Effects of Routine One-Stage Ultrasound Screening in Pregnancy: A Randomised Controlled Trial

Waldenström, Ulla; Nilsson, Staffan; Fall, Ole; Axelssön, Ove; Eklund, Gunnar; Lindeberg, Solveig; Sjodin, Ylva

doi:10.1016/s0140-6736(88)90636-8

Cited by 172 publications

(93 citation statements)

References 13 publications

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“…18,30 It is the most accurate means of detecting retardation in fetal growth 31 and multiple gestations 32 and it is effective in detecting severe malformations.…”

Section: Resultsmentioning

confidence: 99%

“…Another meta-analysis 17 of four published studies [18][19][20][21] including 15,935 pregnancies also showed that screening with ultrasound did not significantly alter the rate of live birth (Table 1). Nevertheless there was a significantly lower perinatal mortality in the screened population mainly due to the increase of induced abortions of structurally abnormal fetuses.…”

Section: Introductionmentioning

confidence: 96%

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Ultrasound Screening in Low-risk Obstetrical Population: Effect on Perinatal Outcome

Theodora¹,

Antsaklis²

2008

Donald School Journal of Ultrasound in Obstetrics and Gynecology

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Abstract:The issue of routine sonography for low-risk pregnant women continues to be controversial since randomized trials have not been able to demonstrate a clear benefit especially in prenatal outcome in the past. Ultrasonography early in pregnancy can be definitely used for accurate gestational age determination and detection of multiple gestations. Additionally ultrasound scan is the best method for detecting fetal malformation as well as fetuses in high-risk for growth restriction. Since fetal chromosomal and structural anomalies, prematurity and poor placentation account for 90% of poor perinatal outcome, ultrasound could theoretically help in decreasing perinatal mortality and severe perinatal morbidity.

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“…18,30 It is the most accurate means of detecting retardation in fetal growth 31 and multiple gestations 32 and it is effective in detecting severe malformations.…”

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 96%

Ultrasound Screening in Low-risk Obstetrical Population: Effect on Perinatal Outcome

Theodora¹,

Antsaklis²

2008

Donald School Journal of Ultrasound in Obstetrics and Gynecology

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“…Research into the impact of 2DUS on pregnant women has indicated an increasing health awareness on the part of mothers, an ability to reduce anxiety associated with pregnancy, and an enhancement of the parental-fetal bond, all of which indicate positive changes in the attitudes of expecting parents. [8][9][10][11][12] In a study of 370 pregnant women who were asked for reasons for requesting prenatal ultrasonographic examinations in the absence of clinical indications, Gudex et al 15 reported that 60% of the women wanted it to …”

Section: Discussionmentioning

confidence: 99%

“…Early reports also suggested that 2-dimensional ultrasonography (2DUS) had an impact on parents. [8][9][10][11][12] Drawings have been used in other areas of medicine to assess child development. Stein 13,14 reported on the benefits of using drawings to survey development of children at a given moment in time as well as longitudinally.…”

mentioning

confidence: 99%

Parental Artistic Drawings of the Fetus Before and After 3-/4-Dimensional Ultrasonography

Pretorius

Hearon

Hollenbach³

et al. 2007

Journal of Ultrasound in Medicine

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Objective. The purpose of this study was to assess the impact of 3-/4-dimensional ultrasonography (3D/4DUS) on parental impressions of their fetus using preexamination and postexamination parental drawings. Methods. One hundred one parents (32 male and 69 female) were asked to draw pictures of their fetus immediately before and after undergoing 3D/4DUS. A drawing assessment instrument was used to evaluate the fetal anatomy by 4 reviewers. Overall descriptive quality and a comparison of before and after images were assessed. Results. Reviewers judged the drawings as significantly different in 23% to 56% of cases, slightly different in 41% to 64%, and having no significant difference in 2% to 22%; some difference was identified in at least 78%. Reviewers familiar with ultrasonography were able to correctly predict which picture was drawn first in 78%. Differences identified were related to extremity positioning, personalized uterine environment, and artistic nature. No significant difference in the overall total scoring for anatomic differentiation before and after 3D/4DUS was found. A trend in drawing less anatomic structures after 3D/4DUS was discovered. Significantly fewer people drew hair after 3D/4DUS (P < .01) even when they had drawn hair before the 3D/4DUS. Similar significant differences were seen for the lower extremities (P < .01), with less detail being presented after the 3D/4DUS. Conclusions. Differences were seen between drawings made before and after 3D/4DUS by parents. Drawings after 3D/4DUS emphasized structures seen during the 3D/4DUS examination and were more reality based, whereas drawings before 3D/4DUS were more iconographic and based on preconceived anatomic knowledge.

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“…Of the control group, only 68.2% never underwent an ultrasound during gestation. Mean Apgars were similar, and a slightly higher birth weight was noted in the screening group (42 g), although a difference was noted between spontaneous and nonspontaneous labor, as well as those who did and did not report smoking at their first visit (Waldenstrom et al, 1988). A total of 4691 women were randomized to ultrasound between 16 and 20 weeks, compared with 4619 women for followup only.…”

Section: Doppler French Study Groupmentioning

confidence: 96%

The safety of obstetrical ultrasound: a review

2009

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Ultrasound is a commonly employed imaging modality in obstetrics and is generally regarded as safe to the fetus. Current ultrasound technology, however, has significantly higher output potential than older machines used in most clinical studies, and the safety profile for the increasing use of Doppler, 3-dimensional (D) and 4-D ultrasound with modern machines is unknown. This article reviews the current status of ultrasound safety within obstetrics, including proposed mechanisms of harm, existing scientific and clinical evidence regarding those mechanisms, and considerations of safety for the clinical user.

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Effects of Routine One-Stage Ultrasound Screening in Pregnancy: A Randomised Controlled Trial

Cited by 172 publications

References 13 publications

Ultrasound Screening in Low-risk Obstetrical Population: Effect on Perinatal Outcome

Ultrasound Screening in Low-risk Obstetrical Population: Effect on Perinatal Outcome

Parental Artistic Drawings of the Fetus Before and After 3-/4-Dimensional Ultrasonography

The safety of obstetrical ultrasound: a review

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