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Stone J, Abu-Rustum RS, Bromley B, Fuchs KM, Anton T, Cooper T, Minton KK, Dashe J, Lee W, Platt LD, Porche LM, Norton ME, Benacerraf BR, Abuhamad AZ. Curriculum and competency assessment program for training maternal-fetal medicine fellows in the performance of the detailed obstetric ultrasound examination: A consensus report. Am J Obstet Gynecol 2023; 228:B2-B9. [PMID: 36087741 DOI: 10.1016/j.ajog.2022.08.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Affiliation(s)
- Joanne Stone
- Department of Obstetrics and Gynecology, Icahn School of Medicine at Mount Sinai, NY
| | - Reem S Abu-Rustum
- Department of Obstetrics and Gynecology, University of Florida College of Medicine
| | - Bryann Bromley
- Department of Obstetrics and Gynecology, Massachusetts General Hospital, Harvard Medical School, MA
| | - Karin M Fuchs
- Department of Obstetrics and Gynecology, Columbia University School of Medicine, NY
| | - Tracy Anton
- Department of Obstetrics and Gynecology, University of California at San Diego, CA
| | | | | | - Jodi Dashe
- Department of Obstetrics and Gynecology UT Southwestern
| | - Wesley Lee
- Department of Obstetrics and Gynecology, Baylor College of Medicine TX
| | - Lawrence D Platt
- Department of Obstetrics and Gynecology, David Geffen School of Medicine at UCLA, Los Angeles CA
| | - Lea M Porche
- Department of Obstetrics and Gynecology, Eastern Virginia Medical School, Virginia
| | - Mary E Norton
- Department of Obstetrics and Gynecology, University of California at San Francisco, CA
| | - Beryl R Benacerraf
- Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Harvard Medical School, MA
| | - Alfred Z Abuhamad
- Department of Obstetrics and Gynecology, Eastern Virginia Medical School, VA
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Stone J, Abu-Rustum RS, Bromley B, Fuchs KM, Anton T, Cooper T, Minton KK, Dashe J, Lee W, Platt LD, Porche LM, Norton ME, Benacerraf BR, Abuhamad AZ. Curriculum and Competency Assessment Program for Training Maternal-Fetal Medicine Fellows in the Performance of the Detailed Obstetric Ultrasound Examination. JOURNAL OF ULTRASOUND IN MEDICINE : OFFICIAL JOURNAL OF THE AMERICAN INSTITUTE OF ULTRASOUND IN MEDICINE 2022; 41:2925-2932. [PMID: 36073175 DOI: 10.1002/jum.16074] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/07/2022] [Revised: 07/09/2022] [Accepted: 07/12/2022] [Indexed: 06/15/2023]
Affiliation(s)
- Joanne Stone
- Department of Obstetrics and Gynecology, Icahn School of Medicine at Mount Sinai, New York, New York, USA
| | - Reem S Abu-Rustum
- Department of Obstetrics and Gynecology, University of Florida College of Medicine, Gainesville, Florida, USA
| | - Bryann Bromley
- Department of Obstetrics and Gynecology, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA
| | - Karin M Fuchs
- Department of Obstetrics and Gynecology, Columbia University School of Medicine, New York, New York, USA
| | - Tracy Anton
- Department of Obstetrics and Gynecology, University of California at San Diego, San Diego, California, USA
| | - Therese Cooper
- American Institute of Ultrasound in Medicine, Laurel, Maryland, USA
| | | | - Jodi Dashe
- Department of Obstetrics and Gynecology, University of Texas Southwestern Medical Center, Dallas, Texas, USA
| | - Wesley Lee
- Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas, USA
| | - Lawrence D Platt
- Department of Obstetrics and Gynecology, David Geffen School of Medicine at UCLA, Los Angeles, California, USA
| | - Lea M Porche
- Department of Obstetrics and Gynecology, Eastern Virginia Medical School, Norfolk, Virginia, USA
| | - Mary E Norton
- Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, California, USA
| | - Beryl R Benacerraf
- Department of Obstetrics and Gynecology, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA
| | - Alfred Z Abuhamad
- Department of Obstetrics and Gynecology, Eastern Virginia Medical School, Norfolk, Virginia, USA
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Bsat F. Detailed Fetal Anatomic Ultrasound Examination (76811): Updated ICD-10 Indications. JOURNAL OF ULTRASOUND IN MEDICINE : OFFICIAL JOURNAL OF THE AMERICAN INSTITUTE OF ULTRASOUND IN MEDICINE 2022; 41:1035-1036. [PMID: 34232530 DOI: 10.1002/jum.15779] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/12/2021] [Accepted: 05/22/2021] [Indexed: 06/13/2023]
Affiliation(s)
- Fadi Bsat
- University of Massachusetts Medical School - Baystate, Springfield, Massachusetts, USA
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Poehlmann JR, Timmel A, Adams JH, Gupta VK, Rhoades JS, Iruretagoyena JI, Hoppe KK, Antony KM. A Matter of Time: Does Gestational Age Affect the Duration of the Fetal Anatomic Survey? JOURNAL OF ULTRASOUND IN MEDICINE : OFFICIAL JOURNAL OF THE AMERICAN INSTITUTE OF ULTRASOUND IN MEDICINE 2021; 40:1763-1770. [PMID: 33155692 DOI: 10.1002/jum.15554] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/26/2020] [Revised: 09/24/2020] [Accepted: 10/12/2020] [Indexed: 06/11/2023]
Abstract
