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Routine obstetrical ultrasound at 18–22 weeks: Our experience on 7,236 fetuses
The Journal of maternal-fetal medicine, 1999-03, Vol.8 (2), p.64-69
Stefos, Theodor
Plachouras, Nicolaos
Sotiriadis, Alexander
Papadimitriou, Dimitrios
Almoussa, Nedal
Navrozoglou, Iordanis
Lolis, Dimitrios
1999
Volltextzugriff (PDF)
Details
Autor(en) / Beteiligte
Stefos, Theodor
Plachouras, Nicolaos
Sotiriadis, Alexander
Papadimitriou, Dimitrios
Almoussa, Nedal
Navrozoglou, Iordanis
Lolis, Dimitrios
Titel
Routine obstetrical ultrasound at 18–22 weeks: Our experience on 7,236 fetuses
Ist Teil von
The Journal of maternal-fetal medicine, 1999-03, Vol.8 (2), p.64-69
Ort / Verlag
New York: John Wiley & Sons, Inc
Erscheinungsjahr
1999
Quelle
Taylor & Francis
Beschreibungen/Notizen
Objective: This study aimed at examining the detection rate of congenital abnormalities by using routine ultrasonography at 18–22 weeks of gestation. Methods: The sample included 7,236 fetuses. A detailed sonographic examination was performed in each fetus and a neonatal evaluation or pathology examination was made to confirm the prenatal findings. Results: The total prevalence of fetal abnormalities in our sample was 2.24% (162/7,236). There were 29/162 (17.9%) fetuses with CNS abnormalities, 27/162 (16.7%) fetuses with gastrointestinal abnormalities, and 28/162 (17.3%) fetuses with urinary tract abnormalities. There were also 31/162 (19.1%) fetuses with cardiovascular abnormalities, 26/162 (16.0%) with malformation of the limbs and musculoskeletal system, and 21/162 (13%) fetuses with other various abnormalities. The overall sensitivity in detecting fetuses with congenital abnormalities was 80.25% (130/162). The sensitivity per system was 93.1% (27/29) for CNS, 45.2% (14/31) for cardiovascular system, 85.2% (23/27) for gastrointestinal system, 85.7% (24/28) for urinary system, 84.6% (22/26) for musculoskeletal system, and 95.2% (20/21) for the rest of the abnormalities detected. We performed 40 pregnancy terminations in the group of malformed fetuses. Among the fetuses considered as normal, 1.7% had chromosomal abnormalities. Conclusions: The results indicate that routine sonographic examination at 18–22 weeks of gestation can detect the majority of congenital abnormalities. More experience is needed for the examination of the cardiovascular system, where the sensitivity was particularly low (14/31 or 45.2%). J. Matern.‐Fetal Med. 1999;8:64–69. © 1999 Wiley‐Liss, Inc.
Sprache
Englisch
Identifikatoren
ISSN: 1057-0802
eISSN: 1520-6661
DOI: 10.1002/(SICI)1520-6661(199903/04)8:2<64::AID-MFM7>3.0.CO;2-D
Titel-ID: cdi_proquest_miscellaneous_69639062
Format
–
Schlagworte
Central Nervous System - abnormalities
,
congenital abnormalities
,
Congenital Abnormalities - diagnosis
,
Congenital Abnormalities - diagnostic imaging
,
Congenital Abnormalities - epidemiology
,
Digestive System Abnormalities
,
Female
,
Gestational Age
,
Heart Defects, Congenital - diagnostic imaging
,
Heart Defects, Congenital - epidemiology
,
Humans
,
Limb Deformities, Congenital - diagnostic imaging
,
Limb Deformities, Congenital - epidemiology
,
Musculoskeletal Abnormalities - diagnostic imaging
,
Musculoskeletal Abnormalities - epidemiology
,
Pregnancy
,
Sensitivity and Specificity
,
Ultrasonography, Prenatal
,
ultrasound
,
Urinary Tract - abnormalities
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