Place Of First Trimester Ultrasound at The University Teaching Hospital of Bogodogo (UTH-B) in Burkina Faso
DOI:
https://doi.org/10.25077/aoj.8.1.605-614.2024Keywords:
fetal sex, first-trimester ultrasound, OuagadougouAbstract
Objective: To describe the experience of the UTH-Bogodogo obstetrics and gynecology department in ultrasound determination of fetal sex in the first trimester of pregnancy.
Patients and methods: This was a prospective descriptive study conducted over a 30-month period from February 1, 2021 to June 30, 2022 in the gynecological and obstetric ultrasound unit of the UTH-Bogodogo in Ouagadougou. The study sample consisted of 311 fetuses. The sample included all pregnant women who came for an obstetrical ultrasound scan in a non-emergency situation, whose gestational age was between the 11th and 14th week of amenorrhea, and who expressed a wish to know the fetal sex. The methods described by Mazza and Efrat were used to determine fetal sex. Patients were followed until delivery, after clinical verification of the sex of their newborns. Data were collected using an individual data collection form. Participation in the study was conditional on patients signing an informed consent form.
Results: Fetal sex determination was possible in 280 of 311 fetuses, for a feasibility rate of 89.7%. In the remaining 31 cases, it was not possible to determine the fetal sex, as the position of the fetus did not allow a clear view of the genital bud. In terms of reliability, of the 238 fetuses monitored, fetal sex determination was correct in 204 fetuses, for a success rate of 85.7%. Accuracy was better when sex determination was performed after 12 weeks of amenorrhea. There was no significant difference in measurements between single and multiple fetuses.
Conclusion: ultrasound determination of fetal sex at first birth could be an effective, simple, available and inexpensive option in developing countries.
References
Efrat Z, Perri T, Ramati E, et coll. Fetal gender assignment by first-trimester ultrasound. Ultrasound Obstet Gynecol 2006 ; 27:619-621.
Emerson DS, Felker RE, Brown DL. The sagital sign : an early second trimester
sonographic indicator of fetal gender. J Ultrasond Med 1989 ; 8:293-297.
Dunne GM, Cunat JS. Sonographic determination of fetal gender before 25 weeks gestation. AJR Am J Roentgenol 1983 ; 741-743.
Natsuyama E. Sonograpic determination of fetal sex from twelve weeks of gestation. Am J Obstet Gynecol 1984 ; 149 : 748-757.
Bronshtein M, Rottem S, Yoffe N, Blumenfeld Z, Brandes JM. Early determination of fetal sex using transvaginal sonography : technique and pitfalls. J Clin Ultrasound 1990 ; 18:302-306.
Mielke G, Kiesel L, Backsch C, Erz W, Gonser M. Fetal sex determination by high resolution ultrasound in early pregnancy. Eur J Ultrasound 1998; 7: 109–114.
Benoit B. Early fetal gender determination. Ultrasound Obstet Gynecol 1999; 13: 299– 300.
Whitlow BJ, Lazanakis MS, Economides DI. The sonographic identification of fetal gender from 11 to 14 weeks of gestation. Ultrasound Obstet Gynecol 1999; 13:301– 304.
Efrat Z, Akinfenwa O, Nicolaides KH. First-trimester determination of fetal gender by ultrasound. Ultrasound Obstet Gynecol. 1999; 13: 305–307.
Mazza V, Contu G, Falcinelli C, et coll. Biometrical threshold of biparietal diameter for certain fetal sex assignment by ultrasound.Ultrasound Obstet Gynecol 1999; 13:308– 311.
Lev-Toaff S, Ozhan S, Pretorius D, Bega G, Kurtz 279 A B And Kuhlman K. Three dimensional multiplanar ultrasound for fetal gender assignment: value of the mid sagittal plane. Ultrasound Obstet Gynecol 2000; 16: 345-350.
Mazza V, Falcinelli C, Paganelli S, et coll. Sonographic early fetal gender assignment: a longitudinal study in pregnancies after in vitro fertilization. Ultrasound Obstet Gynecol 2001; 17: 513–516.
Podobnik M and Podgajski M. First trimester determination of fetal gender by
ultrasound. Ultrasound Obstet Gynecol 2001; 18 (Suppl. 1): 32–61
Mazza V, Falcinelli C, Percesepe A, Paganelli S, Volpe A and Forabosco A. Non invasive first trimester fetal gender assignment in pregnancies at risk for X-linked
recessive diseases. Prenat Diagn 2002; 22: 919–924.
Marshall FF. Embryology of the lower genitourinary tract. Urol Clin North Am1 1978; 5:3
Feldman KW, Smith DW. Fetal phallic growth and penile standards for newborn male infants. J Pediatr 1975; 86:395–8
Michailidis GD, Papageorgiou P, Morris RW, Economides DL. The use of three dimensional ultrasound for fetal gender determination in the first trimester. BrJRadiol 2003; 76:448 –451.
Jon A. Hyett, Glenn Gardener, Taita Stojilkovic-Mikic et coll. Reduction in diagnosis and therapeutic interventions by non-invasive determination of fetal sex in early pregnancy. Prenat Diagn 2005; 25: 1111–1116.
Chi C, Hyett J, Finning K, Lee C, Kadir R. Non-invasive first trimester determination of fetal gender: a new approach for prenatal diagnosis of haemophilia. BJOG 2006; 113:239–242.
Adeyinka AO, Agunloye AM, Idris S. Ultrasonographic assessment 303 of fetal gender. Afr J Med Med Sci. 2005; 34(4):345-8.
Podobnik M, Podgajski M, Podobnik P, Balenovic I, Brlecic I. First-trimester
determination of fetal gender by ultrasound. Ultrasound in Obstetrics & Gynecology
; 28: 412–511
Podobnik P, Podobnik M, Zmijanac J, Gebauer B, Stasenko S, Brlecic I. First trimester determination of fetal gender by ultrasound. Ultrasound in Obstetrics &
Gynecology 2007; 30: 367–455
Hsiao CH, Wang HC, Hsieh CF, Hsu JJ. Fetal gender screening by ultrasound at 11 to 13(+6) weeks. Acta Obstet Gynecol Scand. 2008; 87(1):8-13.
Odeh M, Granin V, Kais M, Ophir E, Bornstein J. Sonographic fetal sex
determination. Obstet Gynecol Surv. 2009; 64(1):50-7
Wright CF, Burton H. The use of cell-free fetal nucleic acids in maternal
blood for non-invasive prenatal diagnosis. Hum Reprod Update. 2009; 15 (1):139-51.
Stocker J, Evens L. Fetal sex determination by ultrasound.Obstet Gynecol 1977; 50:462–466.
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