scholarly journals Antenatal Diagnosis of Congenital Anomalies on Ultrasound Screening

2021 ◽  
Author(s):  
Callen Kwamboka Onyambu ◽  
Norah Mukiri Tharamba

Congenital fetal anomalies contribute to the global burden of disease in children. Various screening programs have been used for antenatal screening of these anomalies. Screening targets low risk population and is usually done in the second trimester though some are done at the mother’s first antenatal visit especially in resource constrained setting. Mother’s who have had a previous pregnancy with congenital anomaly are given targeted elaborate screening. Early diagnosis of this anomalies can lead to early intervention and better outcomes. Diagnosis of the malformations also leads to clinical decision making on mode of delivery thereby avoiding birth related trauma to the mother and the baby. In case of lethal congenital anomalies early diagnosis aids in clinical decision making on the management of the pregnancy.

2020 ◽  
Vol 10 (04) ◽  
pp. e357-e361
Author(s):  
Diana A. Racusin ◽  
Suneet P. Chauhan ◽  
Baha Sibai ◽  
Han-Yang Chen ◽  
Nesochi Adimorah ◽  
...  

Abstract Objective Our primary objective was to determine whether biophysical profiles (BPP) performed on the antepartum unit result in changes in clinical decision making. Study Design A retrospective cohort chart review was performed among women who had a BPP during hospital admission. BPP status was categorized as normal (8/8 points) and abnormal (6/8 or less points). The primary outcome, clinical decision making, was the need for prolonged external fetal monitoring (defined as > 2 hours) or decision to proceed with delivery. Secondary outcomes included mode of delivery, indicated preterm delivery, birth weight, 5-minute Apgar's score <7, and neonatal intensive care unit (NICU) admission. Results Among our cohort (n = 186), 85.5% (n = 159) had a normal BPP. Delivery management was altered in one case (0.54%) by the BPP findings, and there were no BPPs that resulted in need for prolonged monitoring. Compared with women with normal BPP, women with abnormal BPPs were more likely to deliver at <37 weeks, to be admitted to the NICU, or have a 5-minute Apgar's score <7. Conclusion In-hospital BPPs alter clinical decision making in less than 1% of cases.


2011 ◽  
Vol 20 (4) ◽  
pp. 121-123
Author(s):  
Jeri A. Logemann

Evidence-based practice requires astute clinicians to blend our best clinical judgment with the best available external evidence and the patient's own values and expectations. Sometimes, we value one more than another during clinical decision-making, though it is never wise to do so, and sometimes other factors that we are unaware of produce unanticipated clinical outcomes. Sometimes, we feel very strongly about one clinical method or another, and hopefully that belief is founded in evidence. Some beliefs, however, are not founded in evidence. The sound use of evidence is the best way to navigate the debates within our field of practice.


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