Learning Curve of First-Trimester Detailed Cardiovascular Ultrasound Screening by Moderately Experienced Obstetricians in 3509 Consecutive Unselected Pregnancies with Fetal Follow-Up
Our primary objective was to assess the effectiveness of detailed cardiovascular ultrasound screening during the first trimester, which was performed by obstetricians with intermediate experience. We collected first-trimester fetal cardiac screening data from an unselected pregnant population at RMC...
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2024-12-01
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| author | Tibor Elekes Gyula Csermely Krisztina Kádár László Molnár Gábor Keszthelyi Andrea Hozsdora Miklós Vizer Marianna Török Petra Merkely Szabolcs Várbíró |
| author_facet | Tibor Elekes Gyula Csermely Krisztina Kádár László Molnár Gábor Keszthelyi Andrea Hozsdora Miklós Vizer Marianna Török Petra Merkely Szabolcs Várbíró |
| author_sort | Tibor Elekes |
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| description | Our primary objective was to assess the effectiveness of detailed cardiovascular ultrasound screening during the first trimester, which was performed by obstetricians with intermediate experience. We collected first-trimester fetal cardiac screening data from an unselected pregnant population at RMC-Fetal Medicine Center during a study period spanning from 1 January 2010, to 31 January 2015, in order to analyze our learning curve. A pediatric cardiologist performed a follow-up assessment in cases where the examining obstetrician determined that the fetal cardiac screening results were abnormal or high-risk. Overall, 42 (0.88%) congenital heart abnormalities were discovered prenatally out of 4769 fetuses from 4602 pregnant women who had at least one first-trimester cardiac ultrasonography screening. In total, 89.2% of the major congenital heart abnormalities (27 of 28) in the following fetuses were discovered (or at least highly suspected) at the first-trimester screening and subsequent fetal echocardiography by the pediatric cardiology specialist. Of these, 96.4% were diagnosed prenatally. According to our results, the effectiveness of first-trimester fetal cardiovascular ultrasound screening conducted by moderately experienced obstetricians in an unselected (’routine’) pregnant population may reach as high as 90% in terms of major congenital heart defects, provided that equipment, quality assurance, and motivation are appropriate. |
| format | Article |
| id | doaj-art-019df68b97de4b6fbca7b67e5929f562 |
| institution | Kabale University |
| issn | 2075-1729 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Life |
| spelling | doaj-art-019df68b97de4b6fbca7b67e5929f5622024-12-27T14:36:09ZengMDPI AGLife2075-17292024-12-011412163210.3390/life14121632Learning Curve of First-Trimester Detailed Cardiovascular Ultrasound Screening by Moderately Experienced Obstetricians in 3509 Consecutive Unselected Pregnancies with Fetal Follow-UpTibor Elekes0Gyula Csermely1Krisztina Kádár2László Molnár3Gábor Keszthelyi4Andrea Hozsdora5Miklós Vizer6Marianna Török7Petra Merkely8Szabolcs Várbíró9RMC-Fetal Medicine Centre, Gábor Áron Street 74-78, H-1026 Budapest, HungaryRMC-Fetal Medicine Centre, Gábor Áron Street 74-78, H-1026 Budapest, HungaryRMC-Fetal Medicine Centre, Gábor Áron Street 74-78, H-1026 Budapest, HungaryRMC-Fetal Medicine Centre, Gábor Áron Street 74-78, H-1026 Budapest, HungaryRMC-Fetal Medicine Centre, Gábor Áron Street 74-78, H-1026 Budapest, HungaryRMC-Fetal Medicine Centre, Gábor Áron Street 74-78, H-1026 Budapest, HungaryDaVinci Private Hospital, Málics Ottó Street 1, H-7635 Pécs, HungaryDepartment of Obstetrics and Gynecology, Semmelweis University, Üllői Street 78a, H-1082 Budapest, HungaryDepartment of Obstetrics and Gynecology, Semmelweis University, Üllői Street 78a, H-1082 Budapest, HungaryDepartment of Obstetrics and Gynecology, Semmelweis University, Üllői Street 78a, H-1082 Budapest, HungaryOur primary objective was to assess the effectiveness of detailed cardiovascular ultrasound screening during the first trimester, which was performed by obstetricians with intermediate experience. We collected first-trimester fetal cardiac screening data from an unselected pregnant population at RMC-Fetal Medicine Center during a study period spanning from 1 January 2010, to 31 January 2015, in order to analyze our learning curve. A pediatric cardiologist performed a follow-up assessment in cases where the examining obstetrician determined that the fetal cardiac screening results were abnormal or high-risk. Overall, 42 (0.88%) congenital heart abnormalities were discovered prenatally out of 4769 fetuses from 4602 pregnant women who had at least one first-trimester cardiac ultrasonography screening. In total, 89.2% of the major congenital heart abnormalities (27 of 28) in the following fetuses were discovered (or at least highly suspected) at the first-trimester screening and subsequent fetal echocardiography by the pediatric cardiology specialist. Of these, 96.4% were diagnosed prenatally. According to our results, the effectiveness of first-trimester fetal cardiovascular ultrasound screening conducted by moderately experienced obstetricians in an unselected (’routine’) pregnant population may reach as high as 90% in terms of major congenital heart defects, provided that equipment, quality assurance, and motivation are appropriate.https://www.mdpi.com/2075-1729/14/12/1632cardiovascular ultrasound screeninglearning curvemoderately experienced obstetriciansfetal follow up |
| spellingShingle | Tibor Elekes Gyula Csermely Krisztina Kádár László Molnár Gábor Keszthelyi Andrea Hozsdora Miklós Vizer Marianna Török Petra Merkely Szabolcs Várbíró Learning Curve of First-Trimester Detailed Cardiovascular Ultrasound Screening by Moderately Experienced Obstetricians in 3509 Consecutive Unselected Pregnancies with Fetal Follow-Up Life cardiovascular ultrasound screening learning curve moderately experienced obstetricians fetal follow up |
| title | Learning Curve of First-Trimester Detailed Cardiovascular Ultrasound Screening by Moderately Experienced Obstetricians in 3509 Consecutive Unselected Pregnancies with Fetal Follow-Up |
| title_full | Learning Curve of First-Trimester Detailed Cardiovascular Ultrasound Screening by Moderately Experienced Obstetricians in 3509 Consecutive Unselected Pregnancies with Fetal Follow-Up |
| title_fullStr | Learning Curve of First-Trimester Detailed Cardiovascular Ultrasound Screening by Moderately Experienced Obstetricians in 3509 Consecutive Unselected Pregnancies with Fetal Follow-Up |
| title_full_unstemmed | Learning Curve of First-Trimester Detailed Cardiovascular Ultrasound Screening by Moderately Experienced Obstetricians in 3509 Consecutive Unselected Pregnancies with Fetal Follow-Up |
| title_short | Learning Curve of First-Trimester Detailed Cardiovascular Ultrasound Screening by Moderately Experienced Obstetricians in 3509 Consecutive Unselected Pregnancies with Fetal Follow-Up |
| title_sort | learning curve of first trimester detailed cardiovascular ultrasound screening by moderately experienced obstetricians in 3509 consecutive unselected pregnancies with fetal follow up |
| topic | cardiovascular ultrasound screening learning curve moderately experienced obstetricians fetal follow up |
| url | https://www.mdpi.com/2075-1729/14/12/1632 |
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