services auto repair roofing labor warranty templates used motor vehicle statutory warranty paint protection systems ltd dell warranty extension customer service number mobile body repair essex warranty used car dealers in maine how much does it cost to repair a keyed car personal auto repair auto garages near me discover card extended warranty on electronics car ratings 2012 india yahoo consumer car reviews new car mepco route 66 extended warranty insurance putnam toyota extended warranty reviews buy bmw warranty extension finance auto sales inglewood ca scratch and dent car repair glenside pa zip code best used cars to buy in canada how much does it cost to repair a bent car door geico auto warranty drivers auto repair spring texas consumer reports used car repair ratings used car ratings uk 3m paint protection film installer compare allstate extended auto warranties top rated car insurance companies 2014 safeguard auto aul warranty cancellation form warranty reviews true auto protection fort worth texas newspaper staples protection plans/furniture car repair services internet for low income families hyundai best extended auto warranty geico online quote car insurance is my hyundai warranty transferable kia mazda extended warranty prices sears auto repair center locations car scratch repair cost singapore used us car warranty in canada best extended warranty smart car canada best sun protection car covers zurich extended automobile warranty insurance how to repair car paint nicks on cars extended bumper bumper to bumper auto warranty auto repair shops open on sunday in montebello buy extended warranty for new car how much does it cost to repair a damaged car door extended warranty dental insurance in indiana gm extended car warranty review auto parts warehouse virgin mobile canada review car bumper repair manchester warranty aaa auto sales scarborough direct auto sales scranton pa 2013 2005 mini cooper extended warranty how much does it cost to repair a dent in a car door uk purchase auto accessories online marathon extended auto warranty reviews california extended automobile service line warranties reviews extended vehicle extended auto warranties reviews what does kia extended warranty cover car paint protection nationwide extended auto one guard home warranty arizona smart car warranty auto reports consumer reports top rated car waxes 2014 bento car repair toronto public library second hand car warranty south australia capital city toyota extended manufacturer warranty on used cars is extended warranty on new car worthwhile check my autozone warranty search automotive warranty administrator jobs in texas auto bumper repair austin texas airport cheap gmpp extended warranty protection plan auto repair gap coverage insurance best used car warranty australia buy vehicle car paint online vogue car care protection automotive repair warranty laws best extended car extended warranty for audibel hearing aids reviews extended warranty average maintenance cost for cars insurance smart car sales canada apple out of service warranty iphone car body repair tools italy earthquake apple manufacturer warranty phone number auto source warranty toms river nj weather mobile auto body repair phoenix az map repair cars dayz origins average car maintenance cost per year repair car body rust holes in frame used car total cost of ownership endurance extended auto warranty cost repairable car salvage yorkshire bank efg automotive extended warranty jobs how to repair car bumper plastic cover average cost of dupont automotive protection package easy care aftermarket auto warranty reviews camping world extended warranty insurance companies upvc window repair cardiff gold key fidelity extended auto warranty best extended new car warranty comparisons how much to repair scratch on car uk reviews extended warranty used car costa honda buy extended warranty for cars fair trading motor vehicle warranty enforcement act compare car warranties canada pharmacy honda extra care warranty how to find a place for car repair advice car body repair aberdeenshire car with best warranty bmw m5 custom car body shops uk american automotive warranty services of florida problems should i buy a warranty for a used car volvo extended warranty xc90 lease vs purchase vehicle business scotchgard paint protection spray car warranties for used cars in uk vehicles warranty for autotrader used cars canada car insurance quote comparisons online allstate best auto extended warranty review nissan certified used cars warranty aaa jd powers car ratings 2014 warranty on cars purchased in canada iphone how to repair a dent in a car panel clips securenet pinnacle auto warranty coverage auto repair reviews in norman ok vehicle warranty direct scam bmw apple warranty terms and conditions auto house used cars inc reviews extended auto extended warranty insurance companies samsung service warranty easy care extended warranty bmw x5 mercedes benz car warranty terms and conditions chrysler extended warranty on used cars