title: [Regional survey of Pays-de-la-Loire on the quality of sonography in the first trimester of pregnancy].
abstract: The aim of this investigation carried out by the Medical Insurance team of the five counties of the Pays-de-la-Loire region was to evaluate the quality of first trimester sonographies from the medical reports of all patients whose pregnancies began between the 1(st) and 31(st) of October 1997. Two populations could be distinguished: one of 252 women who were refunded after a first trimester ultrasonic examination and another of 111 patients for whom this exploration was not recorded. Communication of the sonographic protocol was obtained in 80% of cases. According to the established applications of the literature and to the recommendations of the French Club of Fetal Sonographers, these reports could then be classified as complete (31.2%), incomplete (31.6%) or unsatisfactory (37.2%). This regional investigation outlines the obsolete nature of the nomenclature of medical procedures and the need for a better initial and continuous education of French sonographists, considering the fixed practice of so many specialists in Obstetrics and Radiology.
authors.affiliation: Service d'Obstétrique et de Médecine Foetale, CHU, Pavillon Mère et Enfant, Hôtel-Dieu, 44093 Nantes Cedex.
authors.forename: G
authors.initials: G
authors.lastname: Boog
authors.forename: B
authors.initials: B
authors.lastname: Guesnier
mesh_terms: D000328:Adult; D005260:Female; D005602:France; D005865:Gestational Age; D006801:Humans; D011247:Pregnancy; D011261:Pregnancy Trimester, First; D015397:Program Evaluation; D011787:Quality of Health Care; D016216:Ultrasonography, Prenatal