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The practice patterns of second trimester fetal ultrasonography: A questionnaire survey and an analysis of checklists.

Park HS, Seong WJ, Hong JS, Seol HJ, Hwang HS, Kim K, Ko HS, Kwak DW, Oh SY, Kim MY, Kim SJ, Korean Society of Ultrasound in Obstetrics and Gynecology Research Gro - Obstet Gynecol Sci (2015)

Bottom Line: In the checklists analysis, the number of items were counted and also compared with those recommended by other medical societies.The median item number was 46.5 (range, 17 to 109).Of 49 items of checklists recommended by International Society of Ultrasound in Obstetrics and Gynecology and/or American Congress of Obstetricians and Gynecologists, 14 items (28.6%) were found in less than 50% of the checklists analyzed in this study.

View Article: PubMed Central - PubMed

Affiliation: Department of Obstetrics and Gynecology, Graduate School of Medicine, Dongguk University, Seoul, Korea.

ABSTRACT

Objective: To analyze practice patterns and checklists of second trimester ultrasonography, and to investigate management plans when soft markers are detected among Korean Society of Ultrasound in Obstetrics and Gynecology (KSUOG) members.

Methods: An internet-based self-administered questionnaire survey was designed. KSUOG members were invited to the survey. Checklists of the second trimester ultrasonography were also requested. In the questionnaire survey, general practice patterns of the second trimester ultrasonography and management schemes of soft markers were asked. In the checklists analysis, the number of items were counted and also compared with those recommended by other medical societies.

Results: A total of 101 members responded. Eighty-seven percent routinely recommended second trimester fetal anatomic surveillance. Most (91.1%) performed it between 20+0 and 23+6 weeks of gestation. Written informed consents were given by 15.8% of respondents. Nearly 60% recommended genetic counseling when multiple soft markers and/or advanced maternal age were found. Similar tendencies were found in the managements of individual soft markers. However, practice patterns were very diverse and sometimes conflicting. Forty-eight checklists were analyzed in context with the number and content of the items. The median item number was 46.5 (range, 17 to 109). Of 49 items of checklists recommended by International Society of Ultrasound in Obstetrics and Gynecology and/or American Congress of Obstetricians and Gynecologists, 14 items (28.6%) were found in less than 50% of the checklists analyzed in this study.

Conclusion: Although general practice patterns were similar among KSUOG members, some of which were conflicting, and there is a need for standardization of the practice patterns and checklists of second trimester ultrasonography, which also have very wide range of spectrum.

No MeSH data available.


Related in: MedlinePlus

Number of items in the checklists according to the hospital setting.
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Figure 2: Number of items in the checklists according to the hospital setting.

Mentions: Checklists of 52 hospitals were submitted. As five hospitals used the same checklist, 48 were included in the analysis. The median number of items in the checklists was 46.5 (range, 17 to 109). The number of items in checklists varied according to the hospital practice setting. There was a tendency that more items were listed in the checklists of the general or tertiary hospitals than in those of private clinics or hospitals (Fig. 2). The items were compared with those of checklists recommended by ISUOG and ACOG [12] (Table 4). The numbers of items in the checklists suggested by ISUOG and ACOG are about 43 and 28, respectively. Of the 49 items of checklists recommended by ISUOG and/or ACOG, 28.6% (14/49) were found in less than 50% of the checklists analyzed in this study. Those were skull shape, falx, nose, chin, neck, thorax, heart size, heart axis, gall bladder, abdominal mass, placental location, genitalia, myoma, and ovary.


The practice patterns of second trimester fetal ultrasonography: A questionnaire survey and an analysis of checklists.

Park HS, Seong WJ, Hong JS, Seol HJ, Hwang HS, Kim K, Ko HS, Kwak DW, Oh SY, Kim MY, Kim SJ, Korean Society of Ultrasound in Obstetrics and Gynecology Research Gro - Obstet Gynecol Sci (2015)

Number of items in the checklists according to the hospital setting.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4663221&req=5

Figure 2: Number of items in the checklists according to the hospital setting.
Mentions: Checklists of 52 hospitals were submitted. As five hospitals used the same checklist, 48 were included in the analysis. The median number of items in the checklists was 46.5 (range, 17 to 109). The number of items in checklists varied according to the hospital practice setting. There was a tendency that more items were listed in the checklists of the general or tertiary hospitals than in those of private clinics or hospitals (Fig. 2). The items were compared with those of checklists recommended by ISUOG and ACOG [12] (Table 4). The numbers of items in the checklists suggested by ISUOG and ACOG are about 43 and 28, respectively. Of the 49 items of checklists recommended by ISUOG and/or ACOG, 28.6% (14/49) were found in less than 50% of the checklists analyzed in this study. Those were skull shape, falx, nose, chin, neck, thorax, heart size, heart axis, gall bladder, abdominal mass, placental location, genitalia, myoma, and ovary.

Bottom Line: In the checklists analysis, the number of items were counted and also compared with those recommended by other medical societies.The median item number was 46.5 (range, 17 to 109).Of 49 items of checklists recommended by International Society of Ultrasound in Obstetrics and Gynecology and/or American Congress of Obstetricians and Gynecologists, 14 items (28.6%) were found in less than 50% of the checklists analyzed in this study.

View Article: PubMed Central - PubMed

Affiliation: Department of Obstetrics and Gynecology, Graduate School of Medicine, Dongguk University, Seoul, Korea.

ABSTRACT

Objective: To analyze practice patterns and checklists of second trimester ultrasonography, and to investigate management plans when soft markers are detected among Korean Society of Ultrasound in Obstetrics and Gynecology (KSUOG) members.

Methods: An internet-based self-administered questionnaire survey was designed. KSUOG members were invited to the survey. Checklists of the second trimester ultrasonography were also requested. In the questionnaire survey, general practice patterns of the second trimester ultrasonography and management schemes of soft markers were asked. In the checklists analysis, the number of items were counted and also compared with those recommended by other medical societies.

Results: A total of 101 members responded. Eighty-seven percent routinely recommended second trimester fetal anatomic surveillance. Most (91.1%) performed it between 20+0 and 23+6 weeks of gestation. Written informed consents were given by 15.8% of respondents. Nearly 60% recommended genetic counseling when multiple soft markers and/or advanced maternal age were found. Similar tendencies were found in the managements of individual soft markers. However, practice patterns were very diverse and sometimes conflicting. Forty-eight checklists were analyzed in context with the number and content of the items. The median item number was 46.5 (range, 17 to 109). Of 49 items of checklists recommended by International Society of Ultrasound in Obstetrics and Gynecology and/or American Congress of Obstetricians and Gynecologists, 14 items (28.6%) were found in less than 50% of the checklists analyzed in this study.

Conclusion: Although general practice patterns were similar among KSUOG members, some of which were conflicting, and there is a need for standardization of the practice patterns and checklists of second trimester ultrasonography, which also have very wide range of spectrum.

No MeSH data available.


Related in: MedlinePlus