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The use of routine ultrasound in pregnancy : with special reference to normal and abnormal foetal growth, information and informed choice and the womens' experiences of the prenatal diagnostic aspects

Crang Svalenius, Elizabeth LU (1997)
Abstract
The development of real-time ultrasound in the 1970's made indelible inpact on antenatal care. Assessing foetal growth and detecting deviations from normal in both growth and foetal anatomy became fesible. Expectant parents could also 'see' their foetus. Normal foetal growth parameters at term were consituted and selected parameters from the second trimester were evaluated in the detection of chromosome abnormalities. It became necessary to study the level of apprehension caused by an ultrasound examination, information recalled about option and that deviations from normal could found. This in turn led to more parental involvement in the choice of method for prenatal diagnosis. The results show that foetal size increased at the same rate... (More)
The development of real-time ultrasound in the 1970's made indelible inpact on antenatal care. Assessing foetal growth and detecting deviations from normal in both growth and foetal anatomy became fesible. Expectant parents could also 'see' their foetus. Normal foetal growth parameters at term were consituted and selected parameters from the second trimester were evaluated in the detection of chromosome abnormalities. It became necessary to study the level of apprehension caused by an ultrasound examination, information recalled about option and that deviations from normal could found. This in turn led to more parental involvement in the choice of method for prenatal diagnosis. The results show that foetal size increased at the same rate in the post-term period and that BDD/FL graphs in the second trimester did not help in the detecting Down Syndrome. Information about option and malformations was difficult to recall. When informed choice was made an ultrasound investigation was not refused, but 1%(p=0.0003) of women < 35 years of age chose an early examination without anatomical assessment. Requests for amniocentesis increased by 6%(P=<0.0001) in this age group. Decision making about prenatal diagnosis was generally very easy. Difficulty was mainly felt concerning aspects of amniocentesis. Satisfaction with choice was high (98.8%). Higher education and work within the health proffesiona/occupations influenced requests for amniocentesis. Maternal serum screening for Down Syndrome was cosidered an acceptable addition to ultrasound but not a first alternative to amniocentesis. Given objective information about methods for prenatal diagnosis women can handle choice but can need support in difficult situations. (Less)
Please use this url to cite or link to this publication:
author
opponent
  • Chervenak, Frank
organization
publishing date
type
Thesis
publication status
published
subject
keywords
acceptance of serum screening for Down Syndrome., satsifaction with choice, informed choice, information, Ultrasound growth parameters, foetal disproportion, Obstetrics, gynaecology, andrology, reproduction, sexuality, Obstetrik, gynekologi, andrologi, reproduktion, sexualitet
pages
125 pages
publisher
Dept Ob-Gyn, University Hospital, S-221 85 Lund, Sweden.,
defense location
Lecture theatre Ob.Gyn.
defense date
1997-12-05 10:15
external identifiers
  • Other:ISRN: LUMEDW/MEKL--97/1028--SE
ISBN
91-628-2768-5
language
English
LU publication?
yes
id
c6906064-551a-4bc3-b13a-efcfb0d14c62 (old id 29680)
date added to LUP
2007-06-13 10:05:13
date last changed
2016-09-19 08:45:05
@phdthesis{c6906064-551a-4bc3-b13a-efcfb0d14c62,
  abstract     = {The development of real-time ultrasound in the 1970's made indelible inpact on antenatal care. Assessing foetal growth and detecting deviations from normal in both growth and foetal anatomy became fesible. Expectant parents could also 'see' their foetus. Normal foetal growth parameters at term were consituted and selected parameters from the second trimester were evaluated in the detection of chromosome abnormalities. It became necessary to study the level of apprehension caused by an ultrasound examination, information recalled about option and that deviations from normal could found. This in turn led to more parental involvement in the choice of method for prenatal diagnosis. The results show that foetal size increased at the same rate in the post-term period and that BDD/FL graphs in the second trimester did not help in the detecting Down Syndrome. Information about option and malformations was difficult to recall. When informed choice was made an ultrasound investigation was not refused, but 1%(p=0.0003) of women &lt; 35 years of age chose an early examination without anatomical assessment. Requests for amniocentesis increased by 6%(P=&lt;0.0001) in this age group. Decision making about prenatal diagnosis was generally very easy. Difficulty was mainly felt concerning aspects of amniocentesis. Satisfaction with choice was high (98.8%). Higher education and work within the health proffesiona/occupations influenced requests for amniocentesis. Maternal serum screening for Down Syndrome was cosidered an acceptable addition to ultrasound but not a first alternative to amniocentesis. Given objective information about methods for prenatal diagnosis women can handle choice but can need support in difficult situations.},
  author       = {Crang Svalenius, Elizabeth},
  isbn         = {91-628-2768-5},
  keyword      = {acceptance of serum screening for Down Syndrome.,satsifaction with choice,informed choice,information,Ultrasound growth parameters,foetal disproportion,Obstetrics,gynaecology,andrology,reproduction,sexuality,Obstetrik,gynekologi,andrologi,reproduktion,sexualitet},
  language     = {eng},
  pages        = {125},
  publisher    = {Dept Ob-Gyn, University Hospital, S-221 85 Lund, Sweden.,},
  school       = {Lund University},
  title        = {The use of routine ultrasound in pregnancy : with special reference to normal and abnormal foetal growth, information and informed choice and the womens' experiences of the prenatal diagnostic aspects},
  year         = {1997},
}