Decision-making after ultrasound diagnosis of fetal abnormality

  • Can fetal abnormalities be detected on ultrasound?

    Ultrasound is a valuable tool in screening for fetal genetic syndromes.
    First-, second-, and third-trimester ultrasounds provide information on possible fetal abnormalities; however, routine second-trimester anatomy ultrasound is the most accurate at identifying structural abnormalities..

  • How accurate is ultrasound in diagnosis of congenital abnormalities?

    Conclusion: Antenatal ultrasound successfully diagnosed foetal abnormalities in 48.8% of cases, and more than 90% Central Nervous system defects and renal abnormalities.
    In contrast about a quarter of Cardiac defects and none of the facial defects were detected..

  • How is ultrasound used in detection of fetal abnormalities?

    Ultrasound is a valuable tool in screening for fetal genetic syndromes.
    First-, second-, and third-trimester ultrasounds provide information on possible fetal abnormalities; however, routine second-trimester anatomy ultrasound is the most accurate at identifying structural abnormalities..

  • What is termination due to fetal abnormality?

    A medical termination allows for a detailed examination of the baby (post-mortem) that can help find out the exact nature of the baby's abnormalities.
    Tests can be done after both a medical and surgical termination to see if the baby was carrying a genetic disorder..

  • When are most fetal abnormalities detected?

    Major abnormalities of the fetal head, abdominal wall and urinary tract, and of the umbilical cord and placenta, can be reliably detected at 10-11 weeks of gestation.
    Detection of other anomalies such as spina bifida, diaphragmatic hernia or heart defects is limited before 13 weeks of gestation..

  • Why is it necessary to provide diagnostic information on fetal abnormalities?

    Prenatal diagnosis employs a variety of techniques to determine the health and condition of an unborn fetus.
    Without knowledge gained by prenatal diagnosis, there could be an untoward outcome for the fetus or the mother or both. congenital anomalies account for 20 to 25% of perinatal deaths..

  • What Kinds of Abnormalities can an Ultrasound Detect?

    The Nuchal translucency scan, typically at 12 to 14 weeks, is used to detect Down's syndrome, Edwards' syndrome, and Patau's syndrome.The general Anatomy scan at 20 to 22 weeks can often detect conditions such as spina bifida, ancencephaly, and heart abnormalities.
  • A medical termination allows for a detailed examination of the baby (post-mortem) that can help find out the exact nature of the baby's abnormalities.
    Tests can be done after both a medical and surgical termination to see if the baby was carrying a genetic disorder.
  • Ultrasound is a valuable tool in screening for fetal genetic syndromes.
    First-, second-, and third-trimester ultrasounds provide information on possible fetal abnormalities; however, routine second-trimester anatomy ultrasound is the most accurate at identifying structural abnormalities.
End-of-life decision makings after ultrasound diagnosis of fetal abnormality have to take into account both the interest of the fetus and the pregnant woman. Therefore, these difficult decisions are usually made by multidisciplinary teams [43–47].
In case of ultrasound diagnosis of fetal anomaly there are several options for the obstetric management, ranging from standard care to non-aggressive care to termination of pregnancy.
This has major implications for both clinicians and the couples involved. In case of ultrasound diagnosis of fetal anomaly there are several options for the obstetric management, ranging from standard care to non-aggressive care to termination of pregnancy.

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