Ultrasound screening for fetal anomalies in Southern Sweden: a population‐based study

Nikkilä, Annamari; Rydhstroem, Håkan; Källén, Bëngt; Jörgensen, Connie

doi:10.1080/00016340600676474

Cited by 26 publications

(27 citation statements)

References 14 publications

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“…This shows that patients' anxiety does not necessarily increase with the patients waiting time which contradicts the work of Nikil et al, [9] that prolonged delay and waiting time give patients free scopes of imagination in turn lead to unnecessary increase in anxiety.…”

Section: Pre-procedural Anxiety Levelscontrasting

confidence: 53%

Anxiety Level Among Patients Undergoing Ultrasound Examination in Ghana

Antwi¹

2015

IJMI

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Abstract:Background: Anxiety is a feeling of tension associated with a sense of threat of danger when the source is unknown. Anxiety disorders are often associated with common age related medical and chronic conditions such asthma, thyroid disease, coronary artery disease, dementia and sensory loss. Most diagnostic medical imaging has been seen to be associated with some level of anxiety. Aim: The aim was to investigate and compare the anxiety levels of women undergoing ultrasound examination. Methods: A quantitative method with descriptive design was used for the study using closed-ended and few open-ended questionnaires with 100 participants. Data collected were analyzed using the Statistical and Packages for Social Sciences Version 20.0 and Microsoft excel. Result: The result showed that there was no difference between the pre and post procedural anxiety in the patient and one of the major causes of anxiety was lack pre-procedural information and fear of the outcomes of the examination being done. Conclusion: It was concluded that the patients feel anxious before and after an ultrasound examination.

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Section: Pre-procedural Anxiety Levelscontrasting

confidence: 53%

Anxiety Level Among Patients Undergoing Ultrasound Examination in Ghana

Antwi¹

2015

IJMI

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“…However,arecent study from ap art of Southern Sweden showed a5 3% detection rate for CDH with prenatal ultrasound, where14% of the pregnancies wereterminated (16). Therefore, the rate of abortion for CDH seems not to be as high in South of Sweden as in Iceland.…”

Section: Discussionmentioning

confidence: 99%

“…Congenital diaphragmatic hernia (CDH) is ararebut serious anomaly occurring in 1ofevery 2000 to 4000 CHD aredetected beforebirth (2,5,9,12,(14)(15)(16). This has resulted in termination of pregnancy in some cases (1, 16), reaching 33% in ar ecent populationbased study from Western Australia (1).…”

Section: Introductionmentioning

confidence: 99%

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Congenital Diaphragmatic Hernia: Improved Surgical Results Should Influence Abortion Decision Making

Guðbjartsson

Gunnarsdottir²,

Topan

et al. 2008

Scand J Surg

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Results: in iceland, 19 out of 23 children with Cdhw ere diagnosed <24h ours from delivery,o ne with associated anomalies. eight fetuses were diagnosed prenatally and seven of them aborted, three having isolated Cdhatautopsy.iniceland, 15 of 18 children operated on survived surgery (83% operative survival). in lund 28 children were treated with surgery,23ofthem diagnosed early after birth or prenatally.four children did not survive surgery (86% operative survival) and 9(31%) had associated anomalies. all the discharged children treated in iceland and lund are alive, 3-22 years postoperatively.Conclusion: Cdh is as erious anomaly where morbidity and mortality is directly related to other associated anomalies and pulmonary hypoplasia. however,m ajority of Cdh patients do not have other associated anomalies. in spite of improved surgical results (operative mortality <20%), al arge proportion of pregnancies complicated with Cdh are terminated. We conclude that the improved survival rate after corrective surgery must be emphasized when giving information to parents regarding abortion of fetuses with aprenatally diagnosed Cdh.

