Practice guidelines of the Polish Society of Gynecologists and Obstetricians - Ultrasound Section for ultrasound screening in uncomplicated pregnancy - 2020

Borowski, Dariusz; Pietryga, Marek; Basta, Paweł; Cnota, Wojciech; Czuba, Bartosz; Dubiel, Mariusz; Fuchs, Tomasz; Huras, Hubert; Iciek, Rafał; Jaczyńska, Renata; Kaczmarek, Piotr; Kosiński, Przemysław; Kwiatkowski, Sebastian; Nocun, A.; Pomorski, Michał; Ropcka-Lesiak, Mariola; Rybak-Krzyszkowska, Magda; Sieroszewski, Piotr; Węgrzyn, Piotr; Wiechec, M.; Wielgoś, Mirosław; Zimmer, Mariusz

doi:10.5603/gp.2020.0110

Cited by 18 publications

(20 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A detailed examination of the fetal skeletal system is not part of a routine US exam during pregnancy in low-risk patients, according to US guidelines [10, 11]. However, if any skeletal abnormalities are seen, a detailed skeletal survey must be performed, as was done in our case after the finding of spine abnormalities at 20 weeks.…”

Section: Discussionmentioning

confidence: 99%

Prenatal and Neonatal Ultrasound and Magnetic Resonance Imaging Diagnosis of Sprengel’s Deformity with Unusual Associations

Jaczyńska¹,

Bekiesińska‐Figatowska²,

Sobieraj³

et al. 2023

Fetal Diagn Ther

View full text Add to dashboard Cite

Introduction: Sprengel’s deformity is a rare congenital anomaly of the shoulder rim. It is the most common congenital anomaly of the shoulder, associated with cosmetic deformity and abnormal shoulder function. Nonsurgical management can be considered for mild cases. Surgical intervention is indicated in moderate to severe cases with the goal of improving cosmetic appearance and function. The best surgical results are obtained in children aged 3–8 years. Correct diagnosis is very important because Sprengel’s deformity can be accompanied by additional abnormalities, even in mild cases, and lack of a diagnosis delays proper treatment of the child. The severity of the defect may progress, so it is important to correctly identify children with Sprengel’s deformity, even those with a mild form of the defect. Case Presentation: We report a case of prenatal sonographic diagnosis of Sprengel’s deformity with additional features, as yet undescribed and missed – although visible – on prenatal magnetic resonance imaging (MRI). Cesarean delivery was performed due to preterm rupture of membranes, and a postnatal MRI confirmed the unusual constellation of Sprengel’s anomaly with lateral meningocele, vestigial posterior meningocele, and lipoma tethering of the cord to the dural sac at the cervical-thoracic junction. Conclusion: Diagnosis of Sprengel’s deformity is possible with prenatal ultrasound. Asymmetry of the cervical spine, discontinuity of the vertebral arch and abnormal vertebral bodies, as well as the asymmetric position of the shoulder blades with the presence of an omovertebral bone are signs that can help diagnose the defect.

show abstract

Section: Discussionmentioning

confidence: 99%

Prenatal and Neonatal Ultrasound and Magnetic Resonance Imaging Diagnosis of Sprengel’s Deformity with Unusual Associations

Jaczyńska¹,

Bekiesińska‐Figatowska²,

Sobieraj³

et al. 2023

Fetal Diagn Ther

View full text Add to dashboard Cite

show abstract

“…In the Polish health care system, prenatal ultrasound is usually performed four times during pregnancy: before 10 (to confirm the pregnancy), between 11-13 (1 trimester with nuchal translucency measurement), between 18-22 (anomaly scan), and 28-32 weeks of fetal life (fetal growth assessment) [11].This provides the opportunity for early detection of many changes, including hamartomas of the lymphatic vessels called lymphangiomas [12,13]. In our unit, which is a referral center for fetal malformations, we recognized 32 cases of lymphangioma among 19,836 fetuses from high-risk pregnancies examined in the tertiary center for fetal malformations between the years of 1999-2020.…”

Section: Discussionmentioning

confidence: 99%

The Value of Fetal Heart Evaluation in Fetuses with Rare Congenital Lymphangiomas: A Cohort Study from a Single Tertiary Center across Two Decades (Years 1999–2020)