extended warranty new car purchase price direct buy warranty bbb reviews 2014 dodge truck warranty information vps car protection film government car repair help discover card extended warranty protection guardian protection products inc complaints porsche 911 extended warranty cost mercury insurance tvp extended auto warranty companies best auto warranty right shield vehicle protection reviews aftermarket auto warranties peer reviewed nationwide honda extended warranty coverage kia nissan certified used cars warranty car body shop repair essex maryland funeral homes car repair passport costs uk repair car bumper singapore paintless dent repair carlsbad ca is best buy bmw extended warranty worth it mobile bumper repair birmingham lexus extended warranty platinum cost per oz true auto protection llc definition porsche aftermarket extended warranty forest river rv roof warranty car keyed repair cost uk best auto rust protection oil spraying hartech porsche warranty costco aaa auto extended warranty reviews warranty direct reviews honest john's caddy used vehicle university ratings canada after warranty automotive sackville high school lexus auto extended warranty plans what does mercedes benz certified warranty cover best aftermarket used car warranty bmw extended automobile automobile extended warranties ratings nationwide gm extended warranty plans price tax sell your vehicle online auto warranty agency consumer reviews laptops warranty direct gap insurance florida used car protection plan free car repair services auto repair service belleville il school ibex environmental paint protection system jaguar extended warranty mcafee antivirus plus select edition car paint repair leeds castle best classic car insurance youtube rv extended warranty canadian drug companies canada toyota powertrain warranty definition extended auto new car warranty comparisons top rated extended auto warranty companies nissan car repair shop leavenworth car repair estimates free baby convertible car seat ratings 2014 cheap used auto parts free shipping best new best extended auto warranties how much are extended buying warranties on used cars best car crash ratings 2014 auto protection device dte new jersey used car warranty law motor car extended warranty reviews ford f150 bumper to bumper warranty best vehicle of consumer reports best cars 2014 under 25000 mercedes benz should you buy extended warranty on used cars motor vehicle services aafes keep it new warranty website car repair payment plan zurich insurance extended car warranty top auto car extended warranty ratings new vehicle fuel economy ratings auto repair manual what is a straw purchase auto bmw approved used car warranty jaguar extended warranty vehicle chase sapphire visa card extended warranty protection rust repair caravan best automobile extended warranty powertrain hyundai warranty information cheap auto parts wholesale prices in phoenix az product samsung warranty card sample bumper repair belfast weather 2014 gmc truck warranty auto used cars andover ma car oil tank leak repair cost auto repair financial help for the disabled disability average cost of carpet fitter consumer reports cars video review virginia motor vehicle warranty enforcement act japanese used vehicle parts warranty services ltd ayr best auto rust protection oil spray for trees car warranty insurance basf crop protection canada new car guaranteed finance incorporated car body shop & paint old lexington rd winston-salem nc used cars with warranty for sale nampa id. nissan powertrain warranty 2009 us fidelity auto warranty reviews capital auto protection fitchburg wi map us auto pacific sales warranty best classic car insurance nz fraser health extended care facilities allstate aaa extended warranty for cars car extended warranties rating payday loans approved by bbb lamborghini gm extended warranty tacoma prerunner consumer reviews cars used car warranty pharmaceutical companies in south africa auto extended warranty cost comparison cheap car repairs london england 2011 mercedes c300 extended warranty best car ratings calendar for 2009 model car shops in nottingham best rated car extended warranties lexus bumper repair cost new car extended warranty consumer reports nissan bumper gmc bumper to bumper extended warranty bmw warranty vehicle inquiry receipt 2012 bmw 328i warranty buy maine vehicle registration online top companies offering aftermarket car warranties us fidelis endurance car repair insurance chrysler may 2014 car sales zurich auto extended warranty insurance companies extended warranty coverage tracking devices for vehicles extended warranty costs for sonar equipment ford extended warranty dealer cost best tv extended warranty companies extended warranty dealer cost bmw x5 cost to repair car window off the track used car protection laws california medical marijuana lkq used auto parts in dallas tx direct buy auto warranty consumer rating car auto shop chatswood cinema auto protection alliance reviews on iphone purchase car