Compared with the control group, a higher PI and a higher incidence of FVW of the A and B types--and thus a higher uterine artery impedance--were found among women with recurrent pregnancy loss.
Cerebral fissures can be measured by 3D sonography at 22 to 33 weeks of pregnancy with acceptable reliability and concordance. Reference ranges for this gestational period have thus been described.
Objective To evaluate the intra-and interobserver reliability of assessment of three-dimensional power
Intra-and interobserver reliability was assessed by intraclass correlation coefficients (ICC).Results Ninety-five pregnancies were included in the analysis. All three placental 3D-PD indices showed only weak to moderate reliability (ICC < 0.66 and ICC < 0.48, respectively
Aim: To determine the applicability of pocket ultrasound as a complementary method for clinical evaluation during the first trimester of pregnancy. Material and methods: A prospective cross-sectional study was conducted with 86 pregnant women attended in an emergency. The same operator performed the first examination with pocket device Vscan (General Electric, Vingmed Ultrasound, Horten, Norway) and then repeated the exam using a traditional handset high resolution Voluson 730 Expert (General Electric Healthcare Ultrasound, Milwaukee, WI, USA). Data were recorded with individual diagnoses by means of yes/no binary as the visualization of variables: gestational sac, embryo, embryo heartbeat, topical or ectopic pregnancy. Concordance was calculated using the kappa coefficient with its respective 95% confidential intervals (CI). Results: There was no disagreement between the methods when compared the pocket and conventional ultrasounds. The best comparative result between the devices was as the visualization of the embryo heartbeat with kappa coefficient of 0.84 (95% CI 0.76 to 0.89). However, the pocket ultrasound had a low correlation for diagnosis of ectopic pregnancy, with kappa coefficient of −0.02 (95% CI −0.23 to 0.19). The smaller structure visualized and studied using the pocket ultrasound was an embryo of 3.4 mm. Conclusions: The method of pocket ultrasound has the potential to become a complementary and easy access for diagnostic tool in obstetric patients during the first trimester. However, in ectopic pregnancy cases the diagnosis should be realized by conventional ultrasound.
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