Kordjalik

Szmyd

Karuga

et al. 2022

JCM

View full text Add to dashboard Cite

Lymphangiomas are uncommon, benign (from a histopathology viewpoint) malformations of the lymphatic system with thin-walled vessels; however, these tumors may be dangerous for fetal or neonatal life. They are observed in 1:6000 newborns at birth and in 1:750 spontaneous abortions. We aimed to investigate the role of fetal echocardiography in the prognosis of lymphangioma. Selected data of 19,836 pregnant women studied between 1999 and 2020 were retrospectively analyzed. In total, 32 cases of lymphangioma meeting the following criteria were further analyzed: (1) ultrasound availability from the 1st trimester of pregnancy and (2) nuchal translucency ≤ 2.5 mm. Echocardiographic findings, karyotype, size, and location of the possible lesion were juxtaposed with the clinical follow-up. The statistical analysis was performed using Statistica 13.1 software (StatSoft, Tulsa, OK, USA). Lymphangioma in the analyzed material coexisted with abnormalities in fetal echo in 78% (n = 25) of cases, especially: heart defect in 50% (n = 16) and with normal heart structure with functional changes in 28% (n = 9). Karyotype was available in 50% of the analyzed cases (n = 16). Normal cytogenetic results were observed in 62.5% (n = 10) of cases. In the remaining cases, the following were observed: Turner Syndrome: 25% (n = 4) and Down Syndrome 12.5% (n = 2). The rate of alive newborns was significantly higher among fetuses with isolated lymphangioma in comparison to those with lymphangioma associated with abnormal ECHO examination: 38.46% (n = 5) vs. 15.38% (n = 2; p = 0.037). Abnormal ECHO exam was a poor prognostic sign for fetuses with lymphangioma; therefore, we think it is important to refer these cases for detailed echocardiography in tertiary centers. Moreover, it should be highlighted that in all lymphangioma cases there was an indication to perform the karyotype assessment, as there was a high risk of aneuploidy.

show abstract

“…According to the standards and protocols of the Polish Society of Gynecologists and Obstetricians, the ultrasound assessment should be performed on the 11 th -14 th , 18 th -22 th , 28 th -32 nd and 40 th (with CTG) weeks of pregnancy additionally the risk of growth restrictions should be assessed in each adolescent patient at the beginning of pregnancy and at each visit. [50][51][52].…”

Section: Ultrasound For Fetal Anomalies and Complicationsmentioning

confidence: 99%

The Polish Society of Gynecologists and Obstetricians’ Expert Group Recommendations regarding adolescent pregnancy

et al. 2023

View full text Add to dashboard Cite

The recommendations present current methods of treatment that may be subject to modification and change in justified cases, after careful analysis of the given clinical situation. In the future, this may be the basis for their modification and updating. EPIDEMIOLOGYMost teenage pregnancies are related to unprotected intercourse and early sexual initiation. It is a global problem, 259 Agnieszka Drosdzol-Cop et al., The PTGiP's Expert Group Recommendations regarding adolescent pregnancy www. journals.viamedica.pl/ginekologia_polskawith nearly 16 million teenage girls aged 15-19 and two million girls under 15 becoming pregnant each year. According to the United Nations Children's Fund (UNICEF) data for highly developed countries, the country with the lowest percentage of births per 1,000 pregnant women under 20 is South Korea -2.9, and the highest in the USA -52.1. For Poland the indicator is 18.7 [2][3][4]. It should be remembered that adolescent pregnancy is associated with more complications and risk of maternal and child death. Based on the available data, it is the leading cause of death for adolescents aged 15-19 years in the world [5][6][7]. Increased mortality is also associated with poorly performed abortions that led to permanent damage to health, complications or outright death, it is reported that 5.6 million abortions are performed annually on girls aged 15-19, of which 3.9 million are improperly performed [1][2][3]7].The young age of the mother leads to an increased risk of systemic infection, eclampsia, puerperal endometritis, premature birth and is also associated with low birth weight and severe neonatal morbidity [5].It is worth noticing that according to a World Health Organization (WHO) report, in Scandinavian countries where access to contraception and abortion is very easy, it is reflected in the rate of underage pregnancies, which is much lower compared to other countries [1].General Statistics of Poland (GUS, Główny Urząd Statystyczny) data for 2020, state that in Poland mothers aged 19 and under gave birth to 7118 children. This compares to 11,230 in 2016 for the same age group. Year on year, we are seeing a downward trend in our country [6].

show abstract

Practice guidelines of the Polish Society of Gynecologists and Obstetricians - Ultrasound Section for ultrasound screening in uncomplicated pregnancy - 2020

Abstract: The ultrasound examination during this period of pregnancy should be performed with a transvaginal transducer. This

Cited by 18 publications

References 30 publications

Prenatal and Neonatal Ultrasound and Magnetic Resonance Imaging Diagnosis of Sprengel’s Deformity with Unusual Associations

Prenatal and Neonatal Ultrasound and Magnetic Resonance Imaging Diagnosis of Sprengel’s Deformity with Unusual Associations

The Value of Fetal Heart Evaluation in Fetuses with Rare Congenital Lymphangiomas: A Cohort Study from a Single Tertiary Center across Two Decades (Years 1999–2020)

The Polish Society of Gynecologists and Obstetricians’ Expert Group Recommendations regarding adolescent pregnancy

Contact Info

Product

Resources

About