warranty cancellation what is a fair price for an extended car warranty auto sales ironman canada 2013 results ford powertrain warranty 2009 lexus endurance extended warranty complaints aftermarket toyota certified used vehicle warranty geico buy extended warranty for cars auto repair service movie theaters in warner robins ga best new best auto warranties consumer reviews best cars 2014 midsize consumer reports car ratings 2014 endurance extended used car warranty reviews premier performance auto warranty reviews best buy speaker vehicle fit guide state farm insurance car sales net what is honda new car warranty cost of car repairs calculator for fractions sonicare register your sonicare warranty card registration body repair shop blaine mn car scratch repair pens uk lottery mobile body repair houston automobile warranties synthetic oil in older cars xzilon paint protection warranty extended warranty humana health insurance providers auto body repair plastic bumper dealership warranty administrator job description cheap car repair near me app top rated car insurance companies in illinois third party auto warranty providers stark online auto sales canada repair car paint peeling repair car guaranteed credit approval wilmington nc craigslist car insurance quotes nj progressive vehicle one best auto extended warranty review car battery apartment ratings top rated award kia hyundai extended warranty refund how to repair car bumper scrapes the windshield craigslist nm auto used cars for sale rust repairs on cars diy invitations warranty coverage rims for hyundai sonata cheap car parts uk vauxhall repair car dents yourself precision auto protection do not call website plastic bumper repair kit easy msn auto insurance ratings the top extended car warranty companies list of extended auto warranty companies ratings hp warranty repair number volvo motorhome extended warranty reviews are auto car extended warranties worth it go extended car warranty reviews nikon repair warranty vehicle warranty 4 undefined facebook gmpp good sam extended warranty quote used cars guaranteed financing springfield mo auto repair reviews calgary auto parts online canada review warranty direct medicare gap insurance how to protect autographs on plastic honda powertrain warranty 2010 kia soul warranty reviews how to protect car upholstery warranty solutions direct auto warranty services mobile car body repair birmingham best car scratch remover review gem auto protection alliance complaints total care best extended auto warranty coverage endurance aftermarket car warranty reviews aftermarket best extended car warranty companies auto warranty stock broker income extended warranty auto batteries 2005 range rover extended warranty cost car repair costs canada extended warranty vehicle canada postal codes car insurance quotes ireland land rover freelander extended warranty cost what is dodge bumper to bumper warranty car ratings bank holidays 2014 uk iihs vehicle ratings dodge truck warranty 2010 vsc fidelity extended auto warranty old republic gm extended auto warranty reviews auto repair quotes auto bumper repair vista cards wynns route 66 auto warranty coverage vehicle cable news ratings for 2014 extended warranty for bmw zurich guaranteed auto protection car company suv with best warranty love bug protection for cars car extended warranty companies complaints aa stanley auto warranty complaints all prices repair car windows in chicago area 60629 homes ge auto automotive warranty solutions florida motor vehicle repair act complaint 24 hour car repair toronto weather car warranty over 100k miles no scheduled tune car dent repairs essex car deep scratch repair cost on a car vehicle digital camera reviews 2014 used cheap auto parts for xc90 volvo best car repair shops phoenix 100% guaranteed car loan automotive toyota extended warranty prices brisbane auto sales australia 3m car care paint protection anaheim auto repair services canada cars direct auto loan reviews consumer reports extended warranties automobile aaa extended carchex auto warranty prices car warranty stock quote aapl warranty for car computers best buy refrigerator warranty extended warranty bmw 328i ge extended auto warranty price costco rv extended warranty companies used car guaranteed finance for cars ge auto sears home warranty service phone number penfed route 66 extended warranty for rv repair dent in car cost comparison kawasaki engine warranty information how to purchase extended extended auto warranty scams heritage extended warranty company how to repair car scratches and dents complaints about warranty direct uk extended warranty costs how to write a bill of sale for a vehicle repair scratches on car interior plastic molding best aftermarket car warranty bmw x3 scratch and dent repairs on cars fidelity national home warranty careers extended mercedes benz warranty services
Skip to content
Powikszanie czcionki Domylny rozmiar czcionki Pomiejszanie czcionki
Start arrow Badania prenatalne arrow Badania prenatalne 2

