Long-term experience of general ultrasound screening in pregnancy

摘要: Abstract Since January 1, 1974, 43,000 routine ultrasound examinations have been performed on 22,400 pregnant women in the Department of Obstetrics and Gynecology, MalmoGeneral Hospital. At present time, one examination is seventeenth week pregnancy thirty-third week. first examination, number fetuses, fetal anatomy, cardiac activity, placental site are indicated. Fetometry performed. Gestational age adjusted according to value biparietal diameter. The second aimed at detecting growth deviations malformations. In 15% all pregnancies, corrected gestational by more than 14 days. Ultrasound appeared be superior clinical assessment 88% these discrepant pregnancies predicting date delivery. early detected 98% twin with no false positive results. If an had within 3 weeks delivery, 92% fetuses retardation were detected. Altogether, program 60% growth-retarded fetuses. 0.4% examinations, malformations (0.6% during last 2 years). A cost-benefit analysis suggested that large economical gains realized screening. However, organizational educational problems must properly solved before general screening offered a healthy population.