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Canadian Family Physician logoLink to Canadian Family Physician
. 1992 Jan;38:121–128.

Value and Limitations of Obstetrical Ultrasound

Uncovering abnormalities at earlier stages

Phillip J Switzer, Catherine A James, Monica A Frettag
PMCID: PMC2145611  PMID: 21229124

Abstract

First-trimester ultrasound examination is of value to establish dates or assess fetal viability in cases of bleeding but provides limited information on the well-being of the fetus. At between 16 and 20 weeks' gestation, examination of fetal anatomy allows many abnormalities to be detected. Third-trimester ultrasound examination is predominantly for follow up of growth and normal development or of any abnormalities seen earlier.

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Selected References

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  1. Barss V. A., Benacerraf B. R., Frigoletto F. D., Jr Antenatal sonographic diagnosis of fetal gastrointestinal malformations. Pediatrics. 1985 Sep;76(3):445–449. [PubMed] [Google Scholar]
  2. Cacciatore B. Can the status of tubal pregnancy be predicted with transvaginal sonography? A prospective comparison of sonographic, surgical, and serum hCG findings. Radiology. 1990 Nov;177(2):481–484. doi: 10.1148/radiology.177.2.2217789. [DOI] [PubMed] [Google Scholar]
  3. Coleman B. G., Grumbach K., Arger P. H., Mintz M. C., Arenson R. L., Mennuti M., Gabbe S. G. Twin gestations: monitoring of complications and anomalies with US. Radiology. 1987 Nov;165(2):449–453. doi: 10.1148/radiology.165.2.3310098. [DOI] [PubMed] [Google Scholar]
  4. Donald I. Ultrasonic echo sounding in obstetrical and gynecological diagnosis. Am J Obstet Gynecol. 1965 Dec 1;93(7):935–941. doi: 10.1016/0002-9378(65)90152-3. [DOI] [PubMed] [Google Scholar]
  5. Dorfman S. F. Deaths from ectopic pregnancy, United States, 1979 to 1980. Obstet Gynecol. 1983 Sep;62(3):334–338. doi: 10.1097/00006250-198309000-00014. [DOI] [PubMed] [Google Scholar]
  6. Filly R. A. Ectopic pregnancy: the role of sonography. Radiology. 1987 Mar;162(3):661–668. doi: 10.1148/radiology.162.3.3544031. [DOI] [PubMed] [Google Scholar]
  7. Grignon A., Filion R., Filiatrault D., Robitaille P., Homsy Y., Boutin H., Leblond R. Urinary tract dilatation in utero: classification and clinical applications. Radiology. 1986 Sep;160(3):645–647. doi: 10.1148/radiology.160.3.3526402. [DOI] [PubMed] [Google Scholar]
  8. Hendricks C. H. Twinning in relation to birth weight, mortality, and congenital anomalies. Obstet Gynecol. 1966 Jan;27(1):47–53. [PubMed] [Google Scholar]
  9. Jouppila P., Kirkinen P. Problems associated with the ultrasonic diagnosis of abruptio placentae. Int J Gynaecol Obstet. 1982 Feb;20(1):5–11. doi: 10.1016/0020-7292(82)90038-8. [DOI] [PubMed] [Google Scholar]
  10. Jouppila P., Kirkinen P. Ultrasonic and clinical aspects in the diagnosis and prognosis of congenital gastrointestinal anomalies. Ultrasound Med Biol. 1984 Jul-Aug;10(4):465–472. doi: 10.1016/0301-5629(84)90201-1. [DOI] [PubMed] [Google Scholar]
  11. Knab D. R. Abruptio placentae. An assessment of the time and method of delivery. Obstet Gynecol. 1978 Nov;52(5):625–629. [PubMed] [Google Scholar]
  12. Levi C. S., Lyons E. A., Lindsay D. J. Early diagnosis of nonviable pregnancy with endovaginal US. Radiology. 1988 May;167(2):383–385. doi: 10.1148/radiology.167.2.3282258. [DOI] [PubMed] [Google Scholar]
  13. Levi C. S., Lyons E. A., Lindsay D. J. Ultrasound in the first trimester of pregnancy. Radiol Clin North Am. 1990 Jan;28(1):19–38. [PubMed] [Google Scholar]
  14. Levi C. S., Lyons E. A., Zheng X. H., Lindsay D. J., Holt S. C. Endovaginal US: demonstration of cardiac activity in embryos of less than 5.0 mm in crown-rump length. Radiology. 1990 Jul;176(1):71–74. doi: 10.1148/radiology.176.1.2191372. [DOI] [PubMed] [Google Scholar]
