Routine Fetal Anomaly Screening

  • M. J. Whittle

Abstract

Probably at least 90% of women in the UK undergo an ultrasound examination at some time during pregnancy. The vast majority of these examinations are in the early weeks to establish dates and viability, or in later pregnancy to determine fetal size or placental site. As the standard of equipment available has improved and the technical skill of the operators has advanced, the ability to visualise fetal structures has increased to the extent that routine screening for anomalies has become feasible. Indeed it is the view of some that the stage has been reached where a routine anomaly scan may be considered almost mandatory.

Keywords

Obesity Catheter Hydrocephalus Doyle Hydronephrosis 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Registrar General (Scotland). Death Registration Tapes.Google Scholar
  2. 2.
    Zador IE, Bottoms SF, Tse GM, Brindlay BA, Sokol RJ. Nomograms for ultrasound visualization of fetal organs. J Ultrasound Med 1988; 7:197–201.PubMedGoogle Scholar
  3. 3.
    Wolfe HM, Sokol RJ, Martier SM, Zador IE. Maternal obesity — a potential source of error in sonographic prenatal diagnosis. Obstet Gynecol 1990; 76:339–42.PubMedGoogle Scholar
  4. 4.
    Nyberg DA, Resta RG, Lathy DA, Hickok DE, Mahoney S, Hirsch JH. Prenatal sonographic findings of Down’s syndrome — Review of 94 cases. Obstet Gynecol 1990; 76:370–7.PubMedGoogle Scholar
  5. 5.
    Abramowicz JS, Warsof SL, Doyle DL, Smith D, Levy DL. Congenital cystic hygroma of the neck diagnosed prenatally: outcome with normal and abnormal karyotype. Prenat Diagn 1989; 9:321–7.PubMedCrossRefGoogle Scholar
  6. 6.
    Helin I, Persson PH. Prenatal diagnosis of urinary tract abnormalities by ultrasound. Pediatrics 1986; 78:879–83.PubMedGoogle Scholar
  7. 7.
    Livera LN, Bookfield DSK, Egginton JA, Hawnaur JM. Antenatal ultrasonography to detect fetal renal abnormalities: a prospective screening programme. Br Med J 1989; 298:1421–3.CrossRefGoogle Scholar
  8. 8.
    Van de Hof MC, Nicolaides KH, Campbell J, Campbell S. Evaluation of the lemon and banana signs in one hundred and thirty fetuses with open spina bifida. Am J Obstet Gynecol 1990; 162:322–7.PubMedGoogle Scholar
  9. 9.
    Allan LD, Crawford DC, Chita SK, Tynan MJ. Prenatal screening for congenital heart disease. Br Med J 1986; 292:1717–19.CrossRefGoogle Scholar
  10. 10.
    Saari-Kemppainen A, Karjalainen O, Ylostalo P, Heinoneu OP. Ultrasound screening and perinatal mortality: controlled trial of systematic one-stage screening in pregnancy. Lancet 1990; 336:387–91.PubMedCrossRefGoogle Scholar
  11. 11.
    Manning FA, Harrison MR, Rodeck CH. Catheter shunts for fetal hydronephrosis and hydrocephalus. N Eng J Med 1986; 315:336–40.CrossRefGoogle Scholar
  12. 12.
    Arthur RJ, Irving HC, Thomas DFM, Watters JK. Bilateral fetal uropathy: what is the outlook? Br Med J 1989; 298:1419–20.CrossRefGoogle Scholar
  13. 13.
    Harrison MR, Adzick NS, Longaker MT et al. Successful repair in utero of a fetal diaphragmatic hernia after removal of herniated viscera from the left thorax. N Engl J Med 1990; 322:1582–4.PubMedCrossRefGoogle Scholar
  14. 14.
    Greig JD, Raine PAM, Young DG et al. Value of antenatal diagnosis of abnormalities of the urinary tract. Br Med J 1989; 298:1417–19.CrossRefGoogle Scholar

Copyright information

© Springer-Verlag London Limited 1991

Authors and Affiliations

  • M. J. Whittle

There are no affiliations available

Personalised recommendations