Ultrasonographic diagnosis of congenital anomalies in twins

Article Abstract:

Twins have as many as three times the rate of congenital defects as singleton infants, and prenatal ultrasonography may be valuable in diagnosing some of these abnormalities. To better evaluate this, results from sonograms were compared with results from neonatal examination for 157 pairs of twins. At least one prenatal sonogram was reviewed for each twin pair; the average number of sonograms per pair was 2.5. Fourteen anomalies of the genitourinary system were present, of which 6 (43 percent) were detected by ultrasonography. This was the most common major anomaly that required surgery or limited normal life expectancy. None of the eight cardiovascular anomalies was diagnosed by prenatal ultrasonography. Thirty-three twins had 40 anomalies, of which 28 (9 percent) were major and 12 (4 percent) were minor. Thirty-nine percent of the major cardiac anomalies were detected by ultrasonography that obtained a four-chamber view of the heart. The method detected 55 percent of the noncardiac major anomalies and 69 percent of the major anomalies that would require specialized prenatal care. In general, serial prenatal ultrasonography that uses a basic anatomic survey is useful for detecting the noncardiac anomalies for which twins are known to be at risk. The four-chamber cardiac view does not adequately screen for cardiac anomalies in twins. (Consumer Summary produced by Reliance Medical Information, Inc.)

Methods, Diagnosis, Medical examination, Birth defects, Twins, Prenatal ultrasonography, Ultrasonics in obstetrics

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But isn't that your job, son?

Article Abstract:

Professors of obstetrics and gynecology may need to put more effort into teaching their discipline to undergraduate medical students, regardless of their future specialty. Future doctors of other specialties may still treat women, and should be familiar with the basics of obstetrics and gynecology. Seven elements comprise the basics which all doctors should know in OBGYN. The first element is how to take a gynecologic history and perform a gynecologic examination. Second is correctly taking and reading a cervical smear. Up-to-date knowledge of contraceptives, knowledge of gynecologic diseases, knowledge of bodily changes during pregnancy, knowledge of fetal development and drugs which may affect it, and perspectives on social and health policies with respect to women should be known by all doctors.

Medicine, Training, Medical education, Gynecologists, Obstetricians, Medical specialties

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