Menu główne



Badania prenatalne 2 Utwórz PDF Drukuj Wyślij znajomemu

Agnieszka Fedorczyk, Małgorzata T. Załoga

Badania prenatalne, czyli przedurodzeniowe przeprowadza się w I i II trymestrze ciąży po to, by wykryć uwarunkowane genetycznie choroby i wady rozwojowe płodu
W klasycznej metodzie inwazyjnej trzeba nakłuć macicę, by pobrać i zbadać próbkę np. płynu owodniowego (amniopunkcja). Taki zabieg wiąże się z 0,5-1-proc. ryzykiem poronienia, dlatego najczęściej jest wykonywany, gdy ryzyko pojawienia się wad jest wyższe niż ryzyko utraty ciąży. Jest tak np., kiedy kobieta ma już 35 lat albo gdy jej pierwsze dziecko urodziło się z poważnymi wadami.

Nieinwazyjnym badaniem przedurodzeniowym jest ultrasonografia (USG).

USG w kierunku zespołu Downa wykonuje się, gdy ciąża trwa kilkanaście tygodni. W obrazie widoczne są charakterystyczne objawy, np. pogrubienie skóry na potylicy i gromadzenie płynu w tkance podskórnej, skrócenie kości kończyn, poszerzenie miedniczek nerkowych, skrócenie ucha, nosa, stopy. Badanie USG pozwala wykryć powyżej 70 proc. (niektórzy uważają, że nawet powyżej 90 proc.).

Pomocnym badaniem w diagnostyce przedurodzeniowej jest tzw. test potrójny, który pozwala jedynie określić ryzyko wystąpienia wady u płodu. W pobranej od kobiety ciężarnej próbce krwi mierzy się poziom trzech substancji - alfa fetoproteiny (AFP), gonadotropiny kosmówkowej (beta hCG) i estriolu. Wyniki badania, wiek oraz wagę ciężarnej wprowadza się do komputera, który porównuje je z danymi tysiąca zdrowych Polek. W ten sposób wyłania się grupę kobiet ze zwiększonym ryzykiem urodzenia dziecka z wadą genetyczną. Bezbłędność wskazań testu potrójnego maleje, niestety, wraz z wiekiem kobiety.

Poważne wady wrodzone, w znacznej części uwarunkowane genetycznie, zagrażają życiu i zdrowiu 2 proc. noworodków i są przyczyną 20 proc. zgonów w okresie noworodkowym. Najczęstszą aberracją chromosomową jest zespół Downa, występujący z częstością 1 na 660 urodzeń. Ryzyko urodzenia dziecka z zespołem Downa i prawie wszystkimi innymi aberracjami chromosomowymi rośnie wraz z wiekiem matki. Jednak 70-80 proc. dzieci chorych rodzą matki mające mniej niż 35 lat, dlatego że wśród rodzących niewiele jest kobiet starszych.

Po co przeprowadzać badania prenatalne?

Tyle tych badań! Przecież moje dziecko już jest i na pewno je urodzę. Po co mi pobierają krew? Po co robią USG? Trzy razy podczas ciąży! A może to dziecku zaszkodzi?

Nie, nie zaszkodzi. A nie robić sobie badań w ciąży to tak, jak nie pójść z dzieckiem na kontrolę do pediatry tylko dlatego, że "wygląda zdrowo, a w przychodni jeszcze coś złapie".

Wszystkie dzieci powinny być badane profilaktycznie - także przed urodzeniem. Po to, by upewnić się, że zdrowo rosną. Nie wolno czekać, aż ewentualne choroby same się ujawnią, bo wtedy może być już za późno na skuteczne leczenie.

Większość przyszłych matek nie potrzebuje tych najbardziej skomplikowanych, inwazyjnych badań prenatalnych - może spokojnie założyć, że dziecko jest zdrowe. Pod warunkiem jednak, że matka sama jest zdrowa i właściwie przygotowała się do ciąży:

* nie pali,

* wyleczyła wszystkie zakażenia (dróg moczowych, dróg rodnych) i nadżerki szyjki macicy,

właściwie się odżywia i przyjmuje witaminy, w tym bardzo ważny w profilaktyce wad cewy nerwowej i wrodzonych wad serca kwas foliowy,

* upewniła się, że nie grożą jej choroby niebezpieczne dla ciąży.

- 95 proc. przyczyn wcześniactwa w Polsce to niewyleczone u matek zakażenia, rzeżączka, grzybice pochwy, nadżerki, kłykciny kończyste, toksoplazmoza, różyczka, grypa, cytomegalia. Konsekwencją tego mogą być różne uszkodzenia mózgu u dzieci - mówi doc. Anna Dobrzańska z Centrum Zdrowia Dziecka.

Ryzyko ciężkich wad rozwojowych i poważnych chorób wrodzonych jest bardzo niewielkie: nie przekracza trzech procent, co oznacza, że 97 dzieci na 100 rodzi się zdrowych. A dzięki badaniom prenatalnym nawet dziecko "obciążone" ma szansę urodzić się prawie całkiem zdrowe albo uda się je wyleczyć (zrehabilitować) wkrótce po urodzeniu. Tak że nie będzie się różniło od swoich rówieśników.

