A five-year review of cases referred to the genetics clinic, PGH for findings of congenital anomalies on prenatal ultrasound / (Record no. 3008)

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Title A five-year review of cases referred to the genetics clinic, PGH for findings of congenital anomalies on prenatal ultrasound /
Statement of responsibility, etc. Conchita G. Abarquez [and three others]
520 3# - SUMMARY, ETC.
Summary, etc. BACKGROUND: Prenatal diagnosis in the Philippines has been limited to standard two-dimensional ultrasonography for antenatal screening of high risk pregnancies. Once findings of fetal anomalies are confirmed, a referral to the Genetics Clinic for prenatal counseling is recommended.<br/><br/>OBJECTIVES: To review the prenatal cases referred to the Genetics Clinic for counseling and its neonatal outcome and to evaluate the diagnostic accuracy of two-dimensional ultrasonography performed in detecting congenital malformations in the fetus.<br/><br/>METHODS: This was a retrospective study based on clinical histories, prenatal ultrasonographic findings and neonatal outcome of 128 pregnancies referred to the Genetics clinic for prenatal counseling from January 1, 2003 to December 31, 2007.<br/><br/>RESULTS: The most frequently encountered congenital anomalies were malformations of the central nervous system, abdominal wall defects, hydrops fetalis and their associated anomalies. The diagnostic accuracy was 100% for abdominal wall defects and associated anomalies, 92.7% for CNS malformations and 92.3% for hydrops fetalis. Overall, the diagnostic accuracy was 91.6% with a false-positive rate of 2.8%.<br/><br/>CONCLUSION: Prenatal ultrasound findings of congenital anomalies have increasingly become a major reason for referral to the Genetics Clinic. Although these fetal anomalies can be diagnosed accurately in the majority of cases by standard ultrasonography, neonatal mortality and morbidity remain high.
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Linking entry complexity note In: Acta Medica Philippina, 2009 vol 43 (1) pages: 22-28
650 #2 - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Congenital Abnormalities
650 #2 - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Prenatal Diagnosis
650 #2 - SUBJECT ADDED ENTRY--TOPICAL TERM
Topical term or geographic name entry element Prenatal Care
700 1# - ADDED ENTRY--PERSONAL NAME
Personal name Abarquez, Conchita G.
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Personal name Alcausin, Maria Melanie B.
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Personal name David-Padilla, Carmencita
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Personal name Cutiongco-de la Paz, Eva Maria
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Koha item type Journal Article
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Holdings
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    National Library of Medicine     DOH Central Library DOH Central Library Electronic Resource Section 02/20/2021   J000092 D0001J000092 02/20/2021 02/20/2021 Journal Article