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Heart not always adequately visualized: triplet fetal anatomy surveys often subpar, reimbursement falls short.(Obstetrics)
PHOENIX, ARIZ. -- Compared with singleton fetal anatomy surveys, triplet fetal anatomy surveys take longer to complete and are more likely to be suboptimal, Dr. Ashley Roman reported at the annual meeting of the American Institute of Ultrasound in Medicine.
In addition, triplet fetal anatomy surveys are not reimbursed adequately in a manner proportionate to the time spent and level of expertise required to perform the procedure.
"So even though more time was spent performing each [triplet] survey, we were reimbursed less for each minute spent," said Dr. Roman, a third-year fellow in the department of ob.gyn. at New York University, New York.
In what she called the first study of its kind, Dr. Roman and her associates studied 40 triplet pregnancies that underwent 77 second-trimester fetal anatomy surveys at the university medical center between 1999 and 2003.
The control group consisted of 77 singleton pregnancies that underwent second-trimester fetal anatomy surveys during the same time period.
Ultrasound exams were performed between 14 and 20 weeks' gestation. A survey was considered complete if key fetal structures such as the brain, palate, heart, spine, kidneys, and stomach could be ...
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