
Imaging Studies of Parents of Fetuses With Sonographic Anomalies of Uncertain Prognosis
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To the Editor: Fetal ultrasound examination has become part of routine prenatal care in many countries.1-3 Such mass screening of healthy fetuses may result in incidental detection of anomalies that have limited functional significance. Nonetheless, the detection of an isolated fetal structural anomaly may create a dilemma when its prognostic significance is unknown. We report a series of cases in which examination of the asymptomatic parents revealed comparable anomalies.
Methods
We studied 14 118 consecutive fetal ultrasonographic examinations performed on self-referred patients or those referred by their physician. This large series reflects the tendency to perform an ultrasonographic examination of almost every pregnant patient in our area. The examination is mostly performed by transvaginal sonography at 14 to 16 weeks' gestation and by abdominal sonography at 18 to 26 weeks' gestation. A total of 12 269 women (86.9%) were at low risk for fetal anomalies or hereditary or congenital syndromes, whereas 1849 (13.1%) . . . [Full Text of this Article]
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ABSTRACT
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