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“…Approximately 20% of gestations with malformed fetuses progress to spontaneous miscarriage, and the remaining 80% will result in stillbirths or live births and, out of the latter, 3% to 5% will result in neonates with congenital anomalies (2,3) . In Brazil, such malformations represent the second cause of infant mortality, determining 11.2% of such deaths (4) .…”

Section: Introductionmentioning

confidence: 99%

Malformações do sistema nervoso central e malformações associadas diagnosticadas pela ultrassonografia obstétrica

et al. 2012

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Objective: To identify and evaluate the prevalence of congenital central nervous system (CNS) malformations and associated defects diagnosed by obstetric ultrasonography. Materials and Methods: Observational, descriptive, crosssectional study developed in an institution of reference for high-risk pregnancies. Results: Congenital CNS malformations without other associated defects were present in 65.78% of cases, as follows: hydrocephalus (37.5%), myelomeningocele (15%), encephalocele (12.5%), corpus callosum agenesis (12.5%), anencephaly (12.5%), holoprosencephaly (7.5%), Dandy-Walker (7.5%), Arnold-Chiari (5.0%), hydranencephaly (5.0%), meningocele (5.0%), arachnoid cyst (2.5%). Congenital malformations of other systems were associated with such malformations, as follows: craniofacial (73.9%), orthopedic (65.2%), cardiovascular (34.8%), genitourinary (30.4%), gastrointestinal (30.4%), respiratory (8.7%), syndromic (8.7%), ophthalmologic (4.3%). The sonographic sensitivity in the study of CNS malformations was 79.4%. The rate of false-negative results was 20.5%. Oligohydramnios, present in 25% of false-negative studies, stands out among the quantifiable limitations. Conclusion: Obstetric ultrasonography presents good sensitivity in the screening for fetal CNS malformations, specially with the constant improvement and control of specialized methods such as Doppler and volumetric ultrasonography (3D/4D), contributing to consolidate its role as a modality of choice in this routine. Magnetic resonance imaging may play a supplementary role, providing information for an even better perinatal care. Keywords: Congenital malformations; Central nervous system malformations; Associated malformations; Ultrasonography.Objetivo: Identificar a prevalência de malformações congênitas do sistema nervoso central (SNC) e malformações associadas diagnosticadas pela ultrassonografia obstétrica. Materiais e Métodos: Estudo observacional, transversal, descritivo, em instituição de referência para gestações de alto risco. Resultados: Malformações congênitas do SNC estiveram presentes sem outras malformações associadas em 65,78%, com a distribuição: hidrocefalia (37,5%), mielomeningocele (15%), encefalocele (12,5%), agenesia de corpo caloso (12,5%), anencefalia (12,5%), holoprosencefalia (7,5%), Dandy-Walker (7,5%), Arnold-Chiari (5,0%), hidranencefalia (5,0%), meningocele (5,0%), cisto aracnoideo (2,5%). Malformações congênitas de outros sistemas estiveram associadas às do SNC: craniofacial (73,9%), ortopédica (65,2%), cardiovascular (34,8%), geniturinária (30,4%), gastrintestinal (30,4%), respiratória (8,7%), sindrômica (8,7), oftalmoló-gica (4,3%). A sensibilidade ultrassonográfica no estudo de malformações fetais do SNC foi 79,4%. A taxa de falso-negativos foi 20,5%. Dentre as limitações quantificáveis destaca-se o oligodrâmnio, presente em 25% dos falso-negativos. Conclusão: A ultrassonografia obstétrica possui boa sensibilidade no rastreio de malformações fetais do SNC, em especial com o aperfeiçoamento constante e domínio na utiliz...

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Ultrasound screening for fetal anomalies in Southern Sweden: a population‐based study

Abstract: Ultrasound screening of fetal malformations in our population has a low false positive rate and even though the overall sensitivity is low, 28.4%, the detection rate for many common structural malformations is relatively good.

Cited by 26 publications

References 14 publications

Anxiety Level Among Patients Undergoing Ultrasound Examination in Ghana

Anxiety Level Among Patients Undergoing Ultrasound Examination in Ghana

Congenital Diaphragmatic Hernia: Improved Surgical Results Should Influence Abortion Decision Making

Malformações do sistema nervoso central e malformações associadas diagnosticadas pela ultrassonografia obstétrica

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