The Role of First Trimester Ultrasonography in Antenatal Care: A Study from a Single Perinatal Institute in India

AbstractThe aim of this study was to assess the role of  ultrasound in first the trimester of pregnancy for confirmation of pregnancy, number of fetuses, chorionicity, amnionicity if multiples, viability, assessment of gestational age, identification of structural anomalies and assessment of risk for chromosomal abnormalities. This was a prospective o bservational study. All pregnant women registered within 13+6 weeks were  offered a routine scan between 11+0 and 13+6 weeks. All scans were  done by obstetricians, fetal medicine specialists or radiologists are accredited by the Fetal Medicine Foundation. All pregnant women undergoing 11+0 and 13+6 weeks scan were included. Women beyond 14  weeks of pregnancy and referrals from the other centres not delivered at our institute were excluded from the study. A total of 5923 scans were done between January 2016 and June 2017. Complete follow up was available for 2927 women (49.4%), 1925 (32.5%) are ongoing pregnancies and 1071 (18.0 8%) pregnant women were lost to follow up. The median maternal age in our study was 28 years and 349 (5.89%) mothers had advanced (>  35 years) maternal age. Increased nuchal translucency (NT) (>  95th percentile) was found in 272 cases (4.59%). Intra-uterine fetal death, miscarriages, termination of pregnancy and cardiac abnormalities were higher among women with an NT >  95th percentile. Statistical analysis included calculation ofp values  and odd’s ratio. Skull ...
Source: Journal of Fetal Medicine - Category: Perinatology & Neonatology Source Type: research