D Ogunyemi1, S Buskye. 1. Morristown Memorial Hospital, New Jersey, USA.
Abstract
OBJECTIVE: To determine the accuracy of anomalies detection and to evaluate the role of maternal-fetal medicine (MFM) specialists. METHODS: This was a retrospective study of birth defects. Patients were divided into: 1) if ultrasound was reviewed by MFM specialists; 2) Others, if reviewed by other ultrasonologists. Fisher's exact test or Pearson's chi2 test were used for statistical analysis. RESULTS: Birth defects occurred in 204/6,877 (3%) neonates with 291 distinct birth defects. Prenatal diagnosis was possible in 181 (62%). In 16 (5.5%) late prenatal diagnosis was possible. MFM specialists correctly diagnosed 53/62 (85%) vs. 56/132 (42%) in Others (P < 0.001). Late diagnosis was possible in 12 cases of gastrointestinal anomalies, three of hydrocephaly and one of skeletal dysplasia; five were correctly diagnosed by MFM specialists and two by Others. CONCLUSIONS: Involvement of ultrasonologists with particular expertise in fetal scanning may improve accuracy of prenatal diagnosis. A repeat third trimester ultrasound may be useful in detecting late-evolving anomalies.
OBJECTIVE: To determine the accuracy of anomalies detection and to evaluate the role of maternal-fetal medicine (MFM) specialists. METHODS: This was a retrospective study of birth defects. Patients were divided into: 1) if ultrasound was reviewed by MFM specialists; 2) Others, if reviewed by other ultrasonologists. Fisher's exact test or Pearson's chi2 test were used for statistical analysis. RESULTS:Birth defects occurred in 204/6,877 (3%) neonates with 291 distinct birth defects. Prenatal diagnosis was possible in 181 (62%). In 16 (5.5%) late prenatal diagnosis was possible. MFM specialists correctly diagnosed 53/62 (85%) vs. 56/132 (42%) in Others (P < 0.001). Late diagnosis was possible in 12 cases of gastrointestinal anomalies, three of hydrocephaly and one of skeletal dysplasia; five were correctly diagnosed by MFM specialists and two by Others. CONCLUSIONS: Involvement of ultrasonologists with particular expertise in fetal scanning may improve accuracy of prenatal diagnosis. A repeat third trimester ultrasound may be useful in detecting late-evolving anomalies.
Authors: Melissa G Rosenstein; Jema K Turk; Aaron B Caughey; Jody E Steinauer; Jennifer L Kerns Journal: Am J Obstet Gynecol Date: 2014-02-01 Impact factor: 8.661
Authors: Albert M Isaacs; Jay Riva-Cambrin; Daniel Yavin; Aaron Hockley; Tamara M Pringsheim; Nathalie Jette; Brendan Cord Lethebe; Mark Lowerison; Jarred Dronyk; Mark G Hamilton Journal: PLoS One Date: 2018-10-01 Impact factor: 3.240