[Results of prenatal echographic studies in the diagnosis of pediatric surgical abnormalities].
In 180 newborns with congenital anatomical anomalies, admitted to the Department of Paediatric Surgery, Sophia Children's Hospital, Rotterdam, we retrospectively determined whether ultrasound studies had been performed during the second and third trimesters of pregnancy. The correlation between prenatal and postnatal diagnoses was investigated as well. Ultrasound study had been performed in 86 if the 180 pregnant mothers (48%). In 41 cases the anomaly of the newborn had not been diagnosed prenatally. In 45 cases anomaly had been diagnosed prenatally. The ultimate diagnosis was the same as the prenatal diagnosis in 35 patients and was different in 10. We conclude that routine prenatal ultrasound study in the second or third trimester of pregnancy, aimed at detecting congenital anatomical anomalies to be treated by the (general) paediatric surgeon, provided little certainty about the health of the baby. Permanent education of obstetricians, and at the slightest doubt referral to one of the University Hospital Centres for specific ultrasound study, are mandatory in order to be able to correctly inform an increasing number of parents about the prospects of their unborn child.
Guldemeester
H A
HA
Academisch Ziekenhuis Rotterdam-Sophia Kinderziekenhuis, afd. Kinderheelkunde.
Tibboel
D
D
Hazebroek
F W
FW
Bos
A P
AP
Wladimiroff
J W
JW
Molenaar
J C
JC
D000328:Adult; D002869:Chromosome Aberrations / Q000000981:diagnostic imaging; D025063:Chromosome Disorders; D000013:Congenital Abnormalities / Q000000981:diagnostic imaging*; D003951:Diagnostic Errors; D004502:Education, Medical, Continuing; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D009426:Netherlands; D009774:Obstetrics / Q000193:education; D010290:Parents / Q000193:education; D011247:Pregnancy; D011296:Prenatal Diagnosis; D012189:Retrospective Studies; D014463:Ultrasonography
De resultaten van prenataal echoscopisch onderzoek bij de opsporing van specifieke kinderchirurgische afwijkingen.