Routine obstetrical ultrasound at 18-22 weeks: our experience on 7,236 fetuses

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dc.contributor.authorStefos, T.en
dc.contributor.authorPlachouras, N.en
dc.contributor.authorSotiriadis, A.en
dc.contributor.authorPapadimitriou, D.en
dc.contributor.authorAlmoussa, N.en
dc.contributor.authorNavrozoglou, I.en
dc.contributor.authorLolis, D.en
dc.date.accessioned2015-11-24T18:53:02Z
dc.date.available2015-11-24T18:53:02Z
dc.identifier.issn1057-0802-
dc.identifier.urihttps://olympias.lib.uoi.gr/jspui/handle/123456789/18482
dc.rightsDefault Licence-
dc.subjectCentral Nervous System/abnormalitiesen
dc.subjectCongenital Abnormalities/diagnosis/epidemiology/ultrasonographyen
dc.subjectDigestive System Abnormalitiesen
dc.subjectFemaleen
dc.subject*Gestational Ageen
dc.subjectHeart Defects, Congenital/epidemiology/ultrasonographyen
dc.subjectHumansen
dc.subjectLimb Deformities, Congenital/epidemiology/ultrasonographyen
dc.subjectMusculoskeletal Abnormalities/epidemiology/ultrasonographyen
dc.subjectPregnancyen
dc.subjectSensitivity and Specificityen
dc.subject*Ultrasonography, Prenatalen
dc.subjectUrinary Tract/abnormalitiesen
dc.titleRoutine obstetrical ultrasound at 18-22 weeks: our experience on 7,236 fetusesen
heal.abstractOBJECTIVE: This study aimed at examining the detection rate of congenital abnormalities by using routine ultrasonography at 18-22 weeks of gestation. METHODS: The sample included 7,236 fetuses. A detailed sonographic examination was performed in each fetus and a neonatal evaluation or pathology examination was made to confirm the prenatal findings. RESULTS: The total prevalence of fetal abnormalities in our sample was 2.24% (162/7,236). There were 29/162 (17.9%) fetuses with CNS abnormalities, 27/162 (16.7%) fetuses with gastrointestinal abnormalities, and 28/162 (17.3%) fetuses with urinary tract abnormalities. There were also 31/162 (19.1%) fetuses with cardiovascular abnormalities, 26/162 (16.0%) with malformation of the limbs and musculoskeletal system, and 21/162 (13%) fetuses with other various abnormalities. The overall sensitivity in detecting fetuses with congenital abnormalities was 80.25% (130/162). The sensitivity per system was 93.1% (27/29) for CNS, 45.2% (14/31) for cardiovascular system, 85.2% (23/27) for gastrointestinal system, 85.7% (24/28) for urinary system, 84.6% (22/26) for musculoskeletal system, and 95.2% (20/21) for the rest of the abnormalities detected. We performed 40 pregnancy terminations in the group of malformed fetuses. Among the fetuses considered as normal, 1.7% had chromosomal abnormalities. CONCLUSIONS: The results indicate that routine sonographic examination at 18-22 weeks of gestation can detect the majority of congenital abnormalities. More experience is needed for the examination of the cardiovascular system, where the sensitivity was particularly low (14/31 or 45.2%).en
heal.accesscampus-
heal.fullTextAvailabilityTRUE-
heal.identifier.primary10.1002/(SICI)1520-6661(199903/04)8:2<64::AID-MFM7>3.0.CO;2-D-
heal.identifier.secondaryhttp://www.ncbi.nlm.nih.gov/pubmed/10090494-
heal.identifier.secondaryhttp://onlinelibrary.wiley.com/store/10.1002/(SICI)1520-6661(199903/04)8:2<64::AID-MFM7>3.0.CO;2-D/asset/7_ftp.pdf?v=1&t=h0kwxhk0&s=bd5fc9da6c3eed2916512b8943000fab6855e663-
heal.journalNameJ Matern Fetal Meden
heal.journalTypepeer-reviewed-
heal.languageen-
heal.publicationDate1999-
heal.recordProviderΠανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικήςel
heal.typejournalArticle-
heal.type.elΆρθρο Περιοδικούel
heal.type.enJournal articleen

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