Francesco Padula1, Ferdinando Antonio Gulino2, Stella Capriglione2, Maurizio Giorlandino2, Pietro Cignini2, Maria Luisa Mastrandrea2, Laura D'Emidio2, Claudio Giorlandino2. 1. Department of Prenatal Diagnosis, Altamedica, Fetal-Maternal Medical Center, Rome, Italy (F.P., M.G., P.C., M.L.M., L.D., C.G.); Division of Obstetrics and Gynecology, University of Catania, Santo Bambino Hospital, Catania, Italy (F.A.G.); and Department of Obstetrics and Gynecology, Campus Bio Medico, University of Rome, Rome, Italy (S.C.). frpadula@gmail.com. 2. Department of Prenatal Diagnosis, Altamedica, Fetal-Maternal Medical Center, Rome, Italy (F.P., M.G., P.C., M.L.M., L.D., C.G.); Division of Obstetrics and Gynecology, University of Catania, Santo Bambino Hospital, Catania, Italy (F.A.G.); and Department of Obstetrics and Gynecology, Campus Bio Medico, University of Rome, Rome, Italy (S.C.).
Abstract
OBJECTIVES: The purpose of this study was to estimate the rate of incomplete fetal anatomic surveys during a second-trimester scan due to an unfavorable fetal position in a nonobese population. METHODS: All pregnant women who came to the Altamedica Fetal-Maternal Medical Center, a specialized center for prenatal diagnosis, for a routine second-trimester scan between January 2012 and April 2013 were retrospectively included in the analysis. Patients with a body mass index higher than 30.0 kg/m(2) or anterior fibroids larger than 5 cm were not included in the study. RESULTS: Of 4000 pregnant women admitted for a second-trimester scan, 169 (4.2%) came back within 2 weeks to complete the examination because of an unfavorable fetal position. In particular, 104 (2.6%) needed visualization of only 1 view, and 65 (1.6%) needed more than 1 view. The most difficult organ to visualize was the corpus callosum, in 73 cases (1.8%); the face was not visualized in 69 cases (1.7%); the cerebellar vermis was not seen in 47 fetuses (1.1%); and the heart could not be completely examined in 40 fetuses (1.0%). Of the 4000 women, 169 (4.2%) had a nonexhaustive scan; 149 (3.7%) needed a second scan to complete the second-trimester survey; 14 (0.35%) needed a third scan; and 2 (0.05%) remained with a not completely exhaustive scan. CONCLUSIONS: There is always a small percentage of incomplete fetal anatomic surveys during a second-trimester scan, which cannot be modified by the sonographer's skill or by technical sonographic innovations.
OBJECTIVES: The purpose of this study was to estimate the rate of incomplete fetal anatomic surveys during a second-trimester scan due to an unfavorable fetal position in a nonobese population. METHODS: All pregnant women who came to the Altamedica Fetal-Maternal Medical Center, a specialized center for prenatal diagnosis, for a routine second-trimester scan between January 2012 and April 2013 were retrospectively included in the analysis. Patients with a body mass index higher than 30.0 kg/m(2) or anterior fibroids larger than 5 cm were not included in the study. RESULTS: Of 4000 pregnant women admitted for a second-trimester scan, 169 (4.2%) came back within 2 weeks to complete the examination because of an unfavorable fetal position. In particular, 104 (2.6%) needed visualization of only 1 view, and 65 (1.6%) needed more than 1 view. The most difficult organ to visualize was the corpus callosum, in 73 cases (1.8%); the face was not visualized in 69 cases (1.7%); the cerebellar vermis was not seen in 47 fetuses (1.1%); and the heart could not be completely examined in 40 fetuses (1.0%). Of the 4000 women, 169 (4.2%) had a nonexhaustive scan; 149 (3.7%) needed a second scan to complete the second-trimester survey; 14 (0.35%) needed a third scan; and 2 (0.05%) remained with a not completely exhaustive scan. CONCLUSIONS: There is always a small percentage of incomplete fetal anatomic surveys during a second-trimester scan, which cannot be modified by the sonographer's skill or by technical sonographic innovations.
Authors: F Padula; A S Laganà; S G Vitale; L Mangiafico; L D'Emidio; P Cignini; M Giorlandino; F A Gulino; S Capriglione; C Giorlandino Journal: Facts Views Vis Obgyn Date: 2016-03-28
Authors: Sam Ali; Rosemary Kusaba Byanyima; Sam Ononge; Jerry Ictho; Jean Nyamwiza; Emmanuel Lako Ernesto Loro; John Mukisa; Angella Musewa; Annet Nalutaaya; Ronald Ssenyonga; Ismael Kawooya; Benjamin Temper; Achilles Katamba; Joan Kalyango; Charles Karamagi Journal: BMC Pregnancy Childbirth Date: 2018-05-04 Impact factor: 3.007