Guldemeester H A, Tibboel D, Hazebroek F W, Bos A P, Wladimiroff J W, Molenaar J C
Academisch Ziekenhuis Rotterdam-Sophia Kinderziekenhuis, afd. Kinderheelkunde.
Ned Tijdschr Geneeskd. 1991 Apr 20;135(16):703-7.
In 180 newborns with congenital anatomical anomalies, admitted to the Department of Paediatric Surgery, Sophia Children's Hospital, Rotterdam, we retrospectively determined whether ultrasound studies had been performed during the second and third trimesters of pregnancy. The correlation between prenatal and postnatal diagnoses was investigated as well. Ultrasound study had been performed in 86 if the 180 pregnant mothers (48%). In 41 cases the anomaly of the newborn had not been diagnosed prenatally. In 45 cases anomaly had been diagnosed prenatally. The ultimate diagnosis was the same as the prenatal diagnosis in 35 patients and was different in 10. We conclude that routine prenatal ultrasound study in the second or third trimester of pregnancy, aimed at detecting congenital anatomical anomalies to be treated by the (general) paediatric surgeon, provided little certainty about the health of the baby. Permanent education of obstetricians, and at the slightest doubt referral to one of the University Hospital Centres for specific ultrasound study, are mandatory in order to be able to correctly inform an increasing number of parents about the prospects of their unborn child.
在鹿特丹索菲亚儿童医院小儿外科收治的180例患有先天性解剖异常的新生儿中，我们回顾性地确定了孕期第二和第三阶段是否进行过超声检查。同时还研究了产前诊断与产后诊断之间的相关性。180名孕妇中有86名（48%）进行了超声检查。41例新生儿的异常在产前未被诊断出。45例异常在产前已被诊断出。最终诊断与产前诊断相同的有35例，不同的有10例。我们得出结论，孕期第二或第三阶段旨在检测需由（普通）小儿外科医生治疗的先天性解剖异常的常规产前超声检查，对胎儿健康的确定性较低。为了能够正确地向越来越多的父母告知其未出生孩子的前景，对产科医生进行持续教育，并在有丝毫疑问时转诊至大学医院中心进行特定超声检查是必不可少的。
