{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,29]],"date-time":"2025-09-29T20:53:55Z","timestamp":1759179235925,"version":"3.40.5"},"reference-count":29,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2020,8,7]],"date-time":"2020-08-07T00:00:00Z","timestamp":1596758400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Ultrasound Medicine"],"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>Our aim was to evaluate the conditions and to weigh the potential impact of an obstetrical ultrasound screening intervention on pregnant patients in an underserved area of Lebanon with the presence of refugees.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We performed a cross\u2010sectional study in a rural region in North Lebanon. Monthly second\u2010trimester obstetrical ultrasound scans were offered to patients. A thorough analysis of the population's characteristics was done, the anomalies discovered were documented and follow up recommendations were offered.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>268 screening ultrasounds were performed over a one\u2010year period. The patients' mean age was 27.5\u2009\u00b1\u20098.5\u2009years with a 35% consanguinity rate. A positive personal history of abnormalities was recognized in 34% of cases, and a positive family history in 21% of them. The average gestational age was of 23.3\u2009\u00b1\u20091.4\u2009weeks of gestation. We found a rate of 8.6% inaccurate dating, 20% growth abnormalities, and 12% morphological abnormalities requiring follow\u2010up. These latter included defects affecting multiple organ systems among which renal, neurological, and cardiac structures were the most frequently affected (2.5%, 2%, and 1.6% respectively). Overall, 35.8% of the screened cases required a follow\u2010up for 1 or more abnormal findings.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The findings confirmed the necessity to introduce a prenatal ultrasound screening program in rural areas of Lebanon where refugees are settled. The lack of adequate ultrasound screening in these regions presents major threats that can hinder any pregnancy. Our simple intervention tackles the burden of diagnosis of these risks in up to 35.8% of pregnancies and thus can help improve outcomes.<\/jats:p><\/jats:sec>","DOI":"10.1002\/jum.15423","type":"journal-article","created":{"date-parts":[[2020,8,8]],"date-time":"2020-08-08T06:57:27Z","timestamp":1596869847000},"page":"483-489","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Obstetric Ultrasound Screening in a Rural Area of Lebanon One Small Step With a Promising Major Impact"],"prefix":"10.1002","volume":"40","author":[{"given":"Elie","family":"Snaifer","sequence":"first","affiliation":[{"name":"Saint George Hospital University Medical Center  Beirut Lebanon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5963-6757","authenticated-orcid":false,"given":"Hala","family":"Hassan","sequence":"additional","affiliation":[{"name":"Saint George Hospital University Medical Center  Beirut Lebanon"},{"name":"Centre Hospitalier Rene Dubos  Pontoise France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lea","family":"Daher","sequence":"additional","affiliation":[{"name":"Lebanese American University Medical Center\u2013Rizk Hospital  Beirut Lebanon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anthony","family":"Sabbagh","sequence":"additional","affiliation":[{"name":"Haykel University Medical Center  Koura Lebanon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marwan","family":"Farah","sequence":"additional","affiliation":[{"name":"Salam Hospital  Qobayat Lebanon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Issa","family":"Farekh","sequence":"additional","affiliation":[{"name":"Hotel Dieu de France  Beirut Lebanon"},{"name":"Order of Malta  Beirut Lebanon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gihad E.","family":"Chalouhi","sequence":"additional","affiliation":[{"name":"Order of Malta  Beirut Lebanon"},{"name":"Fetal Medicine Division, Department of Obstetrics and Gynecology American University of Beirut Medical Center, American University of Beirut  Beirut Lebanon"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,8,7]]},"reference":[{"doi-asserted-by":"publisher","key":"e_1_2_6_2_1","DOI":"10.1097\/01.AOG.0000318871.95090.d9"},{"doi-asserted-by":"publisher","key":"e_1_2_6_3_1","DOI":"10.1097\/AOG.0000000000001815"},{"doi-asserted-by":"publisher","key":"e_1_2_6_4_1","DOI":"10.1002\/j.2205-0140.2013.tb00106.x"},{"doi-asserted-by":"publisher","key":"e_1_2_6_5_1","DOI":"10.1002\/uog.8831"},{"volume-title":"The