Impact of ultrasound speed choice on the quality of the second-trimester fetal ultrasound examination in obese women

Abstract Background In recent years it has become clear that fetal anomalies can already be detected at the end of the first trimester of pregnancy by two-dimensional (2D) ultrasound. This is why increasingly in developed countries the first trimester anomaly scan is being offered as part of standard care. We have developed a Virtual Reality (VR) approach to improve the diagnostic abilities of 2D ultrasound. Three-dimensional (3D) ultrasound datasets are used in VR assessment, enabling real depth perception and unique interaction. The aim of this study is to investigate whether first trimester 3D VR ultrasound is of additional value in terms of diagnostic accuracy for the detection of fetal anomalies. Health-related quality of life, cost-effectiveness and also the perspective of both patient and ultrasonographer on the 3D VR modality will be studied. Methods Women in the first trimester of a high risk pregnancy for a fetus with a congenital anomaly are eligible for inclusion. This is a randomized controlled trial with two intervention arms. The control group receives ‘care as usual’: a second trimester 2D advanced ultrasound examination. The intervention group will undergo an additional first trimester 2D and 3D VR ultrasound examination. Following each examination participants will fill in validated questionnaires evaluating their quality of life and healthcare related expenses. Participants’ and ultrasonographers’ perspectives on the 3D VR ultrasound will be surveyed. The primary outcome will be the detection of fetal anomalies. The additional first trimester 3D VR ultrasound examination will be compared to ‘care as usual’. Neonatal or histopathological examinations are considered the gold standard for the detection of congenital anomalies. To reach statistical significance and 80% power with a detection rate of 65% for second trimester ultrasound examination and 70% for the combined detection of first trimester 3D VR and second trimester ultrasound examination, a sample size of 2800 participants is needed. Discussion First trimester 3D VR detection of fetal anomalies may improve patients’ quality of life through reassurance or earlier identification of malformations. Results of this study will provide policymakers and healthcare professionals with the highest level of evidence for cost-effectiveness of first trimester ultrasound using a 3D VR approach. Trial registration Dutch Trial Registration number NTR6309, date of registration 26 January 2017.

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F93Feasibility of the second trimester fetal ultrasound examination in an unselected population at 18, 20 or 22 weeks of pregnancy: a randomized trial

Ultrasound in Obstetrics and Gynecology ◽

10.1046/j.1469-0705.2000.00015-1-92.x ◽

2000 ◽

Vol 16 ◽

pp. 57-57

Author(s):

P. Schwärzler ◽

Y. Ville

Keyword(s):

Randomized Trial ◽

Ultrasound Examination ◽

Second Trimester ◽

Fetal Ultrasound ◽

Unselected Population

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Quality of consumer-oriented websites containing information about the second trimester ultrasound examination during pregnancy

BMC Pregnancy and Childbirth ◽

10.1186/s12884-020-02897-w ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Susanne Georgsson ◽

Tommy Carlsson

Keyword(s):

Ultrasound Examination ◽

Poor Quality ◽

Second Trimester ◽

National Guidelines ◽

The Public ◽

Related Information ◽

Clinical Challenge ◽

The Mean ◽

Online Sources

Abstract Background Providing information about prenatal tests is a clinical challenge and the public frequently accesses the Web to read pregnancy-related information. The overarching aim of this study was to investigate the quality of consumer-oriented websites addressing obstetric ultrasound examination in the second trimester of pregnancy. Methods Swedish websites were identified with Google, using 20 search strings and screening 400 hits (n = 71 included websites). Reliability and information about the examination were assessed with the DISCERN instrument, completeness was assessed according to national guidelines, and readability analyzed with the Readability Index. Popularity was determined with the ALEXA tool and search rank was determined according to Google hit lists. Results The mean total DISCERN score was 29.7/80 (SD 11.4), with > 50% having low quality for 15 of the 16 questions. The mean completeness score was 6.8/24 (SD 4.5). The Readability Index ranged between 22 and 63, with a mean of 42.7 (SD 6.8), indicating difficult readability. Weak and non-significant correlations were observed between ALEXA/search rank and the investigated quality variables, except for search rank and reliability. Conclusions The quality of consumer-oriented websites addressing the second trimester ultrasound examination is low. Health professionals need to discuss this with expectant parents considering undergoing the examination. There is a need for efforts that aim to improve the poor quality of online sources in the field of prenatal examinations.

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Feasibility of the second-trimester fetal ultrasound examination in an unselected population at 18, 20 or 22 weeks of pregnancy: a randomized trial

Ultrasound in Obstetrics and Gynecology ◽

10.1046/j.1469-0705.1999.14020092.x ◽

1999 ◽

Vol 14 (2) ◽

pp. 92-97 ◽

Cited By ~ 45

Author(s):

P. Schwärzler ◽

M.-V. Senat ◽

D. Holden ◽

J. P. Bernard ◽

T. Masroor ◽

...

