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No. 223-Content of a Complete Routine Second Trimester Obstetrical Ultrasound Examination and Report

  • Yvonne Cargill
    Correspondence
    Corresponding Author: Dr. Yvonne Cargill, University of Ottawa, Ottawa, ON.
    Affiliations
    Ottawa, ON
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  • Lucie Morin
    Affiliations
    Montréal, QC
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  • Author Footnotes
    ∗ Diagnostic Imaging Committee: Lucie Morin (Chair), MD, Montréal, QC; Stephen Bly, PhD, Ottawa, ON; Kimberly Butt, MD, Fredericton, NB; Yvonne Cargill, MD, Ottawa, ON; Nanette Denis, RDMS, CRGS, Saskatoon, SK; Robert Gagnon, MD, Montréal, QC; Marja Anne Hietala-Coyle, RN, Halifax, NS; Kenneth Lim, MD, Vancouver, BC; Annie Ouellet, MD, Sherbrooke, QC; Marie-Hélène Racicot, MD, Montréal, QC; Shia Salem, MD, Canadian Association of Radiologists, Toronto, ON. The Society of Obstetricians and Gynaecologists of Canada acknowledges advisory input from the Canadian Association of Radiologists pertaining to imaging guidelines in the creation of this document. Disclosure statements have been received from all members of the committee.

      Abstract

      Objective

      To review the benefits of and requirements for a complete second trimester ultrasound and the documentation needed.

      Outcomes

      A complete second trimester ultrasound provides information about the number of fetuses, the gestational age, the location of the placenta, and fetal and maternal anatomy.

      Evidence

      In the production of this document, the American Institute of Ultrasound in Medicine's “Practice Guideline for the Performance of Obstetric Ultrasound Examinations,” the American College of Obstetricians and Gynecologists' practice bulletin, “Ultrasound in Pregnancy,” and the Royal College of Obstetricians and Gynaecologists' Working Party Report, “Ultrasound Screening” were reviewed. PubMed and the Cochrane Database were searched using the words “routine second trimester obstetrical ultrasound.”

      Values

      The evidence was evaluated using the guidelines developed by the Canadian Task Force on Preventive Health Care.

      Benefits, Harms, and Costs

      A routine complete second trimester ultrasound between 18 and 22 weeks and a complete ultrasound report will provide the best opportunity to diagnose fetal anomalies and to assist in the management of prenatal care. It will also reduce the number of ultrasound examinations done during the second trimester for completion of fetal anatomy survey. The costs are those involved with the performance of obstetrical ultrasound.

      Validation

      This is a revision of previous guidelines; information from other consensus reviews from medical publications has been used.

      Sponsors

      The Society of Obstetricians and Gynaecologists of Canada.

      Recommendations

      • 1.
        Pregnant women should be offered a routine second trimester ultrasound between 18 and 22 weeks' gestation (II-2B).
      • 2.
        Second trimester ultrasound should screen for the number of fetuses, the gestational age, and the location of the placenta (II-1A).
      • 3.
        Second trimester ultrasound should screen for fetal anomalies (II-2B).

      Key Words

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