OBJECTIVE To assess the average duration of detailed fetal anatomic surveys in pregnancy in relation to gestational age (GA) and the maternal body mass index (BMI) to determine optimal timing of the examination. METHODS This was a retrospective cohort study of gravidae presenting for detailed fetal anatomic examinations between January 1, 2010, and June 30, 2017. After excluding examinations expected to have longer duration (ie, multifetal, major fetal anomalies), there were a total of 6522 examinations performed between GAs of 18 weeks 0 days and 22 weeks 0 days. Women were grouped by BMI, and results were analyzed by logistic regression. RESULTS Gravidae of normal weight (BMI, 18.5-24.9 kg/m2 ) had a decrease of 47.47 seconds of the examination time with each increasing week of gestation (P = .036). Overweight (BMI, 25-29.9 kg/m2 ) gravidae similarly had a decrease of 66.31 seconds of the examination time with each additional week of gestation (P = .017). Underweight (BMI, 8.5 kg/m2 ) and obese (BMI, ≥30 kg/m2 ) gravidae did not have differences in the examination time with increasing GA. Increases in suboptimal examinations were noted with an increasing BMI (P < .001). There was a decreased frequency of suboptimal examinations in obese gravidae with a BMI of 40 kg/m2 or higher with increasing GA (P = .037). CONCLUSIONS The duration of detailed fetal anatomic examinations decreased with increasing GA in normal-weight and overweight gravidae but not in obese gravidae. Performing the anatomy scan earlier in class I and II obese gravidae (BMI, 30-40 kg/m2 ) may enable improved pregnancy management options without increasing the examination duration or likelihood of a suboptimal evaluation.
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Affiliation(s)
- John R Poehlmann
- Department of Obstetrics and Gynecology, University of Wisconsin-Madison, Madison, Wisconsin, USA
| | - Ainsley Timmel
- University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA
| | - Jacquelyn H Adams
- Department of Obstetrics and Gynecology, University of Wisconsin-Madison, Madison, Wisconsin, USA
| | - Vivek K Gupta
- Department of Obstetrics and Gynecology, University of Wisconsin-Madison, Madison, Wisconsin, USA
| | - Janine S Rhoades
- Department of Obstetrics and Gynecology, University of Wisconsin-Madison, Madison, Wisconsin, USA
| | - J Igor Iruretagoyena
- Department of Obstetrics and Gynecology, University of Wisconsin-Madison, Madison, Wisconsin, USA
| | - Kara K Hoppe
- Department of Obstetrics and Gynecology, University of Wisconsin-Madison, Madison, Wisconsin, USA
| | - Kathleen M Antony
- Department of Obstetrics and Gynecology, University of Wisconsin-Madison, Madison, Wisconsin, USA
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Detailed Fetal Anatomic Ultrasound Examination Duration and Association With Body Mass Index. Obstet Gynecol 2020; 134:774-780. [PMID: 31503163 DOI: 10.1097/aog.0000000000003489] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
OBJECTIVE To evaluate the association of the duration of the detailed fetal anatomic ultrasound examination with maternal body mass. METHODS This was a retrospective chart review of patients presenting to our clinic for detailed fetal anatomic examinations between January 1, 2010, and June 30, 2017. After excluding multifetal pregnancies and other examinations expected to have a longer duration, a total of 6,522 examinations were performed between 18 0/7 and 22 0/7 weeks of gestation. Results were analyzed using analysis of variance and Student's t-test. RESULTS Mean (SD) body mass index (BMI) was 29.3 (±7.7), and mean examination time was 51.5 (±10.4) minutes. We found that mean examination time was 48.8 (±9.6) minutes for patients with normal BMIs, 50.6 (±10.0) minutes for overweight patients, 52.2 (±10.4) minutes for patients with class I obesity, 54.6 (±10.3) minutes for patients with class II obesity, and 57.7 (±10.3) minutes for patients with class III obesity (P<.001). The duration of the detailed fetal anatomic ultrasound examination increased continuously with BMI (r=0.285, P<.001). CONCLUSION We found that the duration of detailed fetal anatomic examinations increased with BMI. Examinations for gravid patients with class III obesity lasted 8.9 minutes longer than those for gravid patients with normal BMIs; examinations for gravid patients with BMIs of 50 or higher lasted 13.5 minutes longer. This information may be useful for fetal ultrasound examination scheduling.
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AIUM Practice Parameter for the Performance of Detailed Second- and Third-Trimester Diagnostic Obstetric Ultrasound Examinations. JOURNAL OF ULTRASOUND IN MEDICINE : OFFICIAL JOURNAL OF THE AMERICAN INSTITUTE OF ULTRASOUND IN MEDICINE 2019; 38:3093-3100. [PMID: 31736130 DOI: 10.1002/jum.15163] [Citation(s) in RCA: 45] [Impact Index Per Article: 9.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
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Bsat F, Malisch T. Detailed Fetal Anatomic Ultrasound Examination (76811): ICD-10 Indications. JOURNAL OF ULTRASOUND IN MEDICINE : OFFICIAL JOURNAL OF THE AMERICAN INSTITUTE OF ULTRASOUND IN MEDICINE 2016; 35:1107-1108. [PMID: 27106792 DOI: 10.7863/ultra.16.01036] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Affiliation(s)
- Fadi Bsat
- Society for Maternal-Fetal Medicine, Washington, DC USA
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