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• W1996918054 abstract "ObjectiveOur objective was to determine the number of ultrasounds (US) performed prior to presentation to an MFM and the patient's perceived reason for referral.Study designWomen presenting for their first MFM US in an urban center between 11/03 and 4/04 reported the number, location and gestational age (GA) of prior US and whether their insurance company had been billed for these studies. They also reported their current GA, insurance, and perceived reason for referral. Pearson correlation and Kruskal Wallis were used; P < .05 was considered significant.Results655 women were invited to participate; 207 declined. The median number of US was 2 (0-11). 12% reported no prior US, 30% had one, 28% had 2 and 29% reported ≥ 3. Women presented at a mean GA of 21.3 ± 5.4 weeks. They reported their first US at 9.9 ± 2 weeks and most recent prior US at 16.9 ± 6.7 weeks. GA at presentation did not correlate with number of prior US (r = 0.17). Of 396 women with at least one prior US, 336 had at least one performed in their doctor's office and 74 had at least one performed in an US clinic. 60.4% had private insurance; 37.3% had Medicaid and 2.3% had no insurance. Women with private insurance had a higher number of prior US than women with Medicaid (P < .001). 35% of women with private insurance had ≥ 3US compared to 22% of women with Medicaid. Of the 396 women who reported a prior US, 183 stated that their insurance had been billed; 168 did not know if their insurance was billed. 280 women stated their reason for referral to the MFM unit was for a routine US or to determine gender. 158 were referred because their doctor was concerned about a genetic problem (n = 54), a structural anatomical problem (n = 37), a medical problem (n = 23), preterm labor (n = 10) or some other problem (n = 34). 10 were unsure of referral indication.ConclusionMost women have at least one US prior to an MFM US. Many, especially with private insurance, have several prior US. Patient education is needed about reasons for referral to an MFM and possible increased financial burden of multiple US. ObjectiveOur objective was to determine the number of ultrasounds (US) performed prior to presentation to an MFM and the patient's perceived reason for referral. Our objective was to determine the number of ultrasounds (US) performed prior to presentation to an MFM and the patient's perceived reason for referral. Study designWomen presenting for their first MFM US in an urban center between 11/03 and 4/04 reported the number, location and gestational age (GA) of prior US and whether their insurance company had been billed for these studies. They also reported their current GA, insurance, and perceived reason for referral. Pearson correlation and Kruskal Wallis were used; P < .05 was considered significant. Women presenting for their first MFM US in an urban center between 11/03 and 4/04 reported the number, location and gestational age (GA) of prior US and whether their insurance company had been billed for these studies. They also reported their current GA, insurance, and perceived reason for referral. Pearson correlation and Kruskal Wallis were used; P < .05 was considered significant. Results655 women were invited to participate; 207 declined. The median number of US was 2 (0-11). 12% reported no prior US, 30% had one, 28% had 2 and 29% reported ≥ 3. Women presented at a mean GA of 21.3 ± 5.4 weeks. They reported their first US at 9.9 ± 2 weeks and most recent prior US at 16.9 ± 6.7 weeks. GA at presentation did not correlate with number of prior US (r = 0.17). Of 396 women with at least one prior US, 336 had at least one performed in their doctor's office and 74 had at least one performed in an US clinic. 60.4% had private insurance; 37.3% had Medicaid and 2.3% had no insurance. Women with private insurance had a higher number of prior US than women with Medicaid (P < .001). 35% of women with private insurance had ≥ 3US compared to 22% of women with Medicaid. Of the 396 women who reported a prior US, 183 stated that their insurance had been billed; 168 did not know if their insurance was billed. 280 women stated their reason for referral to the MFM unit was for a routine US or to determine gender. 158 were referred because their doctor was concerned about a genetic problem (n = 54), a structural anatomical problem (n = 37), a medical problem (n = 23), preterm labor (n = 10) or some other problem (n = 34). 10 were unsure of referral indication. 655 women were invited to participate; 207 declined. The median number of US was 2 (0-11). 12% reported no prior US, 30% had one, 28% had 2 and 29% reported ≥ 3. Women presented at a mean GA of 21.3 ± 5.4 weeks. They reported their first US at 9.9 ± 2 weeks and most recent prior US at 16.9 ± 6.7 weeks. GA at presentation did not correlate with number of prior US (r = 0.17). Of 396 women with at least one prior US, 336 had at least one performed in their doctor's office and 74 had at least one performed in an US clinic. 60.4% had private insurance; 37.3% had Medicaid and 2.3% had no insurance. Women with private insurance had a higher number of prior US than women with Medicaid (P < .001). 35% of women with private insurance had ≥ 3US compared to 22% of women with Medicaid. Of the 396 women who reported a prior US, 183 stated that their insurance had been billed; 168 did not know if their insurance was billed. 280 women stated their reason for referral to the MFM unit was for a routine US or to determine gender. 158 were referred because their doctor was concerned about a genetic problem (n = 54), a structural anatomical problem (n = 37), a medical problem (n = 23), preterm labor (n = 10) or some other problem (n = 34). 10 were unsure of referral indication. ConclusionMost women have at least one US prior to an MFM US. Many, especially with private insurance, have several prior US. Patient education is needed about reasons for referral to an MFM and possible increased financial burden of multiple US. Most women have at least one US prior to an MFM US. Many, especially with private insurance, have several prior US. Patient education is needed about reasons for referral to an MFM and possible increased financial burden of multiple US." @default.
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• W1996918054 title "Utilization of obstetrical ultrasound in a referral population" @default.
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