Consensus Report on the Detailed Fetal Anatomic Ultrasound Examination

Wax, Joseph R.; Minkoff, Howard; Johnson, Anthony; Coleman, Beverly G.; Levine, Deborah; Helfgott, Andrew; O’Keefe, Daniel; Henningsen, Charlotte; Benson, Carol B.

doi:10.1177/8756479314532221

Cited by 2 publications

(1 citation statement)

References 61 publications

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“…As mentioned by some respondents, it is plausible that experienced sonographers will perform a more detailed scan, causing inequality within a country. We found that in 16/30 (53.3%) countries, a license, certificate, 11 Based on the available study data, it is not possible to judge on quality standards of all countries. However, for a nation to measure and verify the quality of the performed ultrasounds, monitoring can be implemented.…”

Section: Discussionmentioning

confidence: 88%

Current practice of first‐trimester ultrasound screening for structural fetal anomalies in developed countries

Bronsgeest,

Lust,

Henneman

et al. 2023

Prenatal Diagnosis

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Objectives: First-trimester ultrasound screening is increasingly performed to detect fetal anomalies early in pregnancy, aiming to enhance reproductive autonomy for future parents. This study aims to display the current practice of first-trimester ultrasound screening in developed countries.Method: An online survey among 47 prenatal screening experts in developed countries.Results: First-trimester structural anomaly screening is available in 30 of the 33 countries and is mostly offered to all women with generally high uptakes. National protocols are available in 23/30 (76.7%) countries, but the extent of anatomy assessment varies. Monitoring of scan quality occurs in 43.3% of the countries. 23/ 43 (53.5%) of the respondents considered the quality of first-trimester ultrasound screening unequal in different regions of their country.Conclusions: First-trimester screening for structural fetal anomalies is widely offered in developed countries, but large differences are reported in availability and use of screening protocols, the extent of anatomy assessment, training and experience of sonographers and quality monitoring systems. Consequently, this results in an unequal offer to parents in developed countries, sometimes even within the same country. Furthermore, as offer and execution differ widely, this has to be taken into account when results of screening policies are scientifically published or compared. Key pointsWhat is already known about this topic? � First-trimester ultrasound screening is increasingly performed to detect fetal anomalies early in pregnancy. What does this study add?� Large differences in developed countries are reported in the availability and use of screening protocols, extent of anatomy assessment, training and experience of sonographers and monitoring systems.

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Section: Discussionmentioning

confidence: 88%

Current practice of first‐trimester ultrasound screening for structural fetal anomalies in developed countries

Bronsgeest,

Lust,

Henneman

et al. 2023

Prenatal Diagnosis

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Correction to “AIUM: Consensus Report on the Detailed Fetal Anatomic Ultrasound Examination: Indications, Components, and Qualifications”

Wax¹,

Benacerraf²,

Copel³

et al. 2015

Journal of Diagnostic Medical Sonography

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We wish to revise our prior publication "Consensus Report on the Detailed Fetal Anatomic Ultrasound Examination: Indications, Components, and Qualifications." 1,2 In the text and in Table 1, we refer to "Increased body mass index (≥35 kg/m 2 )." Both of the cited publications 3,4 quote articles that use varied definitions of obesity based on prepregnancy or early pregnancy body mass index (BMI) but are closer to the more standard definition of BMI ≥30 kg/m 2 , which should therefore be the definition of obesity for the purposes of indicating a Current Procedural Terminology (CPT) code 76811 examination.We realize that there are important policy implications considering the increasing rate of obesity in the pregnant population; however, we also believe that fidelity to evidence-based medicine requires recognition of true risk factors. If a larger portion of the population is being exposed to a particular risk, we must still take appropriate diagnostic steps, such as recommending a 76811 sonographic examination in that group. Table 1 should be updated to reflect the same wording. The correct coding for obesity in pregnancy per the International Classification of Diseases, Ninth Revision (ICD-9) is 649.13, 278.00 (for BMI 30-39.9) or 278.01 (for BMI ≥40), and V85.35-V85.45. In ICD-10, obesity in pregnancy is O00.210-O99-215 and E66.0-E66.9, depending on the actual BMI. References 1. AIUM. Consensus report on the detailed fetal anatomic ultrasound examination: indications, components, and qualifications. J Ultrasound Med 2014;33:189-195. 2. AIUM. Consensus report on the detailed fetal anatomic ultrasound examination: indications, components, and qualifications. J Diag Med Sonography 2014;30:107-113. 3. Rasmussen SA, Chu SY, Kim SY, Schmid CH, Lau J. Maternal obesity and risk of neural tube defects: a metaanalysis. Am J Obstet Gynecol 2008;198:611-619. 4. Stothard KJ, Tennant PW, Bell R, Rankin J. Maternal overweight and obesity and the risk of congenital anomalies: a systematic review and metaanalysis. JAMA 2009;301:636-650.

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Consensus Report on the Detailed Fetal Anatomic Ultrasound Examination

Cited by 2 publications

References 61 publications

Current practice of first‐trimester ultrasound screening for structural fetal anomalies in developed countries

Current practice of first‐trimester ultrasound screening for structural fetal anomalies in developed countries

Correction to “AIUM: Consensus Report on the Detailed Fetal Anatomic Ultrasound Examination: Indications, Components, and Qualifications”

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