Table 3. Structural abnormalities detected using ultrasound in the three trimesters of pregnancy, according to fetal body system.
| Body systems/malformations | Detection rate - n (%) | Postnatal n (%) | ||||||
|---|---|---|---|---|---|---|---|---|
| First trimester | Second trimester | Third trimester | Total number of US examinations | |||||
| CNS | 0 | (0) | 3 | (10.3) | 3 | (8.4) | 6 (7.6) | 17 (8.8) |
| Macrocrania | 0 | (0) | 1 | (3.4) | 0 | (0) | 1 (1.3) | 3 (1.6) |
| Ventriculomegaly | 0 | (0) | 2 | (6.9) | 2 | (5.6) | 4 (5.0) | 2 (1.0) |
| Hyperechoic lesions | 0 | (0) | 0 | (0) | 0 | (0) | 0 (0) | 2 (1.0) |
| Choroid plexus cyst | 0 | (0) | 0 | (0) | 0 | (0) | 0 (0) | 4 (2.1) |
| Cerebellar hypoplasia | 0 | (0) | 0 | (0) | 1 | 2.8 | 1 (1.3) | 0 (0) |
| Craniotabes/asymmetric skull | 0 | (0) | 0 | (0) | 0 | (0) | 0 (0) | 6 (3.1) |
| Face and nape of neck | 2 | (14.2) | 0 | (0) | 4 | (11.2) | 6 (7.6) | 17 (8.8) |
| Ocular hypertelorism | 0 | (0) | 0 | (0) | 0 | (0) | 0 (0) | 2 (1.0) |
| Dysmorphic ear | 0 | (0) | 0 | (0) | 0 | (0) | 0 (0) | 5 (2.6) |
| Micrognathia | 0 | (0) | 0 | (0) | 1 | (2.8) | 1 (1.3) | 2 (1.0) |
| Flat face | 0 | (0) | 0 | (0) | 1 | (2.8) | 1 (1.3) | 0 (0) |
| Increased nuchal fold | 1 | (7.1) | 0 | (0) | 1 | (2.8) | 2 (2.5) | 5 (2.6) |
| Cystic hygroma | 1 | (7.1) | 0 | (0) | 1 | (2.8) | 2 (2.5) | 0 (0) |
| Ogival palate | 0 | (0) | 0 | (0) | 0 | (0) | 0 (0) | 1 (0.5) |
| Cleft lip | 0 | (0) | 0 | (0) | 0 | (0) | 0 (0) | 1 (0.5) |
| Cleft palate | 0 | (0) | 0 | (0) | 0 | (0) | 0 (0) | 1 (0.5) |
| Chest | 0 | (0) | 0 | (0) | 2 | (5.6) | 2 (2.5) | 2 (1.0) |
| Congenital diaphragmatic hernia | 0 | (0) | 0 | (0) | 1 | (2.8) | 1 (1.3) | 0 (0) |
| Lung sequestration | 0 | (0) | 0 | (0) | 1 | (2.8) | 1 (1.3) | 2 (1.0) |
| Heart | 0 | 0 | 9 | (31.0) | 5 | (14.0) | 14 (17.7) | 99 (51.0) |
| Septal defect | 0 | (0) | 2 | (6.9) | 2 | (5.6) | 4 (5.0) | 76 (39.2) |
| Valve defects | 0 | (0) | 1 | (3.4) | 1 | (2.8) | 2 (2.5) | 12 (6.2) |
| Coarctation of the aorta | 0 | (0) | 0 | (0) | 0 | (0) | 0 (0) | 2 (1.0) |
| Heart chamber defect | 0 | (0) | 3 | (10.3) | 1 | (2.8) | 4 (5.0) | 7 (3.6) |
| Double-outlet right ventricle | 0 | (0) | 1 | (3.4) | 0 | (0) | 1 (1.3) | 1 (0.5) |
