Additional routine ultrasounds benefit mothers and babies, and could be cost saving, study finds

ScienceDaily | 4/16/2019 | Staff
my_new_puppy (Posted by) Level 3
Undiagnosed breech presentation -- when a baby's buttocks or feet emerge first at birth -- increases the risk of perinatal morbidity and mortality. In current practice, fetal presentation is assessed by palpation of the maternal abdomen, but the sensitivity of this approach varies by practitioner. By routinely using ultrasound screening, undiagnosed breech presentation in labour could be avoided, lowering the risk of morbidity and mortality for both mother and baby.

In the new study, researchers performed research screening ultrasounds at 36 weeks' gestation in 3879 women having first pregnancies in England. A total of 179 women (4.6%) were diagnosed with breech presentation by the research scan. However, in over half of these cases (55%) there was no prior suspicion that the baby was presenting in the breech position. Making the diagnosis at 36 weeks allowed women to opt for an attempt at turning the baby, called external cephalic version. For the women who declined this procedure, or where it was unsuccessful, a...
(Excerpt) Read more at: ScienceDaily
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