Safety Indices during Fetal Echocardiography at the Time of First-Trimester Scan Are Machine Dependent

Nemescu, Dragoş; Berescu, Anca; Onofriescu, Mircea; Navolan, Dan; Rotariu, Cristian

doi:10.1371/journal.pone.0127570

Cited by 13 publications

(15 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The finding was low in comparison to the WHO standard which states every pregnant woman should have a birth plan [ 16 ]. However, it’s relatively higher than findings of studies conducted in some parts of Ethiopia- (Sidama Zone (17%) [ 10 ], Arsi Zone (16.5%) [ 11 ], and Wolita Zone (18.3%) [ 17 ]). But the result was nearly similar with that of South Wollo (24.1%) [ 18 ], Adigrat of Tigray Region (22%) [ 9 ], Basoliben in Amhara Region (26.9%) [ 19 ].…”

Section: Discussionmentioning

confidence: 78%

Birth preparedness complication readiness and determinants among pregnant women: a community-based survey from Ethiopia

Ananche¹,

Wodajo²

2020

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

Background Maternal death related to obstetric complications remains a great challenge in developing countries. Since these complications are not consistently predictable, it is important to plan different preventive approaches to overcome them when. As the information on birth preparedness, complication readiness, and predictors were limited in the study area, we conducted this study. Methods A Cross-sectional study involving 396 pregnant women was conducted from 1st April to 1st May 2018. Data were collected using a pre-tested structured questionnaire. Descriptive, binary and multiple logistic regression analyses were conducted in SPSS for windows version 20. P values < 0.05 were considered significant. Results Of 361 women interviewed (91% response rate), birth preparedness and complication readiness were present in 24.10% (87/361) of women. Maternal factors, age 18–19 (AOR = 0.18; 95% CI (0.04,0.94)), 20–34 (AOR = 0.40; 95% CI (0.20,0.78)), education, not able to read/write (AOR = 0.36;95% CI (0.15,0.85),read/write (AOR = 0.41;95% CI (0.19,0.89)), Muslim religion (AOR = 0.40; 95% CI (0.18,0.85)) income ETB, < 1000 (AOR = 0.21; 95% CI (0.07,0.67)),1000–2000, (AOR = 0.38; 95% CI (0.19,0.76)), and the mothers’ knowledge on key danger signs of postpartum (AOR = 0.48; 95% CI (0.26,0.90)) were independent predictors of birth preparedness and complication readiness. Conclusions Educational status, age, religion, family income, and knowledge of obstetric danger signs were significantly associated with birth preparedness and complication readiness. The Government and other health sector partners should work to improve women’s education, income, and focus on young age groups on pregnancy danger signs.

show abstract

Section: Discussionmentioning

confidence: 78%

Birth preparedness complication readiness and determinants among pregnant women: a community-based survey from Ethiopia

Ananche¹,

Wodajo²

2020

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

show abstract

“…Since recent studies showed that early pregnancy ultrasound evaluation is not dangerous to the embryo, there is no contraindication to perform early and first trimester ultrasound [3,4] as well as later in life [17]. Although it is expected that the majority of pregnant women had a first trimester ultrasound in our study only around 30% of them underwent this kind of examination.…”

Section: Accuracy Of Measurement Of Second Trimester Biochemical Markmentioning

confidence: 76%

“…The advantage of an integrated approach is that second trimester ultrasound evaluation allows the gathering of more fetal anatomical details compared to the first trimester ultrasound and these details could adjust the calculated risk [2]. Development of technology and of ultrasound machines in the last decade has reduced this gap and gives nowadays the possibility for an earlier fetal ultrasound evaluation [3,4]. The aim of the integrated screening test is to obtain fetal nuchal translucency (NT) and crown-rump length (CRL) values in the first trimester and to collect maternal serum in the second trimester.…”

mentioning

confidence: 99%

Is there a Need for Own Median Calculation in the Second Trimester Biochemical Markers Screening?

Navolan¹,

Nicolov²,

Vlădăreanu³

et al. 2017

Rev. Chim.

Self Cite

View full text Add to dashboard Cite

Screening of fetal aneuploidies in early pregnancy is a well-established method in the materno-fetal medicine. The aim of our study was to analyze if the medians recommended by the manufacturers are adequate to perform an accurate screening or if there is a need for own laboratory medians calculation in second trimester biochemical marker screening.Sera were collected between 14 wp and 22 wp from 3374 singleton pregnancies. We analyzed three second trimester biochemical markers (AFP, hCG and free Estriol) concentration in all pregnant women and in a subgroup of pregnant women in which gestational age was determined based on crown-rump length. Our results showed that for all biochemical markers the difference between the manufacturer and the own calculated median was lower than 10% excepting the hCG value in the group of pregnant women in which the gestational age was determined on basis of crown-rump-length. Our results show it is recommended to replace the values of the median for hCG measurement with the own laboratory calculated medians. This does not seem to be necessary in the case of AFP and free Estriol measurement.

show abstract

“…It is difficult to compare our results to previous publications since in previous studies the evaluation of operator adherence to safety recommendations in routine practice relied on saved still images [26,27] and short cine-loops [28]. One study used entire tape-recorder scans.…”

Section: Discussionmentioning

confidence: 99%

Safety Indices of Ultrasound: Adherence to Recommendations and Awareness During Routine Obstetric Ultrasound Scanning

et al. 2020

View full text Add to dashboard Cite

Purpose To analyze bioeffect safety indices and assess how often operators look at these indices during routine obstetric ultrasound. Materials and Methods Automated analysis of prospectively collected data including video recordings of full-length ultrasound scans coupled with operator eye tracking was performed. Using optical recognition, we extracted the Mechanical Index (MI), Thermal Index in soft tissue (TIs), and Thermal Index in bone (TIb) values and ultrasound mode. This allowed us to report the bioeffect safety indices during routine obstetric scans and assess adherence to professional organization recommendations. Eye-tracking analysis allowed us to assess how often operators look at the displayed bioeffect safety indices. Results A total of 637 ultrasound scans performed by 17 operators were included, of which 178, 216, and 243 scans were first, second, and third-trimester scans, respectively. During live scanning, the mean and range were 0.14 (0.1 to 3.0) for TIb, 0.2 (0.1 to 1.2) for TIs, and 0.9 (0.1 to 1.3) for MI. The mean and standard deviation of TIb were 0.15 ± 0.03, 0.23 ± 0.09, 0.32 ± 0.24 in the first, second, and third trimester, respectively. For B-mode, the highest TIb was 0.8 in all trimesters. The highest TIb was recorded for pulsed-wave Doppler mode in all trimesters. The recommended exposure times were maintained in all scans. Analysis of eye tracking suggested that operators looked at bioeffect safety indices in only 27 (4.2 %) of the scans. Conclusion In this study, recommended bioeffect indices were adhered to in all routine scans. However, eye tracking showed that operators rarely assessed safety indices during scanning.

show abstract

Safety Indices during Fetal Echocardiography at the Time of First-Trimester Scan Are Machine Dependent

Cited by 13 publications

References 16 publications

Birth preparedness complication readiness and determinants among pregnant women: a community-based survey from Ethiopia

Birth preparedness complication readiness and determinants among pregnant women: a community-based survey from Ethiopia

Is there a Need for Own Median Calculation in the Second Trimester Biochemical Markers Screening?

Safety Indices of Ultrasound: Adherence to Recommendations and Awareness During Routine Obstetric Ultrasound Scanning

Contact Info

Product

Resources

About