Interobserver reliability of sonographic fetal biometry in second trimester maternal serum screening

To examine the interobserver variability for fetal biometry parameters and to investigate whether this variability affects the second-trimester maternal serum screening test (STMSS) results. A total of 60 singleton pregnancies who were scheduled for STMSS were investigated. Two experienced sonograph...

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Bibliographic Details
Published in:Clinical and experimental obstetrics & gynecology 2017-01, Vol.44 (3), p.379-383
Main Authors: Aksoy, H, Ozyurt, S, Aksoy, U, Ozdamar, O, Mutlu, E, Tutus, S, Babayigit, M A, Acmaz, G
Format: Article
Language:English
Subjects:
Adult
Biometry
Down Syndrome - diagnosis
Female
Fetus
Gestational Age
Humans
Observer Variation
Pregnancy
Pregnancy Trimester, Second
Prenatal Diagnosis
Reproducibility of Results
Trisomy
Ultrasonography, Prenatal
Young Adult
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Summary:To examine the interobserver variability for fetal biometry parameters and to investigate whether this variability affects the second-trimester maternal serum screening test (STMSS) results. A total of 60 singleton pregnancies who were scheduled for STMSS were investigated. Two experienced sonographers performed all examinations at the same visit. The risk calclations of screening were performed according to the each operator's biometric measurements separately. Interobserver variability in measurements of fetal biometrics and the effect of this interobserver variability on the screening results were assessed. inter-observer reliability for biparietal diameter (BPD) and femur length (FL) were 0.904 and 0.888 (p < 0.00 1), respectively. interobserver reliability coefficients for trisomy 21, trisomy 13/18, and neural tube defect were 0.887, 0.999, and 0.920 (p < 0.0001), respectively. The present results demonstrate that the interobserver reliability and agreement of ultrasound measurements of fetal biometry in cases of routine prenatal screening are highly reliable.
ISSN:0390-6663
DOI:10.12891/ceog3246.2017