Validity of a selective policy for ultrasound examination of fetal congenital anomalies

作者: J.Erik Sollie , Herman P. van Geijn , Nico F.T. Arts

DOI: 10.1016/0028-2243(88)90005-6

关键词: ObstetricsIncidence (epidemiology)Fetal anomalyGynecologyPolyhydramniosObstetric complicationStage iiPregnancyFetusMedicineUltrasoundObstetrics and gynaecologyReproductive medicine

摘要: The validity of the Stage II ultrasound examination for fetal congenital anomalies has been determined. Only pregnancies that fulfilled certain criteria, i.e. obstetric complications (IUGR, polyhydramnios, immature-premature uterus contractions), or women with a history qualified. Five hundred and fifteen pregnant were examined. Follow-up evaluation was available on 481 (494 neonates). Of these children 102 (21%) appeared to have one more structural anomaly following birth. In 88 them at least had detected antenatally by examination. sensitivity scanning procedure 86%, specificity 100%. applied selection criteria studied in 2059 who delivered consecutively our hospital. One eighty-one performed. Thirty-six 181 an infant (20.0%). remaining 1878 did not qualify From 24 infants born (1.3%). 60% 93%. incidence strikingly higher scanned reasons than anomalies. necessity every pregnancy is questioned basis results.

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