In assessing the effectiveness of ultrasound machine in pregnancy, it’s essential to form the excellence between its selective use for specific indications and its routine use as a screening procedure. Basically, ultrasound has proven valuable in a very handful of specific things in that the diagnosis “remains unsure when clinical history has been ascertained and a physical examination has been performed.” Yet, considering whether the benefits outweigh the prices of using ultrasound routinely, systematic medical research has not supported routine use.
There is another downside in screening for IUGR. One of the fundamental principles of ultrasound machines screening is to screen only for conditions for that you can do something. At gift, there is no treatment for IUGR, no approach to slow up or stop the process of too-slow growth of the fetus and come back it to normal. So it is arduous to determine how screening for IUGR might be expected to enhance pregnancy outcome.
We are left with the conclusion that, with IUGR, we tend to will solely stop a little amount of it using social interventions (nutrition and substance abuse programs), are terribly inaccurate at diagnosing it, and have no treatment for it. If this can be the present state of the art, there’s no justification for clinicians using routine ultrasound during pregnancy for the management of IUGR. Its use ought to be restricted to analysis on IUGR.
That ultrasound during pregnancy can not be simply assumed to be harmless is suggested by good scientific work in Norway. By following up on youngsters at age eight or nine born of mothers who had taken part in 2 controlled trials of routine ultrasound in pregnancy, they were able to show that routine ultrasonography was related to an indication of potential neurological problems.
The safety issue is created additional complicated by the problem of exposure conditions. Clearly, any bio-effects that might occur as a results of ultrasound would rely on the dose of ultrasound received by the fetus or woman. But there are no national or international standards for the output characteristics of ultrasound equipment. The result is the stunning situation described in a commentary in the British Journal of Obstetrics and Gynaecology, in that ultrasound machines in use on pregnant girls range in output power from extraordinarily high to extraordinarily low, all with equal effect.
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