Strach przed ukłuciem

Prenatalne badania inwazyjne, kiedy lekarz pobiera próbkę pochodzącą od płodu, nakłuwając powłoki brzuszne matki, macicę i otaczającą płód błonę owodni, robi się rzadko - tylko kobietom z grup ryzyka.
* Po pierwsze - kobietom z rodzin, w których były już przypadki urodzenia dzieci z chorobami genetycznymi. Inwazyjne badanie prenatalne pozwala wykryć nie tylko wady genetyczne, które często skazują dziecko na śmierć tuż po urodzeniu albo przed osiągnięciem dorosłości (np. dystrofia mięśniowa Duchenne'a czy mukowiscydoza, które prowadzą do śmierci przed dwudziestym rokiem życia), ale także wady powodujące ciężkie kalectwo (wrodzona wada cewy nerwowej mogąca np. prowadzić do całkowitego, nieodwracalnego paraliżu dolnej połowy ciała).

- Matka, która już urodziła chore dziecko, często obawia się, że znów dojdzie do tragedii. Badanie prenatalne pozwala jej upewnić się, że ta ciąża zakończy się szczęśliwie - mówi prof. Jacek Zaremba, kierownik Zakładu Genetyki Instytutu Psychiatrii i Neurologii w Warszawie* Po drugie - kobietom, które decydują się na macierzyństwo po 35. roku życia.

Dziś już wiadomo: ryzyko urodzenia dziecka z zespołem Downa albo inną ciężką wadą genetyczną rośnie z wiekiem matki. A dzieci z zespołem Downa nie tylko są mniej sprawne umysłowo od swoich zdrowych rówieśników, częściej niż inne miewają też np. kłopoty z sercem. Nie sposób im pomóc, jeśli przyjdą na świat w małym szpitalu, nie przygotowanym do skomplikowanych operacji.

Wczesna, prenatalna diagnoza daje rodzicom szansę na przygotowanie się na przyjście na świat takiego dziecka albo - jeśli nie czują się na siłach, by bardzo ciężko upośledzonemu dziecku zapewnić opiekę - na decyzję o przerwaniu ciąży.

Tylko u 3 do 4 proc. kobiet z grupy ryzyka rozpoznaje się wadę płodu. Reszta, czyli ponad 96 proc., dowiaduje się, że płód jest zdrowy.

Mieszkanko na miarę

Kiedyś dużo częściej niż dziś rodziły się dzieci z trudnymi do leczenia zniekształceniami ciała. Co było najczęściej wynikiem nieprawidłowej pracy nerek, które produkują zbyt mało wód płodowych i dziecko po prostu nie ma miejsca, by "rozprostować kości".

- Dziś - jeśli tylko nie zaniedba się badań prenatalnych - lekarz może to wykryć dzięki USG na tyle wcześnie, by uzupełnić niedostatek wód płodowych i nie dopuścić do powstania trwałych przykurczy. - Niezależnie od tego takiemu dziecku po urodzeniu koniecznie trzeba zbadać nerki - mówi doc. Anna Dobrzańska.

Wód płodowych powinno być ok. 1,5-2 litrów. Jeśli jest ich za dużo, też niedobrze. Może to świadczyć o nieprawidłowościach w przewodzie pokarmowym dziecka - np. o zarośnięciu przełyku lub dwunastnicy. - Dziecko z nierozpoznaną wadą może zachłysnąć się pierwszym łykiem mleka, a w konsekwencji dostać zapalenia płuc, a nawet się udusić - wyjaśnia doc. Dobrzańska. Takie dzieci umiemy dziś operować już wkrótce po urodzeniu. Trzeba je jednak dobrze przygotować. W żadnym wypadku nie wolno karmić ich piersią ani z butelki, tylko dożylnie.

Patrz w serce

Dawniej czujność rodziców i lekarzy wzrastała, kiedy w pierwszych miesiącach życia niemowlę nie przybierało na wadze, rozwijało się gorzej niż rówieśnicy. Co może być przyczyną? Serce? Nerki? Płuca?

Najczęstszą wadą narządów wewnętrznych jest wada serca. Lekarz położnik powinien obejrzeć serce płodu podczas badania USG wykonywanego około dwudziestego tygodnia ciąży. Jeśli ma wątpliwości, czy jest ono zdrowe, powinien skierować matkę na badanie echokardiograficzne, wykonywane przez kardiologa dziecięcego. - Wady serca stosunkowo najtrudniej wykryć w badaniu USG - zaznacza dr Joanna Dangel z Centrum Zdrowia Dziecka w Warszawie. - Ale np. we Francji ponad 70 proc. noworodków operuje się na podstawie diagnostyki prenatalnej. Najważniejsze, by lekarz neonatolog niczego nie przegapił i nie wypisał dziecka z wadą serca do domu jako zdrowego - podkreśla dr Dangel.

