ABSTRACT
The indications for gynecologic ultrasonography, as well as the reliability of sonographic diagnoses in gynecologic patients, remain controversial. In an effort to evaluate the reliability of the gynecologic sonographic diagnoses rendered at this institution, we analyzed 900 patients available for follow-up. The referral diagnosis was confirmed in 331 patients (36.8%). In 531 patients (59%), sonography established the diagnosis. Thirty-eight (4.2%) of the diagnoses rendered did not reveal the actual status of the patient and were deemed to be "misleading." Twenty-one of the misleading diagnoses involved the attempted diagnosis of pregnancy at less than 5 weeks' menstrual age. Sonography correctly identified 353 of 370 patients with normal pelvic anatomy. Specific clinical settings in which gynecologic sonography could be beneficial are presented.
Subject(s)
Genital Diseases, Female/diagnosis , Pregnancy Complications/diagnosis , Pregnancy , Ultrasonography , Diagnostic Errors , Evaluation Studies as Topic , Female , Follow-Up Studies , Humans , Laparoscopy , Pregnancy Trimester, First , Pregnancy, Ectopic/diagnosisABSTRACT
From 1976 to 1982, prenatal diagnosis was performed on more than 1,000 patients at the Richland Memorial Hospital. This report analyzes the experience of our unit with the first 1,000 consecutive studies. The integration of geneticist and clinician is stressed. A total of 77.7% of referrals were because of maternal age with the next most common indication being a prior child with a neural tube defect. There were 18 chromosomal abnormalities discovered, and no cases of open neural tube defect were detected. In all cases of elective termination of pregnancy in which follow-up was possible, the diagnosed abnormality was confirmed.
Subject(s)
Chromosome Aberrations/diagnosis , Congenital Abnormalities/diagnosis , Prenatal Diagnosis , Adult , Amniocentesis/adverse effects , Chromosome Disorders , Female , Humans , Karyotyping , Maternal Age , Metabolism, Inborn Errors/diagnosis , Pregnancy , Pregnancy, High-RiskABSTRACT
In a survey mailed to all obstetric and gynecologic residents in January 1978, the content of residency training programs was evaluated in regard to quantity of procedures and quality of supervision. The interaction of family practice residents, nurse midwives, and nurse clinicians was explored as it related to residency training in obstetrics and gynecology. A resident's assessment of his or her training program and an evaluation of the various opportunities of continuing medical education were also included in the survey. The results confirmed the known lack of training in human sexuality problems and practice management, although it was demonstrated that nearly all residency programs provide adequate clinical experience in all other areas of obstetrics and gynecology. Family practice residents do not appear to be altering the quality of obstetric and gynecologic residency training. The survey also indicated that, in most cases, the wide variety of postgraduate educational material is being used by residents.
