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Published in: Archives of Gynecology and Obstetrics 3/2008

01-09-2008 | Original Article

Transvaginal sonographic fetal axis determination in early second trimester

Authors: Yoav Peled, Yariv Yogev, Abigail Kahn, Reuven Mashiach, Michael Berant, Josef Pardo

Published in: Archives of Gynecology and Obstetrics | Issue 3/2008

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Abstract

Objective

Correct prenatal determination of the fetal right/left axis is essential for the diagnosis of fetal malformations, in particular congenital heart anomalies. A reliable method of transabdominal echocardiographic assessment of the fetal situs in the late second trimester was established. We aimed to determine the validity of the transvaginal approach to assess fetal axis.

Method

The study group consisted of 108 consecutive women in the second trimester of a singleton pregnancy, undergoing elective transvaginal anatomy scans. All had undergone previous transabdominal echocardiography to establish fetal axis. The same technique was used to assess the fetal axis during the transvaginal study, and the findings were compared.

Results

There was total agreement in fetal axis determination between transabdominal and transvaginal scans in all cases. The accuracy of the transvaginal study was not affected by maternal obesity, fetal position or the presence of cardiac malformation (in one case).

Conclusion

Transvaginal ultrasonography is the reliable and accurate means of determining the fetal axis.
Literature
1.
go back to reference Allan LD, Crawford DC, Chita SK, Tyban MJ (1986) Prenatal screening for congenital heart diseases. BMJ 292:1717–1719PubMedCrossRef Allan LD, Crawford DC, Chita SK, Tyban MJ (1986) Prenatal screening for congenital heart diseases. BMJ 292:1717–1719PubMedCrossRef
2.
go back to reference Moller JH, Neal WA (1981) Incidence of cardiac malformations. In: Heart disease in infancy. Appleton-Century-Crofts, New York, pp 1–13 Moller JH, Neal WA (1981) Incidence of cardiac malformations. In: Heart disease in infancy. Appleton-Century-Crofts, New York, pp 1–13
3.
go back to reference Cordes TM, O’Leary PW, Seward JB, Hagler DJ (1994) Distinguishing right from left: a standardized technique for fetal echocardiography. J Am Soc Echocardiogr 7(1):47–53PubMed Cordes TM, O’Leary PW, Seward JB, Hagler DJ (1994) Distinguishing right from left: a standardized technique for fetal echocardiography. J Am Soc Echocardiogr 7(1):47–53PubMed
4.
go back to reference Bronshtein M, Gover A, Zimmer EZ (2002) Sonographic definition of the fetal situs. Obstet Gynecol 99:1129–1130PubMedCrossRef Bronshtein M, Gover A, Zimmer EZ (2002) Sonographic definition of the fetal situs. Obstet Gynecol 99:1129–1130PubMedCrossRef
5.
go back to reference Hendler I, Blackwell SC, Bujold E, Treadwell MC, Mittal P, Sokol RJ, Sorokin Y (2005) Suboptimal second-trimester ultrasonographic visualization of the fetal heart in obese women: should we repeat the examination? J Ultrasound Med 24(9):1205–1209PubMed Hendler I, Blackwell SC, Bujold E, Treadwell MC, Mittal P, Sokol RJ, Sorokin Y (2005) Suboptimal second-trimester ultrasonographic visualization of the fetal heart in obese women: should we repeat the examination? J Ultrasound Med 24(9):1205–1209PubMed
6.
go back to reference Hendler I, Blackwell SC, Bujold E, Treadwell MC, Wolfe HM, Sokol RJ, Sorokin Y (2004) The impact of maternal obesity on midtrimester sonographic visualization of fetal cardiac and craniospinal structures. Int J Obes Relat Metab Disord 28(12):1607–1611PubMedCrossRef Hendler I, Blackwell SC, Bujold E, Treadwell MC, Wolfe HM, Sokol RJ, Sorokin Y (2004) The impact of maternal obesity on midtrimester sonographic visualization of fetal cardiac and craniospinal structures. Int J Obes Relat Metab Disord 28(12):1607–1611PubMedCrossRef
Metadata
Title
Transvaginal sonographic fetal axis determination in early second trimester
Authors
Yoav Peled
Yariv Yogev
Abigail Kahn
Reuven Mashiach
Michael Berant
Josef Pardo
Publication date
01-09-2008
Publisher
Springer-Verlag
Published in
Archives of Gynecology and Obstetrics / Issue 3/2008
Print ISSN: 0932-0067
Electronic ISSN: 1432-0711
DOI
https://doi.org/10.1007/s00404-007-0555-6

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