Foetal sex determination at the second trimester anomaly scan in Denmark.

Foetal sex determination at the second trimester anomaly scan in Denmark. Dan Med J. 2019 Dec;66(12): Authors: Størup G, Sørensen AN, Dalsgaard A, Grønkjær M Abstract INTRODUCTION: For decades, ultrasound has enabled determination of foetal sex. Foetal sex is medically indicated in sex-linked diseases, syndromes and multiple pregnancy, but genital malformations are rare. However, guidelines on standard views seem sparse and foetal sex determination is not considered mandatory. The aim of this study was to provide an initial overview on the practice of foetal sex determination in Denmark and the accuracy of the examinations at the second trimester anomaly scan at a regional and a university hospital. METHODS: Phone interviews from all 23 Danish foetal medicine departments concerning information, examination, registration, quality criteria and assessment of accuracy. The accuracy of foetal sex determination was assessed in 5,786 singleton pregnancies with live births at two departments by comparison of data from the second trimester anomaly scan (week 18 + 0 - 21 + 6) with the national Danish birth register. RESULTS: Second trimester foetal sex determination was not mandatory but conducted without guideline. Various approaches to information and documentation were used. Foetal sex was assessed in 86.7% of cases and the accuracy was 99.2% with no significant difference between the regional and the university hospital of the...
Source: Danish Medical Journal - Category: General Medicine Tags: Dan Med J Source Type: research

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ConclusionsThe results indicate that health professionals should be mindful of terminology, remember to point out what has been ruled out by the CNV result, and discuss potential coping strategies with the couple. Furthermore, these couples may have a higher need for ultrasound during pregnancy to help reduce worry. More research is needed on the families' long ‐term coping.
Source: Acta Obstetricia et Gynecologica Scandinavica - Category: OBGYN Authors: Tags: ORIGINAL RESEARCH ARTICLE Source Type: research
The objective of the present study is to compare the sonographic measurement of subcutaneous adipose thickness and visceral adipose thickness during 1st trimester screening for aneuploidies between non ‐diabetic pregnant women and patients who develop 1st trimester or 2nd trimester gestational diabetes mellitus (GDM).Material and methodsAdipose thickness was measured by transabdominal ultrasound imaging in pregnant women attending our clinic for screening for fetal aneuploidies between 11 and 13  weeks of gestation. During the 1st trimester all patients were evaluated for fasting glycemia in accordance with the Inte...
Source: Acta Obstetricia et Gynecologica Scandinavica - Category: OBGYN Authors: Tags: ORIGINAL RESEARCH ARTICLE Source Type: research
Conditions:   Knowledge;   Expectations;   Ultrasound Intervention:   Other: Questionnaire Sponsor:   Hospital Universitario Dr. Jose E. Gonzalez Completed
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
AbstractIntroductionLate gestation adverse pregnancy outcome is associated with reduced placental villous vascularity but rarely with a frankly abnormal umbilical artery Doppler waveform. The clinical utility of umbilical artery Doppler velocimetry in late gestation is limited by poor understanding of what aspect(s) of placental structure and function the impedance reflects. We hypothesized that placental arterial circulation impedance reflects placental vascularity and arterial function.Material and methodsThis was a secondary analysis of data from the FEMINA2 study, a study of pregnancy outcome after reduced fetal moveme...
Source: Acta Obstetricia et Gynecologica Scandinavica - Category: OBGYN Authors: Tags: ORIGINAL RESEARCH ARTICLE Source Type: research
AbstractLeft brachiocephalic vein, also known as innominate vein runs in upper mediastinum posterior to the  thymus and anterior to the transverse aortic arch and aortic branches. LBCV can be visualized on gray scale as well as color Doppler ultrasound at the level above the 3 vessel view. This is the first Indian study to demonstrate the significance of its routine visualization and its measurements on prenatal ultrasound. Isolated intrathymic LBCV is a normal variant and in isolation does not warrant an alteration in routine management of pregnancy. Absent LBCV or dilated LBCV are pathological and warrant a tho...
Source: Journal of Fetal Medicine - Category: Perinatology & Neonatology Source Type: research
ConclusionIn such cases, whenever the conventional imaging modalities like the X-rays such as intra oral peri-apical views and orthopantomograms are unavailable, or where use of ionizing radiation is a grave concern (especially in children and pregnant patients), ultrasonography offers a non-invasive diagnostic imaging method which helps in diagnosis of the condition and also helps in supplementing the clinical information, thereby helping in better understanding of the underlying condition.
Source: African Journal of Emergency Medicine - Category: Emergency Medicine Source Type: research
AbstractBackgroundThe 2016 World Health Organization Antenatal Guidelines and the 2015 South African Maternal and Child Health Guidelines recommend one early antenatal ultrasound scan to establish gestational age and to detect multiple pregnancies and fetal abnormalities. Prior research indicates that ultrasound scan can also increase parental –fetal attachment. We aim to establish whether, compared to routine care, messages to promote parental attachment and healthy child development, conducted during one or two pregnancy ultrasound scans, improve early child development and growth, exclusive breastfeeding, parental...
Source: Trials - Category: Research Source Type: clinical trials
The objective of the present study is to compare the sonographic measurement of subcutaneous adipose thickness and visceral adipose thickness during first trimester screening for aneuploidies between non ‐diabetic pregnant women and patients who develop first trimester or second trimester gestational diabetes mellitus (GDM).Material and methodsAdipose thickness was measured by the means of transabdominal ultrasound imaging in pregnant women attending our clinic for screening for fetal aneuploidies between 11 and 13 weeks. During the first trimester all patients were evaluated for fasting glycemia in accordance to the Int...
Source: Acta Obstetricia et Gynecologica Scandinavica - Category: OBGYN Authors: Tags: ORIGINAL RESEARCH ARTICLE Source Type: research
The optimal approach to diagnosing pulmonary embolism (PE) in pregnancy is uncertain. Two studies published in the last year (Righini and YEARS) have recommended using D-dimer as an initial screening tool. In the Righini protocol, this was followed by compression ultrasound (CUS), CT pulmonary angiography (CTPA) and ventilation-perfusion scan (V/Q) as needed. The aim of this study was to determine which strategy for diagnosis of PE is least costly in pregnant women presenting with clinically suspected PE and a low-intermediate probability revised Geneva score.
Source: American Journal of Obstetrics and Gynecology - Category: OBGYN Authors: Tags: Poster Session V Source Type: research
We present a case of fetal tricuspid valve dysplasia (TVD) and pulmonary atresia, diagnosed during a routine obstetric ultrasound scan. Serial fetal echocardiographic evaluations revealed progressively augmented prodigious thickening of the tricuspid valvular and subvalvular structures, which eventually extensively obliterated the right ventricle cavity. Thickened dysplastic valve displayed a “cotton-wool” appearance. Unusual configurations of three vessels in the three-vessel view were also observed on a consecutive gray scale and color Doppler scans. During pregnancy, the fetus exhibited satisfactory growth p...
Source: Indian Journal of Radiology and Imaging - Category: Radiology Authors: Source Type: research
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