 Concluding a major part of his work over the years regarding the 11–13 weeks scan assessment (including measurement of nuchal translucency) he has proposed a new model of pregnancy care "Turning the Pyramid of prenatal Care".This model shows that it is now possible to assess the risk for most of the relevant complications affecting mother and unborn child if combined screening tests are carried out in a specialist outpatient clinic following protocols published by The Fetal Medicine Foundation.Assessing the risk for pregnancy complications at such an early time in pregnancy might give doctors the chance to reassure patients, and to prevent pre-eclampsia and premature birth, which are major contributors to maternal and neonatal morbidity and mortality.