Wszystkim dzieciom matek, które same mają wrodzoną wadę serca (zarówno operowaną, jak i nieoperowaną), kardiolog dziecięcy powinien zrobić - jeszcze przed urodzeniem - USG serca. Istnieje bowiem kilkakrotnie większe ryzyko, że odziedziczą wadę po matce. Najczęściej lubią się "powtarzać" wrodzone wady lewej połowy serca oraz zwężenie aorty, tzw. zespół Fallota, pojedyncza komora serca. - Od dwudziestu kilku lat potrafimy operować te wady. Pacjentki, u których kiedyś operowaliśmy wrodzone wady serca, wchodzą teraz w wiek rozrodczy. Musimy zatem dbać także o ich dzieci - mówi dr Dangel.

Echokardiografia serca płodu powinna być obowiązkowa także u kobiet chorych na cukrzycę, choroby reumatoidalne czy padaczkę, w rodzinach których występowały takie genetycznie uwarunkowane choroby jak zespół Turnera, dystrofia mięśniowa Duchenne'a czy zespół Noonan. U nich wzrasta bowiem ryzyko, że noszone pod sercem dziecko będzie mieć wadę serca.

Nerki pod lupą

Bardzo wiele dzieci trafia do szpitala, gdy pojawiają się objawy zakażenia dróg moczowych: gorączka, bóle brzucha, zaburzenia oddawania moczu. Dopiero po dokładnych badaniach okazuje się, że przyczyną tych zakażeń są wrodzone wady rozwojowe dróg moczowych, najczęściej prowadzące do wodonercza. Przy wodonerczu albo odpływ moczu z miedniczki nerkowej jest utrudniony lub zablokowany (np. z powodu kamienia, zwężenia moczowodu, nieprawidłowego przebiegu naczyń), albo (z powodu nieprawidłowego ujścia moczowodów do pęcherza moczowego) mocz cofa się z pęcherza do miedniczki przy każdym siusianiu. Rozpychana przez mocz miedniczka powiększa się, a długotrwały ucisk na miąższ nerki może doprowadzić do jej niewydolności i całkowitego zniszczenia.

- Dziś coraz częściej wodonercze wykrywa się już u płodu w czasie badania USG - mówi prof. Czesław Szymkiewicz, kierownik Kliniki Urologii w Centrum Zdrowia Dziecka. To umożliwia szybką operację - jeśli to konieczne - albo roztoczenie nad dzieckiem fachowej opieki. Można uniknąć ciężkich zakażeń, leżenia w szpitalu, antybiotyków, i ocalić wiele nerek.

Inną ciężką wadą rozwojową układu moczowego (występującą tylko u chłopców) są tzw. zastawki cewki tylnej. Nieprawidłowe fałdy w cewce moczowej (zastawki) utrudniają odpływ moczu z pęcherza moczowego. W rezultacie dochodzi do ciężkiego uszkodzenia nerek, niekiedy już w okresie życia płodowego.

Jeszcze w latach 60. co czwarte dziecko z ciężką postacią tej wady umierało bezpośrednio po porodzie lub w pierwszych miesiącach życia z powodu pogłębiającej się niewydolności nerek. - Dziś wadę tę można wykryć dzięki USG już we wczesnym okresie ciąży. Można też nakłuć pęcherz moczowy płodu w łonie matki i wprowadzić do niego cewnik, który umożliwi stały odpływ moczu z pęcherza do płynu owodniowego - wyjaśnia prof. Szymkiewicz. To zabezpiecza nerki przed uszkodzeniem. A kiedy dziecko się urodzi, przeprowadza się zabieg likwidujący zastawki - przyczynę choroby.

Żeby mogło odetchnąć pełną piersią

Kiedyś bywało, że dziecko długo chorowało na płuca i oskrzela i nikt nie wiedział dlaczego. Dostawało tony antybiotyków. Wielokrotnie leżało w szpitalu. I nic. Zanim lekarzom udało się odkryć, że przyczyną jest wrodzona wada oskrzeli, płuco mogło już być całkowicie zniszczone.

Dziś wady układu oddechowego można wykryć w łonie matki - za pomocą USG. - Wczesna operacja polega na wycięciu zmienionego fragmentu płuca i oskrzeli. Taki zabieg pozwala w przyszłości uniknąć wielu ciężkich powikłań - wyjaśnia dr Joanna Dangel.

