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Can early ultrasound reduce the gestational age at abortion for fetal anomalies?
- Source :
-
Contraception . Jan2013, Vol. 87 Issue 1, p63-66. 4p. - Publication Year :
- 2013
-
Abstract
- Abstract: Background: A significant proportion of second-trimester abortions are done for fetal anomalies. Our objective was to evaluate the impact of ultrasound at <14 weeks on the gestational age at abortion for structural fetal abnormalities. Study Design: Retrospective review identified all patients undergoing abortion following sonographic diagnosis of structural fetal anomalies at a single institution from 2004–2011. First-trimester ultrasound findings were reviewed, and abnormalities were categorized as “diagnostic” or “nondiagnostic.” Chi-square analysis and Mann–Whitney U test were used for statistical comparison. Results: One hundred thirty-two patients who underwent abortion due to structural fetal abnormalities were included, 109 of whom underwent ultrasound at 11–13 weeks. In those scanned at <14 weeks, there were diagnostic findings in 36 cases (33.0%) and abnormal nuchal translucency or other nondiagnostic finding leading to early second-trimester ultrasound in 16 cases (14.7%). In those scanned at <14 weeks, median gestational age at abortion was earlier compared to those who underwent initial anatomic evaluation in the second trimester, 19 weeks (13.5–21) versus 21 weeks (19–22), p=.001. Conclusion: Ultrasound at <14 weeks was associated with an earlier gestational age at abortion in pregnancies with structural fetal abnormalities. [Copyright &y& Elsevier]
Details
- Language :
- English
- ISSN :
- 00107824
- Volume :
- 87
- Issue :
- 1
- Database :
- Academic Search Index
- Journal :
- Contraception
- Publication Type :
- Academic Journal
- Accession number :
- 84163547
- Full Text :
- https://doi.org/10.1016/j.contraception.2012.09.014