Effect of Prenatal Ultrasound Screening on Perinatal Outcome

Ewigman, Bernard; Crane, James P.; Frigoletto, Fredric D.; Lefevre, Michael; Bain, Raymond P.; McNellis, Donald

doi:10.1097/00006254-199402000-00005

Cited by 140 publications

(114 citation statements)

References 0 publications

Supporting

Mentioning

104

Contrasting

Unclassified

Order By: Relevance

“…This perceived shortfall in service provision was most keenly felt amongst parents of more severely disabled children, and parents whose child was not diagnosed until after birth, who reported the lowest levels of satisfaction. There has been some debate about the utility of prenatal ultrasound screening, as it is rare that treatment can occur prior to birth 18,19 . However, the present results support previous research suggesting that early identification is preferred by parents, even when no medical action can be taken 13 .…”

Section: Discussionmentioning

confidence: 99%

Providing family-centred care for rare diseases in maternity services: Parent satisfaction and preferences when dysmelia is identified

Johnson

Adams-Spink²,

Arndt³

et al. 2016

Women and Birth

View full text Add to dashboard Cite

Problem and background: Dysmelia is usually detected prenatally or postnatally in maternity services. The provision of family-centred care for parents at the time of initial diagnosis is crucial to facilitate decision making, access to appropriate services, and the provision of parental care-giving, but no research has investigated parent experiences or preferences in this population. Aims:The current research aimed to address this by investigating satisfaction with service, occurrence of signposting and preferences in this group.Methods: Two online surveys were conducted. In the first survey (n = 417), parents reported whether they were offered signposting information and their level of satisfaction with the service they received when initially diagnosed. In the second survey (n = 130), a subgroup of participants who completed the first survey reported their preferences for signposting and health service access after diagnosis. Findings:On average, participants were less than satisfied with the service they received and only 27% were offered signposting information. Satisfaction was higher amongst parents who had been offered signposting information. 91% of parents said they would have wanted signposting information and 67% would have wanted access to a support group. Conclusions:There is a need to improve the family-centeredness of care when dysmelia is identified. Offering signposting information to relevant third-sector organisations may increase parent satisfaction and address parent preferences. These findings could have implications for parents of children with other rare diseases identified in maternity services.

show abstract

Section: Discussionmentioning

confidence: 99%

Providing family-centred care for rare diseases in maternity services: Parent satisfaction and preferences when dysmelia is identified

Johnson

Adams-Spink²,

Arndt³

et al. 2016

Women and Birth

View full text Add to dashboard Cite

show abstract

“…Detection rates reported in the second trimester ranged from 0% to 18% in the Routine Antenatal Diagnostic Imaging With Ultrasound trial. 11 Most recently, a study of 30,149 low-risk fetuses in the second trimester reported a detection rate of 57%. 12 This is attributed in part to the technical difficulties and lack of standardization in obtaining the cardiac views.…”

Section: Discussionmentioning

confidence: 99%

Role of Ultrasonography in Early Gestation in the Diagnosis of Congenital Heart Defects

Abu‐Rustum

Daou

Abu-Rustum

2010

Journal of Ultrasound in Medicine

View full text Add to dashboard Cite

Objective. The purpose of this series was to determine the sensitivity of ultrasonography in early gestation (UEG) using nuchal translucency (NT) and the 4-chamber view (4CV) in the early diagnosis of congenital heart defects (CHDs). Methods. This was a retrospective chart review of all patients presenting for UEG between 2002 and 2009. At our center, a survey of fetal anatomy is performed at the time of the NT assessment at 11 weeks to 13 weeks 6 days. A second-trimester scan (STS) is done at 20 to 23 weeks and a third-trimester scan at 32 to 35 weeks. Suspected cases of CHDs were evaluated by a pediatric cardiologist. All neonates were examined at birth by a pediatrician, and when clinically indicated, fetal echocardiography was performed. Results. A total of 1370 fetuses were scanned. Congenital heart defects were identified in 8 (0.6%). Nuchal translucency was above the 95th percentile for gestational age (GA) in 6 of 8, and the 4CV was abnormal in 6 of 8. Ultrasonography in early gestation detected 75% fetuses with CHDs, and 25% were detected by an STS. Conclusions. Our study emphasizes the importance of UEG in the detection of CHDs. In this small unselected lowrisk population, UEG detected 75% of CHDs. Nuchal translucency was above the 95th percentile for GA, the 4CV was abnormal, or both in all 8 cases with CHDs. Key words: congenital heart defects; first-trimester scan; 4-chamber view; nuchal translucency; ultrasonography in early gestation. irst-trimester screening, using nuchal translucency (NT), tricuspid regurgitation, and ductus venosus flow, has been shown to be associated with early detection of congenital heart defects (CHDs). 1,2 This, coupled with the improvement in the resolution of today's ultrasound machines, is leading to the advocacy of incorporating routine cardiac evaluation at the time of the first-trimester scan (FTS). [3][4][5][6][7] The value of prenatal detection of CHDs has been shown to improve the outcome of these neonates when they are delivered at tertiary care centers equipped for handling them. 8,9 In addition, first-and early second-trimester detection provides ample time for a full workup: karyotype as well as assessment by pediatric cardiology. If termination of pregnancy were an option, then the earlier the diagnosis, the less the risks to the mother because the risks increase with advancing gestation, bearing in mind the limitations on termination beyond a certain gestational age (GA) in various parts of the world. This is further intensified by the emotional and psychological

show abstract

“…It has been globally recognised that the frequent, routine use of ultrasound scanning does not improve the health of the mother or baby, nor change the behaviour of pregnant women and the quality of birth outcomes (Bricker, Neilson, & Dowswell, 2009;Ewigman et al, 1993). As such there is no evidence of benefit in providing all pregnant women with frequent and routine ultrasounds in terms of effect or cost (Neilson & Grant, 1989;Wagner, 2002).…”

Section: Attitudes To Ultrasoundmentioning

confidence: 99%

Experience of the New Zealand maternity care system by a group of Japanese women in one centre.

Doering¹,

Patterson²,

Griffiths³

2015

nzconjnl

View full text Add to dashboard Cite

Effect of Prenatal Ultrasound Screening on Perinatal Outcome

Cited by 140 publications

References 0 publications

Providing family-centred care for rare diseases in maternity services: Parent satisfaction and preferences when dysmelia is identified

Providing family-centred care for rare diseases in maternity services: Parent satisfaction and preferences when dysmelia is identified

Role of Ultrasonography in Early Gestation in the Diagnosis of Congenital Heart Defects

Experience of the New Zealand maternity care system by a group of Japanese women in one centre.

Contact Info

Product

Resources

About