  15. Mahony B. S., Filly R. A., Callen P. W. Amnionicity and chorionicity in twin pregnancies: prediction using ultrasound. Radiology. 1985 Apr;155(1):205–209. doi: 10.1148/radiology.155.1.3883418. [DOI] [PubMed] [Google Scholar]
  16. Manning F. A., Platt L. D., Sipos L. Antepartum fetal evaluation: development of a fetal biophysical profile. Am J Obstet Gynecol. 1980 Mar 15;136(6):787–795. doi: 10.1016/0002-9378(80)90457-3. [DOI] [PubMed] [Google Scholar]
  17. Mintz M. C., Kurtz A. B., Arenson R., Arger P. H., Coleman B. G., Wapner R. J., Goldberg B. B. Abruptio placentae: apparent thickening of the placenta caused by hyperechoic retroplacental clot. J Ultrasound Med. 1986 Jul;5(7):411–413. doi: 10.7863/jum.1986.5.7.411. [DOI] [PubMed] [Google Scholar]
  18. Nyberg D. A., Cyr D. R., Mack L. A., Wilson D. A., Shuman W. P. Sonographic spectrum of placental abruption. AJR Am J Roentgenol. 1987 Jan;148(1):161–164. doi: 10.2214/ajr.148.1.161. [DOI] [PubMed] [Google Scholar]
  19. Nyberg D. A., Filly R. A., Filho D. L., Laing F. C., Mahony B. S. Abnormal pregnancy: early diagnosis by US and serum chorionic gonadotropin levels. Radiology. 1986 Feb;158(2):393–396. doi: 10.1148/radiology.158.2.3510444. [DOI] [PubMed] [Google Scholar]
  20. Nyberg D. A., Laing F. C., Filly R. A. Threatened abortion: sonographic distinction of normal and abnormal gestation sacs. Radiology. 1986 Feb;158(2):397–400. doi: 10.1148/radiology.158.2.3510445. [DOI] [PubMed] [Google Scholar]
  21. O'Brien W. F., Cefalo R. C., Bair D. G. Ultrasonographic diagnosis of fetal cystic hygroma. Am J Obstet Gynecol. 1980 Oct 15;138(4):464–466. doi: 10.1016/0002-9378(80)90150-7. [DOI] [PubMed] [Google Scholar]
  22. Phillips H. E., McGahan J. P. Intrauterine fetal cystic hygromas: sonographic detection. AJR Am J Roentgenol. 1981 Apr;136(4):799–802. doi: 10.2214/ajr.136.4.799. [DOI] [PubMed] [Google Scholar]
  23. Pretorius D. H., Drose J. A., Manco-Johnson M. L. Fetal lateral ventricular ratio determination during the second trimester. J Ultrasound Med. 1986 Mar;5(3):121–124. doi: 10.7863/jum.1986.5.3.121. [DOI] [PubMed] [Google Scholar]
  24. Pretorius D. H., Gosink B. B., Clautice-Engle T., Leopold G. R., Minnick C. M. Sonographic evaluation of the fetal stomach: significance of nonvisualization. AJR Am J Roentgenol. 1988 Nov;151(5):987–989. doi: 10.2214/ajr.151.5.987. [DOI] [PubMed] [Google Scholar]
  25. Sauerbrei E. E., Pham D. H. Placental abruption and subchorionic hemorrhage in the first half of pregnancy: US appearance and clinical outcome. Radiology. 1986 Jul;160(1):109–112. doi: 10.1148/radiology.160.1.3520643. [DOI] [PubMed] [Google Scholar]
  26. Silver S. F., Siu C. M., Switzer P. J. Sonographic demonstration of heterotopic pregnancy: report of two cases. Can Assoc Radiol J. 1989 Dec;40(6):316–317. [PubMed] [Google Scholar]
  27. Spirt B. A., Oliphant M., Gordon L. P. Fetal central nervous system abnormalities. Radiol Clin North Am. 1990 Jan;28(1):59–73. [PubMed] [Google Scholar]
  28. Wilcox A. J., Weinberg C. R., O'Connor J. F., Baird D. D., Schlatterer J. P., Canfield R. E., Armstrong E. G., Nisula B. C. Incidence of early loss of pregnancy. N Engl J Med. 1988 Jul 28;319(4):189–194. doi: 10.1056/NEJM198807283190401. [DOI] [PubMed] [Google Scholar]
  29. Wladimiroff J. W., Campbell S. Fetal urine-production rates in normal and complicated pregnancy. Lancet. 1974 Feb 2;1(7849):151–154. doi: 10.1016/s0140-6736(74)92441-6. [DOI] [PubMed] [Google Scholar]
  30. Yeh H. C., Goodman J. D., Carr L., Rabinowitz J. G. Intradecidual sign: a US criterion of early intrauterine pregnancy. Radiology. 1986 Nov;161(2):463–467. doi: 10.1148/radiology.161.2.3532191. [DOI] [PubMed] [Google Scholar]

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