This is not the most recent version of the article. View current version (14 APR 2010)
Intervention Review
Ultrasound for fetal assessment in early pregnancy
Editorial Group: Cochrane Pregnancy and Childbirth Group
Published Online: 23 APR 2008
Assessed as up-to-date: 27 JUN 2001
DOI: 10.1002/14651858.CD000182
Copyright © 2008 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.
Database Title
Additional Information
How to Cite
Neilson JP. Ultrasound for fetal assessment in early pregnancy. Cochrane Database of Systematic Reviews 1998, Issue 4. Art. No.: CD000182. DOI: 10.1002/14651858.CD000182.
Publication History
- Publication Status: Edited (no change to conclusions)
- Published Online: 23 APR 2008
This is not the most recent version of the article.View current version (14 Apr 2010)
Abstract
Background
Advantages of early pregnancy ultrasound screening are thought to be more accurate calculation of gestational age, earlier identification of multiple pregnancies, and diagnosis of non-viable pregnancies and certain fetal malformations.
Objectives
The objective of this review was to assess the use of routine (screening) ultrasound compared with the selective use of ultrasound in early pregnancy (ie before 24 weeks).
Search strategy
The Cochrane Pregnancy and Childbirth Group trials register and the Cochrane Controlled Trials Register (up to June 2001) were searched.
Selection criteria
Adequately controlled trials of routine ultrasound imaging in early pregnancy.
Data collection and analysis
One reviewer assessed trial quality and extracted data. Study authors were contacted for additional information.
Main results
Nine trials were included. The quality of the trials was generally good. Routine ultrasound examination was associated with earlier detection of multiple pregnancies (twins undiagnosed at 26 weeks, odds ratio 0.08, 95% confidence interval 0.04 to 0.16) and reduced rates of induction of labour for post-term pregnancy (odds ratio 0.61, 95% confidence interval 0.52 to 0.72). There were no differences detected for substantive clinical outcomes such as perinatal mortality (odds ratio 0.86, 95% confidence interval 0.67 to 1.12). Where detection of fetal abnormality was a specific aim of the examination, the number of terminations of pregnancy for fetal anomaly increased.
Authors' conclusions
Routine ultrasound in early pregnancy appears to enable better gestational age assessment, earlier detection of multiple pregnancies and earlier detection of clinically unsuspected fetal malformation at a time when termination of pregnancy is possible. However, the benefits for other substantive outcomes are less clear.