Every ultrasound specialty. One professional network.

Indications for a Fetal Echo

We are reviewing our indications for doing a Fetal Echo. Are there AIUM specific indications for doing a Fetal Echo? What indications are other Perinatal clinics using?

▶ Reply to This

Replies to This Discussion

Permalink Reply by Luis Mansilla on December 29, 2009 at 11:43am: In our Perinatal clinic I would say that the main indications for sending a patient to have a fetal echo would be:
Suspected or abnormal cardiac ultrasound finding during the routine anatomy checkup
Family history of CHD
Abnormal NT (>3mm)
Known chromosomal abnormality
Fetal cardiac arrythmia
Monochorionic twins
Pregestational diabetes
Exposure to certain medication; ▶ Reply to This

Permalink Reply by Lisa M. Allen on December 29, 2009 at 12:03pm: I work at a Perinatal Center in Syracuse, NY and agree with the list Luis provided.; ▶ Reply to This

Permalink Reply by Lisa M. Allen on December 29, 2009 at 10:50pm: Diane, in addition you might want to check out an article entitled "Indications for Fetal Echocardiogrpahy" in Pediatric Cardiology 2004;25(3): 210-22 (Small and Copel) and "The Performance of the basic fetal cardiac ultrasound examination" (Lee) J Ultrasound Med 1998;17: 601-607 (there is a table that summarizes indications). Hope this helps!; ▶ Reply to This

Permalink Reply by Diane Brower-Johnson on December 30, 2009 at 3:56pm: That is great, Lisa. I will get those articles. I was hoping AIUM would have specific indications that they recommended.

Lisa M. Allen said:
Diane, in addition you might want to check out an article entitled "Indications for Fetal Echocardiogrpahy" in Pediatric Cardiology 2004;25(3): 210-22 (Small and Copel) and "The Performance of the basic fetal cardiac ultrasound examination" (Lee) J Ultrasound Med 1998;17: 601-607 (there is a table that summarizes indications). Hope this helps!; ▶ Reply to This

Permalink Reply by Dr Mubarak elradi mohammed nour on December 30, 2009 at 10:15pm: I AGREE THOSE ARE THE MOST COMMON INDICATIONS THANKS ALOT; ▶ Reply to This

Permalink Reply by Diane Brower-Johnson on December 31, 2009 at 11:42am: What about AMA?

Dr Mubarak elradi mohammed nour said:
I AGREE THOSE ARE THE MOST COMMON INDICATIONS THANKS ALOT; ▶ Reply to This

Permalink Reply by HAISSAM AREF on January 1, 2010 at 3:44am: as a routine for patients with family history of CHD or during an ordinary check up....; ▶ Reply to This

Permalink Reply by Marcia W. Jones on January 3, 2010 at 9:26pm: We also do fetal echoes for 2 vessel cords.; ▶ Reply to This

Permalink Reply by Diane Brower-Johnson on January 4, 2010 at 9:42am: Are you not doing Fetal Echoes when the patient is AMA? What about over 40? Are you often doing an Fetal Echo when doing a Detailed ultrasound, even if it is not indicated, but not charging for it?

Marcia W. Jones said:
We also do fetal echoes for 2 vessel cords.; ▶ Reply to This

Permalink Reply by Mark Sklansky on January 19, 2010 at 8:07pm: My understanding is that the AIUM, in conjunction with the ASE, will soon be publishing revised guidelines for fetal echocardiography. These guidelines may include indications for fetal echocardiography.; ▶ Reply to This

Permalink Reply by Diane Brower-Johnson on January 20, 2010 at 10:07am: Thank you.

Mark Sklansky said:
My understanding is that the AIUM, in conjunction with the ASE, will soon be publishing revised guidelines for fetal echocardiography. These guidelines may include indications for fetal echocardiography.; ▶ Reply to This