Two- versus three-dimensional ultrasound in the second and third trimester of pregnancy: impact on recognition and maternal–fetal bonding. A prospective pilot study

Two- versus three-dimensional ultrasound in the second and third trimester of pregnancy: impact on recognition and maternal–fetal bonding. A prospective pilot study
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妊娠中期和晚期的二维与三维超声:对识别和母婴关系的影响一项前瞻性试点研究。

DOI:
10.1007/s00404-007-0368-7
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发表时间:
2007
影响因子:
2.6
通讯作者:
S. Tercanli
S. Tercanli
中科院分区:
医学3区
文献类型:
--
作者:
O. Lapaire;J. Alder;R. Peukert;W. Holzgreve;S. Tercanli

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目的评价三维超声(3D)与二维超声(US)对母胎结合的影响。研究设计:对妊娠中晚期低风险单胎孕妇进行前瞻性随机先导研究。根据随机化模式的不同,US开始于2D US或3D US,并用标准化问卷记录效果。尽管二维超声的质量优于三维超声,但三维超声的母体识别率更高(P=0.004)。在二维超声检查中,未产妇较经产妇有更多的胎儿可视化困难(P=0.03)。结论超声对母胎结合无显著影响。三维图像可能有助于识别胎儿,但3D US对母婴结合没有更高的影响。这一发现可能是不考虑将三维超声用于常规扫描的一个原因。
ObjectiveTo assess the impact of three-dimensional (3D) versus two-dimensional (2D) ultrasound (US) on maternal–fetal bonding.Study designProspective randomized pilot study among low risk women with singleton fetuses in the second and third trimester. Dependent on the randomization pattern, US was commenced either with 2D US or 3D US and the effects were recorded with standardized questionnaires.ResultsSixty patients were included. Although the quality of 2D US, assessed by the examinator, was superior to 3D US, maternal recognition was higher with 3-D US (P = 0.004). With 2D US, nulliparous patients had significantly more difficulties visualizing the fetus, than multiparous (P = 0.03). However, the maternal preference of 3D US had no significant impact on maternal–fetal bonding.ConclusionUltrasound had no significant effect on maternal–fetal bonding. Three-dimensional images may facilitate recognition of the fetus, but 3D US did not have higher impact on maternal–fetal bonding. This finding may be a reason not to consider 3D ultrasound for routine scanning.