| Pericardial effusion | 0 | (0) | 2 | (6.9) | 1 | (2.8) | 3 (3.8) | 1 (0.5) |
| GIT | 2 | (14.2) | 4 | (13.7) | 5 | (14.0) | 11 (14.0) | 9 (4.7) |
| Gastroschisis | 0 | (0) | 0 | (0) | 1 | (2.8) | 1 (1.3) | 1 (0.5) |
| Omphalocele | 0 | (0) | 0 | (0) | 1 | (2.8) | 1 (1.3) | 3 (1.6) |
| Ascites | 1 | (7.1) | 0 | (0) | 0 | (0) | 1 (1.3) | 0 (0) |
| Abdominal cyst | 0 | (0) | 0 | (0) | 1 | (2.8) | 1 (1.3) | 0 (0) |
| Ovarian cyst | 0 | (0) | 1 | (3.4) | 0 | (0) | 1 (1.3) | 5 (2.6) |
| Duodenal atresia (double bubble sign) | 1 | (7.1) | 0 | (0) | 0 | (0) | 1 (1.3) | 0 (0) |
| Esophageal atresia (collapsed stomach) | 0 | (0) | 2 | (6.9) | 2 | (5.6) | 4 (5.0) | 0 (0) |
| Hepatic calcifications | 0 | (0) | 1 | (3.4) | 0 | (0) | 1 (1.3) | 0 (0) |
| GUT | 3 | (21.4) | 9 | (39.1) | 10 | (27.8) | 22 (27.9) | 23 (11.8) |
| Renal cyst(s) | 0 | (0) | 1 | (3.4) | 0 | (0) | 1 (1.3) | 3 (1.6) |
| Renal dysplasia | 1 | (7.1) | 1 | (3.4) | 0 | (0) | 2 (2.5) | 0 (0) |
| Hydronephrosis | 1 | (7.1) | 6 | (42.9) | 9 | (25.0) | 16 (20.3) | 14 (7.2) |
| Pelvic kidney | 0 | (0) | 1 | (3.33) | 1 | (2.8) | 2 (2.5) | 2 (1.0) |
| Multicystic kidneys | 0 | (0) | 0 | (0) | 0 | (0) | 0 (0) | 2 (1.0) |
| Enlarged kidneys | 0 | (0) | 0 | (0) | 0 | (0) | 0 (0) | 2 (1.0) |
| Unilateral renal agenesis | 0 | (0) | 1 | (3.4) | 0 | (0) | 1 (1.3) | 0 (0) |
| Skeleton | 3 | (21.4) | 1 | (3.4) | 5 | (14.0) | 9 (11.4) | 15 (7.7) |
| Polydactyly | 0 | (0) | 0 | (0) | 1 | (2.8) | 1 (1.3) | 2 (1.0) |
| Congenital clubfoot | 1 | (7.1) | 1 | (3.4) | 3 | (8.4) | 5 (6.3) | 11 (5.7) |
| Short long bones | 0 | (0) | 0 | (0) | 1 | (2.8) | 1 (1.3) | 0 (0) |
| Hand agenesis | 2 | (14.2) | 0 | (0) | 0 | (0) | 2 (2.5) | 0 (0) |
| Clubhand | 0 | (0) | 0 | (0) | 0 | (0) | 0 (0) | 1 (0.5) |
| Congenital dislocation of the knee | 0 | (0) | 0 | (0) | 0 | (0) | 0 (0) | 1 (0.5) |
| Others | 4 | (28.6) | 3 | (10.3) | 2 | (5.6) | 9 (11.4) | 12 (6.2) |
| Single umbilical artery | 4 | (28.6) | 3 | (10.3) | 2 | (5.6) | 9 (11.4) | 12 (6.2) |
| Total | 13 | (100) | 30 | (100) | 36 | (100) | 79 (100) | 194 (100) |
US = ultrasound; CNS = central nervous system; GIT = gastrointestinal tract; GUT = genitourinary tract.