Collaborative Governance of Lebanon's Health Sector","year":"2018","author":"Lerberghe WV","key":"e_1_2_6_6_1"},{"unstructured":"Lebanese Ministry of Public Health.Health Response Strategy: Maintaining Health Security Preserving Population Health and Saving Children's and Women's Lives\u2014a New Approach 2016 and Beyond. Beirut Lebanon. Lebanese Ministry of Public Health;2016.","key":"e_1_2_6_7_1"},{"unstructured":"Order of Malta Lebanon.Kobayat Community Health Center. Order of Malta Lebanon website.http:\/\/orderofmaltalebanon.org\/kobayat-community-health-center\/. Accessed May 16 2020.","key":"e_1_2_6_8_1"},{"doi-asserted-by":"publisher","key":"e_1_2_6_9_1","DOI":"10.1002\/jum.15163"},{"issue":"92","key":"e_1_2_6_10_1","first-page":"16","article-title":"Municipal and ikhtiyariah elections in northern Lebanon","year":"2010","journal-title":"The Monthly"},{"unstructured":"Akkar Governate Profile. Operational portal refugee situation website.https:\/\/data2.unhcr.org\/en\/documents\/download\/39810. Accessed July 2020.","key":"e_1_2_6_11_1"},{"key":"e_1_2_6_12_1","first-page":"2019","volume-title":"Lebanon Crisis Response Plan 2017\u20132020","author":"Government of Lebanon, United Nations","year":"2019"},{"doi-asserted-by":"publisher","key":"e_1_2_6_13_1","DOI":"10.1016\/j.socscimed.2012.08.010"},{"doi-asserted-by":"publisher","key":"e_1_2_6_14_1","DOI":"10.1016\/S0277-9536(97)10018-1"},{"doi-asserted-by":"publisher","key":"e_1_2_6_15_1","DOI":"10.1073\/pnas.0906079106"},{"doi-asserted-by":"publisher","key":"e_1_2_6_16_1","DOI":"10.1159\/000362125"},{"key":"e_1_2_6_17_1","article-title":"The role of ultrasound in the Lebanese outreach setting","volume":"30","author":"Abu\u2010Rustum R","year":"2015","journal-title":"Int J Childbirth Educ"},{"doi-asserted-by":"publisher","key":"e_1_2_6_18_1","DOI":"10.1111\/aogs.13037"},{"doi-asserted-by":"publisher","key":"e_1_2_6_19_1","DOI":"10.1016\/j.siny.2017.11.005"},{"doi-asserted-by":"publisher","key":"e_1_2_6_20_1","DOI":"10.3109\/00016349.2010.517307"},{"doi-asserted-by":"publisher","key":"e_1_2_6_21_1","DOI":"10.1097\/AOG.0000000000002209"},{"doi-asserted-by":"publisher","key":"e_1_2_6_22_1","DOI":"10.1136\/bmj.f108"},{"doi-asserted-by":"publisher","key":"e_1_2_6_23_1","DOI":"10.1002\/uog.1806"},{"doi-asserted-by":"publisher","key":"e_1_2_6_24_1","DOI":"10.1016\/j.ajog.2005.10.813"},{"doi-asserted-by":"publisher","key":"e_1_2_6_25_1","DOI":"10.4137\/CMPed.S40070"},{"doi-asserted-by":"publisher","key":"e_1_2_6_26_1","DOI":"10.1097\/01.AOG.0000141442.59573.cd"},{"doi-asserted-by":"publisher","key":"e_1_2_6_27_1","DOI":"10.3109\/14767058.2016.1163679"},{"doi-asserted-by":"publisher","key":"e_1_2_6_28_1","DOI":"10.1067\/mob.2003.302"},{"doi-asserted-by":"publisher","key":"e_1_2_6_29_1","DOI":"10.1016\/j.jgyn.2015.09.051"},{"unstructured":"International Society of Ultrasound in Obstetrics and Gynecology. About us. International Society of Ultrasound in Obstetrics and Gynecology website.https:\/\/www.isuog.org\/about-us.html. Accessed February2020.","key":"e_1_2_6_30_1"}],"container-title":["Journal of Ultrasound in Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fjum.15423","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jum.15423","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/jum.15423","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jum.15423","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,2]],"date-time":"2023-09-02T17:07:59Z","timestamp":1693674479000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jum.15423"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,8,7]]},"references-count":29,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2021,3]]}},"alternative-id":["10.1002\/jum.15423"],"URL":"https:\/\/doi.org\/10.1002\/jum.15423","archive":["Portico"],"relation":{},"ISSN":["0278-4297","1550-9613"],"issn-type":[{"type":"print","value":"0278-4297"},{"type":"electronic","value":"1550-9613"}],"subject":[],"published":{"date-parts":[[2020,8,7]]},"assertion":[{"value":"2020-03-17","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-06-22","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-08-07","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}