Do Your Protocols Comply With the NEW 2nd Trimester OB Ultrasound Practice Guidelines?
ST PETE BEACH, Fla. - May 20, 2014 - PRLog -- “CHD is a leading cause of infant mortality, with an estimated incidence of about 4–13 per 1000 live births. Between 1950 and 1994, 42% of infant deaths reported to the World Health Organization were attributable to cardiac defects. Structural cardiac anomalies were also among the abnormalities most frequently missed by prenatal ultrasonography”
With 2013 being deemed “The Year of Ultrasound” by the American Institute of Ultrasound in Medicine (AIUM), there has been an ever growing demand for medical practitioners to integrate diagnostic ultrasound into practice to improve performance / interpretation skills. The goal is to increase the integration of ultrasound education and use throughout all levels of healthcare clinical applications. Increased utilization of ultrasound will provide the best care to patients in a cost effective manner.
Among these specialties, there has been an increased demand for healthcare providers to update protocols regarding fetal heart screening. The implementation of the new guidelines for 2nd Trimester OB Ultrasound has been a collaborative effort by ACR–ACOG–AIUM–
Guideline updates specific to the fetal heart include:
Standard Second or Third Trimester Examination
A standard obstetrical sonogram in the second or third trimester includes an evaluation of fetal presentation, amniotic fluid volume, cardiac activity, placental position, fetal biometry, and fetal number, plus an anatomic survey. The maternal cervix and adnexa should be examined as clinically appropriate when technically feasible.
The routine fetal heart exam is no longer just a four-chamber evaluation. Routine protocols should now include:
-Left Ventricular outflow tract
-Right ventricular outflow tract
In addition to updates regarding fetal heart evaluation, the AIUM has also released statements regarding physician maintenance of certification:
Maintenance of Competence in Fetal Echocardiography
All Physicians performing fetal echocardiograms should demonstrate evidence of continuing competence in the interpretation and reporting of those examinations. A minimum of 100 diagnostic fetal echocardiograms per year is recommended to maintain the physician’s skills.
Continuing Medical Education in Fetal Echocardiography
The physician should complete 10 hours of AMA PRA Category 1 Credits specific to fetal echocardiography every 3 years.
View the updated guidelines at:
Practice guidelines for the performance of obstetrical ultrasound
ISUOG Practice Guidelines p.348: http://www.isuog.org/
To accommodate medical professionals need to incorporate advanced fetal heart screening techniques as outlined in the new guidelines, Gulfcoast Ultrasound Institute is offering a one-day Fetal Heart Examination-
The Fetal Heart Screening Examination
This course is designed to increase the participants’
Jill Beithon, RT( R), RDMS, RDCS, RVT
For more information on the program, visit: The Fetal Heart Screening Exam: A Comprehensive Hands-On Course
Gulfcoast Ultrasound Institute