Controversial ultrasound findings in mid trimester pregnancy. Evidence based approach

Ebrashy, Alaa; Kurjak, Asım; Adra, Abdallah; Aliyu, Labaran Dayyabu; Wataganara, Tuangsit; Sá, Renato Augusto Moreira de; Pooh, Ritsuko K.; Şen, Cihat; Stanojević, Milan

doi:10.1515/jpm-2015-0223

Cited by 11 publications

(13 citation statements)

References 34 publications

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“…In the study by Åhman et al [21], women diagnosed with soft markers in pregnancy stated that they would have preferred not to have known, or were hesitant about receiving, this information. The clinical value and management of soft markers are described in a number of articles [33][34][35]. These vary as to the type of follow-up care recommended, and how far soft markers should be considered significant or normal variants.…”

Section: Discussionmentioning

confidence: 99%

A qualitative study of the work experiences of midwives performing obstetric ultrasound in Norway

Reiso

Langli

Sommerseth

et al. 2020

BMC Pregnancy Childbirth

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Background Performing obstetric ultrasound is part of midwifery practice in Norway. Knowledge of these midwives’ working situation can enhance understanding of what their work involves and the challenges they encounter in their practice. The aim of this study was to gain insight into how midwife sonographers perceive their work in obstetric ultrasound. Methods A qualitative study with individual interviews was conducted in 2018. Midwives (n = 13) with a postgraduate ultrasound qualification who performed obstetric ultrasound in private clinics and/or the public health sector were included. All four regional health authorities in Norway were represented. The data gathered were analysed using content analysis. Results The analysis resulted in three main themes. (1) Working as a midwife sonographer involves a holistic approach. By practising their competence, in both midwifery and sonography, they could answer questions and reassure pregnant women. The participants also had a feeling of great responsibility in their work. (2) Being part of a professional environment in obstetric ultrasound was important for professional interaction, belonging and learning. (3) Developing and maintaining competence as a midwife sonographer had a positive influence on midwives’ motivation and confidence, and allowed for more variety in their work. Conclusions Holistic care of the pregnant woman, her partner and the unborn baby was an important part of the participants’ work. They wanted to meet colleagues within their field, develop their expertise and have influence over their work situation. Organizational factors seemed to affect the participants’ overall ability to practise their skills and thus also their job satisfaction.

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Section: Discussionmentioning

confidence: 99%

A qualitative study of the work experiences of midwives performing obstetric ultrasound in Norway

Reiso

Langli

Sommerseth

et al. 2020

BMC Pregnancy Childbirth

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“…Dies wurde in einigen weiteren Studien bestätigt. Jedoch wurden diese an einem Hochrisikokollektiv durchgeführt und können daher nicht auf jede Schwangere übertragen werden [2]. Nyberg et al zeigten dann 2001, dass die isoliert auftretende Nierenbeckenerweiterung statistisch in keinem Zusammenhang mit einer Trisomie 21 zu sehen ist [16].…”

Section: Milde Nierenbeckenerweiterungunclassified

“…50,7 % chromosomale Abweichungen, insbesondere Trisomie 13, 18 und Triploidität diagnostiziert werden konnten. Dann sollte vor allem nach Fehlbildungen des Herzens und des Urogenitalsystems geschaut werden [2] [10].…”

Section: Singuläre Nabelschnurarterieunclassified

Sonografie in der Pränataldiagnostik

Finke¹

2019

Hebamme

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Der Ultraschall gilt als DAS diagnostische Werkzeug während der Schwangerschaft. Jede Schwangere wird mehrfach sonografisch untersucht, oft ohne weitere Reflexion. Doch ist das immer nur ein Segen? Dieser Artikel setzt sich kritisch mit den Vor- und Nachteilen der Ultraschalldiagnostik während der Schwangerschaft auseinander und liefert Hebammen Informationen zum Umgang mit verschiedenen Ultraschallbefunden.

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“…Controversial ultrasound findings need to be interpreted for its clinical relevance, as being advised by the recently published recommendation from our Working Group on Ultrasound in Obstetrics of the World Association of Perinatal Medicine (WAPM). 18 Doppler studies and three-dimensional sonography are frequently used for more details. When more advanced sonographic modalities are used, potential thermal effect that may lead to neuronal apoptosis has to be cautioned.…”

Section: Principles Of Family Counseling For Fetal Therapymentioning

confidence: 99%

Overview of Fetal Therapy

Wataganara¹

2016

Donald School Journal of Ultrasound in Obstetrics and Gynecology

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An improving ability to diagnose fetal conditions with higher accuracy prompts an attempt for a salvage treatment in utero. Fetal conditions amendable for prenatal intervention are limited to only diseases that can either kill the baby in utero or leave the baby with significant handicap. Therapeutic intervention has to be highly selective. Factors that need to be considered before offering in utero treatment include the highly investigative nature of certain procedures. For instance, at the time of writing this paper, fetal endoluminal tracheal occlusion for severe congenital diaphragmatic hernia is still under a randomized controlled investigational trial to validate its potential benefits and risks to the fetus with severe congenital diaphragmatic hernia with suboptimal growth of the residual lung tissue. There are chances of procedure-related miscarriages, preterm premature rupture of the membranes, and maternal morbidity that need to be discussed in an unbiased counseling session. The right balance between potential benefits and harms requires validation with rigid scientific methodology before the practice has become a “standard of care.” For example, laser photocoagulation of anastomosing chorionic vessels has become a standard of care in many places due to its superior perinatal survival and composite outcomes, particularly for the childhood neurodevelopmental status. With an ongoing technological development, it is foreseeable that there will be more proposals of implementing novel medical technologies to the use of fetal therapy. Currently, there are only a handful of fetal care centers, and most of the experienced ones are clustered in developed part of Europe and the USA. Dissemination of this type of service which requires years of experiences to develop surgical skill and the support by the most technological advanced instrument and setting is a real challenge that need to be addressed, discussed, and solved as a global agenda. How to cite this article Wataganara T, Phithakwatchara N, Nawapun K. Overview of Fetal Therapy. Donald School J Ultrasound Obstet Gynecol 2016;10(4):387-392.

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Controversial ultrasound findings in mid trimester pregnancy. Evidence based approach

Cited by 11 publications

References 34 publications

A qualitative study of the work experiences of midwives performing obstetric ultrasound in Norway

A qualitative study of the work experiences of midwives performing obstetric ultrasound in Norway

Sonografie in der Pränataldiagnostik

Overview of Fetal Therapy

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