Learning Curve of First-Trimester Cardiovascular Ultrasound Screening
Author Information
Author(s): Elekes Tibor, Csermely Gyula, Kádár Krisztina, Molnár László, Keszthelyi Gábor, Hozsdora Andrea, Vizer Miklós, Török Marianna, Merkely Petra, Várbíró Szabolcs, Canosa Stefano, Nuzzo Anna Maria
Primary Institution: RMC-Fetal Medicine Centre, Semmelweis University
Hypothesis
The study aims to assess the effectiveness of detailed cardiovascular ultrasound screening during the first trimester performed by moderately experienced obstetricians.
Conclusion
The effectiveness of first-trimester fetal cardiovascular ultrasound screening by moderately experienced obstetricians may reach 90% for major congenital heart defects.
Supporting Evidence
- 42 congenital heart abnormalities were discovered prenatally out of 4769 fetuses.
- 89.2% of major congenital heart abnormalities were detected at first-trimester screening.
- 96.4% of major congenital heart defects were diagnosed prenatally.
Takeaway
Doctors can check babies' hearts early in pregnancy, and with practice, they can get really good at finding problems.
Methodology
A retrospective study analyzing first-trimester fetal cardiovascular screening data from an unselected pregnant population over five years.
Potential Biases
Potential bias due to the retrospective nature of the study and reliance on self-reported follow-up data.
Limitations
The study's findings may not be generalizable to all populations due to the specific demographic and clinical characteristics of the sample.
Participant Demographics
The mean maternal age was 33.9 years, with 46.9% of participants aged over 35.
Statistical Information
P-Value
0.0099
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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