Keyword(s):

Randomized Trial ◽

Ultrasound Examination ◽

Second Trimester ◽

Fetal Ultrasound ◽

Unselected Population

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Screening for Down syndrome using first-trimester combined screening followed by second-trimester ultrasound examination in an unselected population

Yearbook of Obstetrics Gynecology and Women s Health ◽

10.1016/s1090-798x(08)70046-8 ◽

2007 ◽

Vol 2007 ◽

pp. 59-61

Author(s):

L.P. Shulman

Keyword(s):

Down Syndrome ◽

Ultrasound Examination ◽

First Trimester ◽

Second Trimester ◽

Unselected Population

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The case of prenatal ultrasound diagnosis of fibular hemimelia, type I associated with oligodactyly of the foot in the second trimester of gestation

10.21516/2413-1458-2020-19-1-68-72 ◽

2020 ◽

Author(s):

I.N. Daminov

Keyword(s):

Ultrasound Examination ◽

Lower Extremities ◽

Lower Leg ◽

Prenatal Ultrasound ◽

Ultrasound Diagnosis ◽

Type I ◽

Second Trimester ◽

Prenatal Counseling ◽

External Examination ◽

Fibular Hemimelia

A case of prenatal ultrasound diagnosis of fibular hemimelia, type I associated with oligodactyly of the foot at 22 weeks of gestation is presented. Ultrasound examination at 22 weeks of gestation revealed hypoplasia of the left fibula and the foot oligodactyly. After prenatal counseling, the patient opted for termination of pregnancy. During external examination of the abortus asymmetry of the lower extremities due to shortening of the left lower leg and oligodactyly of the left foot were noted, those confirmed prenatal ultrasound data.

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The prevalence of urinary incontinence in obese women and its effect on quality of life

Health Care For Women International ◽

10.1080/07399332.2021.1958329 ◽

2021 ◽

pp. 1-12

Author(s):

Zehra Can ◽

Sevil Şahin

Keyword(s):

Quality Of Life ◽

Urinary Incontinence ◽

Obese Women

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Quality of life in obesity at perimenopausal age in obese women and women with proper body mass index

Health Problems of Civilization ◽

10.5114/hpc.2018.76515 ◽

2018 ◽

Vol 12 (3) ◽

pp. 151-156

Author(s):

Małgorzata Obara-Gołębiowska

Keyword(s):

Quality Of Life ◽

Body Mass Index ◽

Body Mass ◽

Obese Women

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PARENTS’ ASSESSMENT OF CONDITIONS OF ULTRASOUND EXAMINATION OF CHILDREN

Nauka molodykh (Eruditio Juvenium) ◽

10.23888/hmj202084524-530 ◽

2020 ◽

Vol 8 (4) ◽

pp. 524-530

Author(s):

I.А. Krotov ◽

◽

O.E. Konovalov ◽

◽

Keyword(s):

Correlation Analysis ◽

Outpatient Clinic ◽

Questionnaire Survey ◽

Medical Service ◽

Ultrasound Examination ◽

Aim Analysis ◽

National Medical ◽

Ultrasound Diagnostics ◽

Mathematical Processing

Aim. Analysis of the results of parents' assessment of the conditions of US diagnostics of children. Materials and Methods. Assessment of the conditions for receiving ultrasound examination, based on the results of a questionnaire survey of 424 parents of children who underwent this medical service at the National Medical Research Center of Children's Health of the Ministry of Health of Russia, is presented. Mathematical processing of the obtained data was carried out using the methods of variation statistics and correlation analysis. Results. 83.5% of parents surveyed were satisfied with the ultrasound diagnostic services provided to their children, 12.3% – were satisfied only partially. According to respondents’ opinions, the main reasons for dissatisfaction were insufficient qualification of specialist and low quality of the equipment used. The majority of individuals participating in the survey, considered waiting for ultrasound not long, in 77.6% of cases it was carried out within 1-2 days after the appointment. Ultrasonography in an outpatient clinic and in a hospital was mainly carried out free of charge, as part of compulsory medical insurance – in 86.1 and 87.5% of cases, respectively. Only 14.3% of respondents noted that they had the financial ability to pay for examination of the child from personal funds. It was found that 12.7% of parents had to refuse, for this or that rea-son, from the proposed ultrasound methods of examination of the child. Conclusion. The vast majority of the parents surveyed were satisfied with the ultrasound diagnostics services provided to their child. The main reasons for refusing from ultrasound were a sharply negative reaction of the child, as well as the opinion about the possible harm of the examination and the expected pain from the procedure.

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