I would add several other indications to the list:
1. Fetuses at risk for Down syndrome ( abnormal NT, 2nd trimester QUAD, maternal age, etc) who do not desire an amniocentesis or CVS. I just published a review article that can be downloaded free of…
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.
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?
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…
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…
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?