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. 2020 Jan 13;137(5):391–400. doi: 10.1590/1516-3180.2019.026906082019

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.