Author | Campaña, Hebe | |
Author | Ermini, Mónica | |
Author | Aiello, Horacio A. | |
Author | Krupitzki, Hugo | |
Author | Castilla, Eduardo E. | |
Author | López-Camelo, Jorge S. | |
Access date | 2017-10-05T11:14:27Z | |
Available date | 2017-10-05T11:14:27Z | |
Document date | 2010 | |
Citation | CAMPAÑA, Hugo; et al. Prenatal Sonographic Detection of Birth Defects in 18 Hospitals From South America. J Ultrasound Med., v. 29. p.203–212, 2010. | pt_BR |
ISSN | 0278-4297 | pt_BR |
URI | https://www.arca.fiocruz.br/handle/icict/22774 | |
Description | Latin American Collaborative Study of Congenital Malformations Study Group | pt_BR |
Language | eng | pt_BR |
Publisher | Wiley | pt_BR |
Rights | restricted access | pt_BR |
Subject in Portuguese | Defeitos de nascença | pt_BR |
Subject in Portuguese | Estudo Colaborativo Latino-Americano de Malformações Congênitas | pt_BR |
Subject in Portuguese | Regime de seguro de saúde | pt_BR |
Subject in Portuguese | Ecografia pré-natal | pt_BR |
Subject in Portuguese | América do Sul | pt_BR |
Title | Prenatal Sonographic Detection of Birth Defects in 18 Hospitals From South America | pt_BR |
Type | Article | pt_BR |
Abstract | Objective. The purpose of this study was to assess the accuracy of prenatal sonographic
diagnosis of birth defects and the gestational age at detection according
to the health insurance schemes of mothers in 450 malformed neonates from 18
South American hospitals on the basis of prenatal sonographic records.
Methods. Between July 2000 and December 2003, 18 hospitals included in the
Latin American Collaborative Study of Congenital Malformations (13 from
Argentina [8 public and 5 nonpublic], 3 from Brazil [2 public and 1 nonpublic], 1
from Chile [nonpublic], and 1 from Venezuela [public]) voluntarily participated in
this prospective observational study, recording fetuses with sonographically
detected malformations. Prenatal sonographic descriptions of anomalies were
compared with those recorded at birth. Results. Of 812 anomalies detected at
birth, 457 had been prenatally detected (detection rate, 56.3%; 95% confidence
interval, 52.8%–59.8%). Before 24 gestational weeks, anencephaly had the
highest detection rate. Cleft lip and clubfoot were more easily detected when associated
with other anomalies. The detection rates for central nervous system and
renourinary malformations were greater than 80%. Detection rates between both
health insurance schemes (public and nonpublic) did not show significant differences,
but anencephaly, spina bifida, renourinary defects, and cleft lip with or without
cleft palate were detected earlier in patients from nonpublic rather than in
public hospitals. Conclusions. For specific anomalies, South America shows similar
levels of prenatal sonographic detection as developed countries. Detection
rates during pregnancy were similar for public and nonpublic hospitals, whereas
cases were diagnosed earlier in patients from nonpublic hospitals. | pt_BR |
Affilliation | Instituto Multidisciplinario de Biología Celular. La Plata, Argentina. | pt_BR |
Affilliation | Hospital Italiano de La Plata. Servicio de Obstetricia. La Plata, Argentina. | pt_BR |
Affilliation | Hospital Italiano de Buenos Aires. Servicio de Obstetricia. La Plata, Argentina. | pt_BR |
Affilliation | Center for Medical Education and Clinical Research. Dirección de Investigación. Buenos Aires, Argentina. | pt_BR |
Affilliation | Center for Medical Education and Clinical Research. Dirección de Investigación. Buenos Aires, Argentina / Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Estudo Colaborativo Latino-Americano de Malformações Congênitas. Rio de Janeiro, RJ, Brasil. | pt_BR |
Affilliation | Center for Medical Education and Clinical Research. Dirección de Investigación. Buenos Aires, Argentina. | pt_BR |
Subject | birth defect | pt_BR |
Subject | health insurance scheme | pt_BR |
Subject | Latin American Collaborative Study of Congenital Malformations | pt_BR |
Subject | prenatal sonography | pt_BR |
Subject | South America | pt_BR |
e-ISSN | 1550-9613 | |
Embargo date | 2030-01-01 | |