DIAGNOSTIC AN ACCURACY OF ULTRASOUND EXAMINATION OF FETUSES AND NEWBORNS IN DETECTING CONGENITAL ABNORMALITIES OF THE DIGESTIVE ORGANS

Abstract

Congenital anomalies of the digestive organs occupy a significant place in the structure of perinatal pathology and require timely diagnosis. The aim of this study was to evaluate the diagnostic accuracy of ultrasound examination in fetuses and newborns when identifying congenital anomalies of the digestive organs. A prospective cohort study was conducted involving 298 pregnant women and their newborns. Prenatal ultrasound examination was performed at gestational ages of 18–22 and 30–34 weeks, while neonatal ultrasound was performed during the first 5 days of life. The sensitivity, specificity, and prognostic value of the method were evaluated. Congenital anomalies were identified in 26 (8.7%) cases. Prenatal ultrasound sensitivity was 80.8%, and specificity was 95.9%. The comprehensive use of prenatal and neonatal ultrasound increased diagnostic accuracy to 93.5%. The results obtained indicate the high effectiveness of ultrasound examination, especially when used in combination. Key words: ultrasound, prenatal diagnosis, newborns, congenital anomalies, digestive organs.