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Am J Perinatol 1995; 12(6): 385-391
DOI: 10.1055/s-2007-994504
ORIGINAL ARTICLE

© 1995 by Thieme Medical Publishers, Inc.

Comprehensive Ultrasound Examination in a Private Perinatal Practice

William J. Ott, Fernando Arias, Gary Sheldon, Shiraz Sunderji, Kutay Taysi
  • Division of Maternal and Fetal Medicine and Division of Medical Genetics, Department of Obstetrics and Gynecology, St. John's Mercy Medical Center, St. Louis, Missouri
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Publication History

Publication Date:
04 March 2008 (online)

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ABSTRACT

A retrospective review of the types of patients seen and the accuracy of the diagnosis made was undertaken for patients referred for comprehensive ultrasound examination in a large private perinatal practice. A review of the perinatal ultrasound database, neonatal intensive care database, and hospital charts was done in 1338 patients referred to the perinatal ultrasound laboratory for comprehensive ultrasound examination during a 2-year period. Accuracy of the ultrasound diagnosis and relationships between structural anomalies seen on ultrasound examination and perinatal outcome was undertaken. Positive and negative predictive values for the ultrasonic diagnosis were 82% and 98%, respectively. There were 19 (1.4%) false-positive diagnoses and 38 (2.8%) false-negative diagnoses. There was a high correlation between structural anomalies and chromosomal anomalies, with 15 of the 87 infants (17.2%) with structural anomalies also having chromosomal anomalies. The accuracy of ultrasonic diagnosis for comprehensive examinations in a large private perinatal practice compared favorably with previous reports in the literature. The information presented in this study should be helpful to obstetric centers with similar patient populations.

Keywords

Ultrasound examination - fetus - diagnosis - private practice

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