Tak samo dzieci z przepukliną przeponową (wadą polegającą na niecałkowitym oddzieleniu jamy brzusznej od klatki piersiowej) - nie miały praktycznie żadnych szans na przeżycie. Przychodziły bowiem na świat z niedorozwiniętymi płucami i sercem. Powodem niedorozwoju była "dziura" w przeponie - przez nią jelita, żołądek, a niekiedy także inne narządy wewnętrzne przesuwały się do klatki piersiowej i nie pozwalały odpowiednio rozwinąć się płucom i sercu.

Dziś takie dzieci próbuje się ratować. Trzeba tylko zawczasu wiedzieć, że w przeponie są ubytki. - Poród przeprowadzony w ośrodku, który ma możliwość intensywnej terapii, wyposażony jest np. w respirator, i wczesna operacja często pozwalają uratować dziecko. Choć jest to wada bardzo trudna do leczenia - mówi dr Dangel. W innych krajach wady przepony próbuje się leczyć operacyjnie już w łonie matki, ale takie operacje nadal są rzadkością.

Chłopczyk czy dziewczynka

Jedną z częstszych wad rozwojowych zewnętrznych narządów płciowych jest tzw. obojnactwo rzekome żeńskie. Jego przyczyną jest nieprawidłowa czynność kory nadnerczy płodu. Produkują one u dziewczynek nadmierne ilości męskich hormonów. Dlatego po urodzeniu zewnętrzne narządy płciowe dziewczynki przypominają zewnętrzne narządy płciowe chłopca.

Dziś już można temu zapobiec. Kobiety, u których w rodzinie zdarzały się przypadki wrodzonego przerostu kory nadnerczy, już na początku ciąży powinny poddać się badaniom. Określenie płci płodu (badanie polega na analizie chromosomów w próbce komórek płodu) i poziomu hormonów kory nadnerczy u matki pozwala bardzo wcześnie, bo już między 6-8 tygodniem ciąży rozpocząć odpowiednie leczenie.

Matce podaje się leki hormonalne, dzięki czemu płód w jej łonie może rozwijać się prawidłowo. Dziecko ma szansę urodzić się całkiem zdrowe albo tylko z niewielką wadą zewnętrznych narządów płciowych.

Inny problem to zespół Turnera. Dziewczynki z tą chorobą rodzą się tylko z jednym chromosomem X, podczas gdy prawidłowo powinny mieć dwa. Skutkiem jest nie tylko niski wzrost (ok. 130-140 cm), ale także wady serca i nerek oraz niedorozwój narządów płciowych. Niedobory hormonów płciowych powodują, że dziewczynki z tą wadą nie zaczynają miesiączkować i są bezpłodne.

Niestety, nie zawsze objawy są widoczne już po urodzeniu. Jedna trzecia wad rozpoznawana jest w dzieciństwie z powodu niskiego wzrostu. A aż jedna trzecia dopiero w okresie dojrzewania - z powodu braku miesiączki. Tymczasem tę wadę można podejrzewać już w okresie ciąży - na podstawie pewnych objawów widocznych w USG (np. pogrubiały fałd skóry na karku) i potwierdzić badaniem chromosomalnym (określenie kariotypu). Właściwa diagnoza pozwala na zmniejszenie do minimum skutków niedoborów hormonalnych, tak aby umożliwić jak najbardziej prawidłowy rozwój. Można uzupełniać u tych dzieci hormon wzrostu w dzieciństwie, a hormony płciowe od okresu pokwitania.

By się mogło urodzić

Dawniej dzieci z ciężkim wodogłowiem nie mogły przyjść na świat siłami natury i umierały przy porodzie. Przy ciężkim, bardzo przedłużającym się porodzie często umierała też matka. Wrodzone wodogłowie to wada, w której płyn wytwarzany przez splot naczyń w komorach mózgu nie może się przemieszczać do innych przestrzeni i rozdyma komory mózgu. A ponieważ czaszka ma określoną pojemność, ucisk od wewnątrz niszczy tkankę mózgową.

Wodogłowie można rozpoznać badaniem USG. Wtedy wiadomo, że poród musi się odbyć cesarskim cięciem i zaraz potem trzeba jak najszybciej zmniejszyć ciśnienie wewnątrz czaszki, a nadmiar płynu z mózgu skierować do przedsionka serca albo do jamy otrzewnej. Możliwe jest też wykonanie takiego zabiegu jeszcze w łonie matki. Wtedy delikatna tkanka mózgu ma szansę na prawidłowy, niemal niezakłócony rozwój, a dziecko - na normalne życie.

