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• W4285307344 abstract "Introduction. In the last decades, the medical system has en­coun­tered more frequently obese or overweight pa­tients. Obe­si­ty is associated with higher risks for one’s life and with tech­nical difficulties when it comes to ma­nage­ment and treat­ment. It is estimated that 15-20% of the po­pu­la­tion is affected by this condition, and the percentage for the preg­nant women has doubled in the last decade. As ul­tra­sound exami­na­tion is an important part of prenatal care, we studied how the Body Mass Index (BMI) affected the ultrasound exa­mi­na­tion in a specialized medical clinic. Materials and method. This is a longitudinal retrospective study on the second- and third-trimester ultrasound scans performed in the last five years on patients with BMI over 25 kg/m2. The re­par­ti­tion was done regarding the re­com­men­ded categories: overweight (25-30 kg/m2), first-degree obe­si­ty (30-35 kg/m2), second-degree obesity (35-40 kg/m2) and third-degree obesity (>35 kg/m2). The statistical ana­ly­sis regarded the number of ultra­sound examinations per­formed for each patient and the technical difficulties ex­pe­rienced due to overweight or obese patients. Factors such as timing for each scanning and re­com­men­da­tions for bet­ter ultrasound examination were mentioned. Results. There were 1101 ultrasound scans selec­ted, that were performed for second- and third-trimester mor­pho­lo­gical ultrasounds in 942 patients. These patients were dis­tri­bu­ted as overweight (69%), with first-degree obesity (22%), second-degree obesity (6%) and third-degree obesity (3%). In general, the num­ber of repeated scans in the study was higher than in nor­mal patients, although no statistical correlation to BMI could be established. In 58% of cases, the specialist marked the tech­ni­cal difficulties in the fetal ul­tra­sound assessment, mainly related to the abdominal ma­ter­nal adiposity. Most frequently, the recommendation was for the scan to be repeated after 2-4 weeks, as opposed to the usual 6-8 weeks interval in re­gu­lar patients. No cor­re­la­tion to the BMI was found for fe­tal anomalies, Doppler para­me­ters or estimation of fetal growth. Conclusions. Obesity has become an important risk fac­tor during pregnancy and im­plies difficulties in performing an­te­na­tal fetal ultrasound. The new specialists for antenatal fe­tal morphology ultra­sound evaluation should be trained to deal with the pit­falls and tricks related to the accuracy of fetal ultra­sound exa­mi­na­tion in obese or overweight patients. The li­­mi­­ta­­tions of this imagistic investigation should be ex­plained to each patient." @default.
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• W4285307344 date "2022-01-01" @default.
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• W4285307344 title "Ultrasound examination difficulties in overweight pregnant patients. Review of literature and retrospective study" @default.
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• W4285307344 doi "https://doi.org/10.26416/gine.36.2.2022.6547" @default.
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