Journal of Family Medicine and Primary Care

ORIGINAL ARTICLE
Year
: 2020  |  Volume : 9  |  Issue : 7  |  Page : 3242--3245

Audit of level II scans in a tertiary center of a middle-income country (MIC)


Ross Benjamin1, Yenuberi Hilda2, Rathore Swati2, Prasanthi Annie2, Beck Manisha2, E Mathews Jiji2 
1 Department of Neonatology, Christian Medical College, Vellore, Tamil Nadu, South India
2 Department of Obstetrics and Gynaecology, Christian Medical College, Vellore, Tamil Nadu, South India

Correspondence Address:
Dr. Yenuberi Hilda
Department of Obstetrics and Gynecology Unit- 5 , Christian Medical College, Ida Scudder Road, Vellore - 632 004, Tamil Nadu
South India

Context: Significant anomalies are those that are lethal or those that require prolonged follow-up and unaffordable treatments. Detection of these anomalies allows early termination or the support systems necessary for pregnancies with these diagnoses. Anxiety associated with overdiagnosis makes the woman a victim of modern imaging technology. However, accurate detection of significant anomalies in a busy scan room of a developing country with the need to cater to large numbers is particularly challenging. Aims: The aim was to audit the diagnostic accuracy in a busy scan room. Settings and Design: Retrospective cohort in a tertiary center. Methods and Materials: Audit of significant anomalies identified at the 20-week scan was performed after the expected date of confinement. Anomalies that were missed or overdiagnosed were noted. Statistical Analysis Used: All the categorical variables in this research were summarized using counts and percentages. Results: Twenty-eight thousand women underwent morphology ultrasound during the study period. 963 (3.4%) women were detected to have anomalies at birth. Multiple anomalies were seen in 285 (30%) cases and isolated ones in 678 (70%) cases. Anomalies of the genitourinary system were the commonest followed by the anomalies of central nervous system. Only 53 (0.2%) anomalies were missed. They were mainly syndromes and anomalies of the cardiovascular system. The most significant anomalies that were identified could be diagnosed with a basic ultrasound machine. Conclusions: 910/963 (95%) of significant anomalies can be identified even in busy centers if a systematic assessment approach is ensured.


How to cite this article:
Benjamin R, Hilda Y, Swati R, Annie P, Manisha B, Jiji E M. Audit of level II scans in a tertiary center of a middle-income country (MIC).J Family Med Prim Care 2020;9:3242-3245


How to cite this URL:
Benjamin R, Hilda Y, Swati R, Annie P, Manisha B, Jiji E M. Audit of level II scans in a tertiary center of a middle-income country (MIC). J Family Med Prim Care [serial online] 2020 [cited 2020 Sep 23 ];9:3242-3245
Available from: http://www.jfmpc.com/article.asp?issn=2249-4863;year=2020;volume=9;issue=7;spage=3242;epage=3245;aulast=Benjamin;type=0