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Obstetric Ultrasound Screening in a Rural Area of Lebanon One Small Step With a Promising Major Impact.

Authors
  • Snaifer, Elie1
  • Hassan, Hala1, 2
  • Daher, Lea3
  • Sabbagh, Anthony4
  • Farah, Marwan5
  • Farekh, Issa6, 7
  • Chalouhi, Gihad E7, 8
  • 1 Saint George Hospital University Medical Center, Beirut, Lebanon. , (Lebanon)
  • 2 Centre Hospitalier Rene Dubos, Pontoise, France. , (France)
  • 3 Lebanese American University Medical Center-Rizk Hospital, Beirut, Lebanon. , (Lebanon)
  • 4 Haykel University Medical Center, Koura, Lebanon. , (Lebanon)
  • 5 Salam Hospital, Qobayat, Lebanon. , (Lebanon)
  • 6 Hotel Dieu de France, Beirut, Lebanon. , (France)
  • 7 Order of Malta, Beirut, Lebanon. , (Lebanon)
  • 8 Fetal Medicine Division, Department of Obstetrics and Gynecology, American University of Beirut Medical Center, American University of Beirut, Beirut, Lebanon. , (Lebanon)
Type
Published Article
Journal
Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine
Publication Date
Mar 01, 2021
Volume
40
Issue
3
Pages
483–489
Identifiers
DOI: 10.1002/jum.15423
PMID: 32770573
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Our aim was to evaluate the conditions and to weigh the potential impact of an obstetrical ultrasound screening intervention on pregnant patients in an underserved area of Lebanon with the presence of refugees. We performed a cross-sectional study in a rural region in North Lebanon. Monthly second-trimester obstetrical ultrasound scans were offered to patients. A thorough analysis of the population's characteristics was done, the anomalies discovered were documented and follow up recommendations were offered. 268 screening ultrasounds were performed over a one-year period. The patients' mean age was 27.5 ± 8.5 years with a 35% consanguinity rate. A positive personal history of abnormalities was recognized in 34% of cases, and a positive family history in 21% of them. The average gestational age was of 23.3 ± 1.4 weeks of gestation. We found a rate of 8.6% inaccurate dating, 20% growth abnormalities, and 12% morphological abnormalities requiring follow-up. These latter included defects affecting multiple organ systems among which renal, neurological, and cardiac structures were the most frequently affected (2.5%, 2%, and 1.6% respectively). Overall, 35.8% of the screened cases required a follow-up for 1 or more abnormal findings. The findings confirmed the necessity to introduce a prenatal ultrasound screening program in rural areas of Lebanon where refugees are settled. The lack of adequate ultrasound screening in these regions presents major threats that can hinder any pregnancy. Our simple intervention tackles the burden of diagnosis of these risks in up to 35.8% of pregnancies and thus can help improve outcomes. © 2020 American Institute of Ultrasound in Medicine.

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