Dobrze mieć bliźniaka

W pokoleniu naszych rodziców czy dziadków bliźnięta jednojajowe (te identyczne) należą do wyjątków. Co innego w pokoleniu dzisiejszych trzydziestolatków. Bo od trzydziestu kilku lat przeżywa więcej bliźniąt niż dawniej. Nadal jednak ciąża mnoga jednojajowa to ciąża większego ryzyka. U takich bliźniaków może występować tzw. zespół podkradania. Ma to miejsce wtedy, gdy istnieją w łożysku nieprawidłowe połączenia naczyniowe (tętnicze lub żylne) między jednym a drugim bliźniakiem. Wtedy jeden drugiemu może zabierać krew, przez to ten drugi gorzej i wolniej się rozwija. W skrajnych przypadkach może obumrzeć. Ten większy zaś może mieć niewydolność krążenia, bo jego serce cały czas pompuje nadmiar krwi.

Dziś najczęściej już od pierwszego USG wiadomo, ile jest płodów. Matka bliźniąt jest pod szczególną opieką lekarską. Powinna przynajmniej raz na miesiąc pokazać się u lekarza, a jeśli czuje nieprawidłowe (za słabe lub za mocne) ruchy płodu - nawet częściej.

Lekarz powinien badać stan zdrowia dzieci, zanim się urodzą - co miesiąc.

Konflikt plusa i minusa

Problem pojawia się w drugiej i kolejnych ciążach, jeśli matka ma ujemny czynnik Rh, a kolejne dziecko w jej łonie odziedziczyło po ojcu dodatni. Przeciwciała matki przedostają się w czasie ciąży przez łożysko, atakują krwinki płodu i niszczą je. Konflikt serologiczny budzi obawy, że drugie dziecko jeszcze w macicy dotknie anemia, a także że urodzi się z uszkodzeniami mózgu, nerek i innych narządów. Lekarze, o ile stwierdzą, że istnieje ryzyko (do tego wystarczy badanie krwi matki) albo ostatecznie się upewnią o jego istnieniu (za pomocą kordocentezy - pobrania próbki krwi płodu z żyły pępowinowej pod kontrolą USG) - mogą przeprowadzić jeszcze w łonie matki transfuzję dopłodową. Krew płodu wywołującą konflikt zastępuje się krwią o tej samej grupie, ale z ujemnym (tak jak u matki) czynnikiem Rh. To pozwala bezpiecznie donosić ciążę.

Ryzyko konfliktu serologicznego można zminimalizować, jeśli kobiecie po porodzie lub zabiegach interwencyjnych poda się odpowiednią dawkę immunoglobulin neutralizujących szkodliwe przeciwciała. Jest to całkowicie bezpieczne dla matki, a pozwala z większą ufnością oczekiwać kolejnej ciąży. Ultrasonografia (USG)

- Nie ma żadnej pracy naukowej, która by stwierdzała, że badania USG są szkodliwe dla płodu - mówi dr Joanna Dangel, kardiolog dziecięcy z Centrum Zdrowia Dziecka w Warszawie, od dziesięciu lat zajmująca się prenatalną diagnostyką kardiologiczną.

Badanie USG pozwala lekarzowi obejrzeć dziecko, kiedy od poczęcia minęło zaledwie dziesięć tygodni. To także dlatego dzieci leczy się dziś szybciej i skuteczniej niż kiedyś.

Jeśli ciąża przebiega prawidłowo, USG wykonuje się:

* ok. 10. tyg. ciąży - by przekonać się o jej istnieniu i stwierdzić, czy jest pojedyncza czy mnoga,

* między 18.-20. tyg. - bada się stan i ułożenie łożyska (przodujące grozi powikłaniami i wyklucza poród siłami natury, nisko schodzące wymaga starannego i częstszego niż normalnie monitorowania przebiegu ciąży) i rozwój dziecka (głowa, kręgosłup, klatka piersiowa, serce, przepona, żołądek, nerki, pęcherz moczowy, nogi, palce). W tym czasie jest to widoczne najlepiej. Już wtedy można też stwierdzić takie wady jak np. rozszczep wargi i podniebienia.

* ok. 28. tyg. - porównuje się wyniki drugiego badania, sprawdza, czy dziecko prawidłowo rośnie.

* w 38. tyg. (ewentualnie) - sprawdza się ułożenie płodu i planuje poród (siłami natury albo za pomocą cesarskiego cięcia).


Ochrona Prawna


Zjazdy i seminaria