2017, Number 06
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Ginecol Obstet Mex 2017; 85 (06)
Quantitative and qualitative analysis of the ultrasound of the second and third trimester in Mexican pregnant women
Casillas-Barrera M, Yancor-Sandoval P, Morales-Morales MP, Rodríguez-Morales L, Farías-Barajas M
Language: Spanish
References: 30
Page: 339-346
PDF size: 297.54 Kb.
ABSTRACT
Objetive: To quantify the number of ultrasound scans during pregnancy and evaluate the quality of ultrasound in the second and third trimester of gestation in the low risk obstetric population in the metropolitan area.
Material and Methods: we conducted a prospective, observational and descriptive study in 199 women that arrived to the hospital for delivery without prenatal care in our unit, quantified the number of ultrasound scans performed during pregnancy, and evaluate the quality of the second and third trimester echographies with a check list based on international guidelines. The percentage of adherence was obtained and analyzed by the professional in health responsible of the study.
Results: The average scan per patient was 3.37, 80% had three or more. Analysis of ultrasound for the second trimester showed an average of 13.8 parameters evaluated with 43% of adherence to standards; in the ultrasounds of the third trimester, the evaluated parameters averaged 10 with a percentage of attachment of 66.7%. The largest number of studies was performed by sonographists.
Conclusions: The ultrasound is a tool accessible to the population of the metropolitan area; however, it should be emphasized in the quality of studies.
REFERENCES
American Institute of ultrasound in medicine. AIUM practice guideline for the performance of obstetric ultrasound examinations. J Ultrasound Med 2013; 32: 1083-1101.
Secretaría de Salud, Norma Oficial Mexicana NOM 007 SSA2 2016, Para la atención de la mujer durante el embarazo, parto y puerperio, y de la persona recién nacida. Diario Oficial de la Federación, abril 2016.
Salomon LJ, Alfirevic Z, Berghella V, et al. Practice guidelines for performance of the routine mind-trimester fetal ultrasound scan. Ultrasound Obstet Gynecol 2011 Jan; 37 (1):116-26.
Reséndiz-Rivera S, Rodríguez–Torres A, Quiroz-Pizar I, et al. Ultrasonido en el primer trimestre del embarazo.10 consideraciones básicas. Revista Médica del Instituto Mexicano del Seguro Social 2012 (50): 497-504.
American College of Obstetricians and Gynecologists. ACOG Practice Bulletin No 101: Ultrasonography in pregnancy. Obstet Gynecol 2009 Feb; 113, 451-61.
Cargil Y, Morin L, Bly S, et al. Content of a complete routine second trimester obstetrical ultrasound examination and report. J. Obstet Gynaecol Can. 2009 Mar, 31 (3):272-5.
Salomon LJ, Alfrevic Z, Bilardo CM, et al. ISOUG Practice Guidelines: Performances of first-trimester fetal ultrasound scan. Ultrasound Obstet Gynecol 2013; Feb 41(1):102-13.
Canadian Association of radiologists CAR. Standard for performing diagnostic obstetric ultrasound examinations. Sep 25, 2010.
ACR-ACOG-AIUM-SRU. Practice guideline for the performance of obstetrical ultrasound. Practice guideline 2013.
Leung KY, Poon CF, Teotico AR, et al. Recommendations on routine mid trimester anomaly scan. J. Obstet Gynaecol Res 2015 May; 41(5):653-61
Verotti C, Caforio E, Gramellini, et al. Ultrasound Screening in Second and Third trimester of Pregnancy: an update. Acta Biomed 2007;78:229-232.
Roberts T, Henderson J, Mugford M, et al. Antenatal ultrasound screening for fetal abnormalities: a systematic review of studies of cost effectiveness. BJOG 2002 Jan;109 (1):44-56.
Carrera J.M, Torrens M, Mortera C. et al. Routine prenatal ultrasound screening for abnormalities: 22 years’ experience. Ultrasound Obstet Gynecol 1995 Mar;5(3):174-9.
Makhlouf M, Saade G. Should second trimester ultrasound be routine for all pregnancies? Semin perinatal 2013 Oct;37(5):323-6.
Levi S. Mass Screening for Fetal malformations: The Eurofetus Study. Ultrasound Obstet Gynecol. 2003;22(6):551-8.
Fadda GM, Capobianco G, Balata A. Routine second trimester ultrasound screening for prenatal detection of fetal malformations in Sasari University Hospital, Italy. 23 years of experience in 42,256 pregnancies. Eur J Obstet Gynecol Reprod Biol. 2009 Jun; 144(2):110-4.
Rydberg C, Tunon K. Detection of fertile abnormalities by second trimester ultrasound screening in a non-selected population. Act Obstet Gynecol Scand 2017 Feb 96(2):176- 182.
Grandjean H, Larroqued D, Levi S. The performance of Routine Ultrasonographic Screening of Pregnancies in the Eurofetus Study. Am J Obstet Gynecol. 1999 Aug;181 (2):446-54.
Ewigman BG, Crane JP, Frigoletto FD, et al. Effect of Prenatal Ultrasound Screening on Perinatal Outcome. RADIUS study group. N Engla J Med. 1993;Sep 16;329: 821-827.
Chitty LS, Ultrasound screening for fetal abnormalities. Prenatal Diagn 1995 Dec;15(13): 1241-57.
Manegold G, Tercanli S, Struben H, Is a routine ultrasound in the third trimester justified? Additional fetal anomalies diagnosed after two previous unremarkable ultrasound examinations. Ultraschall Med 2011Aug; 32(4):381-6.
O´Keeffe D, Abuhamad A. Obstetric Ultrasound Utilization in the United States: Data from Various Health Plans. Seminars in Perinatology. 2013;37(5):292-294.
Abuhamad AZ, Benacerraf BR, Woletz P, et al. The accreditation of ultrasound practice: Impact on compliance with minimum performance guidelines. J. Ultrasound Med 2004; 23:1023-9.
Abramowicz JS, Benefits and risks of ultrasound in pregnancy. Seminars in perinatology 2013 Oct;37(5):295-300.
Smith R, Hosmer W, Caponigro, et al. The Variability in the Interpretation of Prenatal Diagnostic Ultrasound. Ultrasound Obstet Gynecol 2001 Apr;17(4):326-32.
Chitty LS, Hunt GH, Moore J, Effectiveness of routine ultrasonography in detecting fetal structural abnormalities in low risk population. BMJ 1991;303:1165-9.
Shirley IM, Bottomley F, Robinson VP, Routine radiographers screening for fetal abnormalities by ultrasound in an unselected low risk population. Br J Radiol 1992;65: 564-9.
Houston LE, Allsworth J, Macons GA. et al. Ultrasound is safe... right? Resident and maternal-fetal medicine fellow knowledge regarding obstetric ultrasound safety. J Ultrasound Med. 2011 Jan;30(1):21-7.
Skrastad RB, Eik-Nes SH, Sviggum O, et al. A randomized controlled trial of third trimester routine ultrasound in a non-selected population. Act Obstet Gynecol Scand 2013 Dec; 92(12):1353-60.
Bricker L, Neilson JP, Routine ultrasound in late pregnancy after 24 weeks gestation. Cochrane Date base Syst Rev 2008 Oct 8(4).