Third trimester ultrasound. A long-standing debate

Soto, Álvaro López; Martínez, María Velasco; González, Jose Luis Meseguer; Pérez, Rocío López

doi:10.1016/j.tjog.2021.03.004

Cited by 5 publications

(2 citation statements)

References 16 publications

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“…Detecting fetal abnormalities in late pregnancy is indeed an important function that has not been studied in depth. Third trimester ultrasound could detect those abnormalities undiagnosed during the second trimester or those that only develop in the third trimester, like lissencephaly or achondroplasia (4). In middle and low-income countries, perinatal mortality is a major public health concern.…”

Section: Introductionmentioning

confidence: 99%

“…This is an open article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licences/bync/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited and neonatal outcomes of pregnancy and this prevention is based on a regular medical follow-up including clinical examination and paraclinic assessment (including ultrasound), mandatory or directed, mainly for growth troubles. While it is now evident that ultrasound monitoring plays an important role in the evolution of pregnancy, there are still questions about its impact on improving pregnancy management in the third trimester, moreover, on pregnancy outcomes, given its accessibility in our environments, in the light of the WHO guidelines regarding the third sustainable development goal (3)(4)(6)(7). The aim of this study is to highlight the importance of the third-Trimester ultrasound, and to consider prospects regarding its practice in the obstetrics in our environment, where inaccessibility and ignorance would not be the only pitfalls for its routine use.…”

Section: Introductionmentioning

confidence: 99%

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Interest and Perspectives of Ultrasound Surveillance of Pregnancy in the third trimester in Urban Areas: A case series from the Kinshasa University Hospital, The Democratic Republic of Congo

Lotoy,

Zinga,

Lotoy

et al. 2024

Ann. Afr. Med

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Contexte et objectif : Bien que l’échographie au 3e trimestre ait un intérêt incontestable dans la surveillance de la grossesse, elle n’est pas systématiquement réalisée en routine et les données y relatives sont peu documentées. L’objectif de la présente étude a été de décrire les découvertes échographiques et l’issue de la grossesse. Méthodes : Il s’agissait d’une série descriptive des gestantes qui avaient accouché aux Cliniques Universitaires de Kinshasa, ayant réalisé au moins une échographie au troisième trimestre. Les paramètres d’intérêt englobaient l’issue de la grossesse et les données néonatales. Résultats. Cent et cinq gestantes ont été enrôlées. Les découvertes échographiques au 3e trimestre comprenaient les présentations foetales vicieuses (12,3 %) et les insertions placentaires basses (8,7 %) ayant indiqué la césarienne respectivement dans 100 % et 55, 6 % des cas. 13,6 % des Manning étaient pathologiques et une indication d’une césarienne d’urgence a notée dans 2,3 % des cas. La croissance du diamètre abdominal transverse (DAT) a été la plus proche du poids de naissance avec eutrophie dans 72,4 %. La concordance du sexe vu à l’échographie à celui découvert à la naissance de 92, 7 %. La majorité des accouchements (55,2 %) ont eu lieu par césarienne, indiquée principalement pour souffrance foetale aiguë. Le poids moyen à terme était de 3128,9 g. Conclusion. La surveillance échographique de la grossesse au troisième trimestre trouve sa raison d’être dans l’évaluation de la croissance par la biométrie foetale, la localisation placentaire ainsi que la présentation foetale. Les divers anomalies et vices de position objectivés à l’issue de l’échographie du troisième trimestre ont été, le plus souvent, l’élément déterminant de la décision du mode d’accouchement. Context and objective : Although 3rd trimester ultrasound is of undeniable value in pregnancy monitoring, it is not routinely performed, and is poorly documented. The aim of the present study was to describe ultrasound findings and pregnancy outcome. Methods. This was a series of pregnant women who had given birth at the Kinshasa University Hospital, and who had undergone at least one ultrasound scan in the third trimester. Parameters of interest included pregnancy outcome and neonatal data. Results. One hundred and five pregnant women were enrolled. Sonographic findings in the 3rd trimester included vicious fetal presentations (12.3 %) and low placental insertions (8.7 %), which indicated caesarean section in 100 % and 55.6 % of cases, respectively. Mannings were pathological in 13.6 % of cases, and an indication for emergency caesarean section was noted in 2.3% of cases. The Transverse abdominal diameter (TAD) growth was closest to birth weight, with eutrophy in 72.4 %. The concordance between the sex seen on ultrasound and that discovered at birth was 92.7 %. The majority of deliveries (55.2 %) were by caesarean section, indicated mainly for acute fetal distress. The average weight at term was 3,128.9 g. Conclusion. Ultrasound monitoring of pregnancy in the third trimester is essential to assess growth through fetal biometry, placental localization and fetal presentation. The various anomalies and positional defects detected by the third-trimester ultrasound were often the determining factor in deciding on the mode of delivery.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%