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The ability to detect and characterize abnormalities before birth is one of the marvels of modern obstetrics. Sonography can image the fetus with remarkable precision. Components of the standard anatomic survey are listed in Table 15-1. These have been termed essential elements by the American College of Obstetricians and Gynecologists (2020) and minimal elements by the American Institute of Ultrasound in Medicine (2018). Ideally, residency training in Obstetrics and Gynecology includes education in acquisition and interpretation of these views. Resources provided by national societies assist with this endeavor (Abuhamad, 2018).

TABLE 15-1Components of Standard and Detailed Anatomic Surveys

A detailed fetal anatomic survey is a specialized examination that may include more than 60 components, each determined on a case-by-case basis. It is the primary method of evaluating at-risk pregnancies and characterizing fetal abnormalities, thereby aiding consultation and delivery planning. Indications are shown in Table 14-6 and discussed further in Chapter 14 (p. 251). At Parkland hospital, the detailed survey includes, at minimum, an attempt to visualize all components required by the American Institute of Ultrasound in Medicine for normal detailed case submission ...

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