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No minor or major bleeding was observed, and the placental and fetal examination was always normal.
Fetal examination starts with standard ultrasound examination.
Details of fetal examination were described by De Paepe et al. [ 39].
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The results of the fetal examinations were compared between women with low and high anxiety scores (low scores being defined as scores below the median and high scores as scores equal to or above the median of the study population), and correlation analyses between anxiety scores and the outcome variables were performed.
I believe the portable high-resolution ultrasound (Vscan or Mobisante) represents a home run to replace the stethoscope for heart, abdominal and fetal examinations.
Women with known medical conditions that require extended fetal examinations and consultation are referred to an obstetrician for the routine ultrasound scan.
It was also stressed that lack of knowledge could limit the possibility for women to make informed choices, not only about having a screening test or not, but also regarding possible additional fetal examinations or treatments.
Fetal Ultrasound Examination: Ultrasound examination, trans-abdominal (TA) or trans-vaginal (TV) 7, 8 should be offered as early as 13 14 weeks gestation for a pregnancy at risk for the severe, lethal form of OI (OI type II) and 16 20 weeks for one at risk for OI type III.
This is partially due to the routine approach of offering detailed fetal postmortem examination or limited examination when a full autopsy is declined; even when fetal autopsy is declined the placenta is evaluated.
Some of the obstetricians also admitted that at times when there was no medical indication for a fetal ultrasound examination, they did perform an ultrasound examination in order to calm an anxious couple.
Their level of training ranged from basic courses in fetal ultrasound examinations including doppler examinations to more advanced training in examination of the fetal heart, and fetal therapy.
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