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15 Sep 06

Ultrasound: More Harm than Good? - by Marsden Wagner

  • Once again it is interesting to look at what happened with the issue
    of safety of X-rays during pregnancy. X-rays were used on pregnant women
    for almost fifty years and assumed to be safe. In 1937, a standard textbook
    on antenatal care stated: "It has been frequently asked whether there
    is any danger to the life of the child by the passage of X- rays through
    it; it can be said at once there is none if the examination is carried
    out by a competent radiologist or radiographer." A later edition
    of the same textbook stated: "It is now known that the unrestricted
    use of X-rays through the fetus caused childhood cancer." This story
    illustrates the danger of assuming safety.
  • Essentially, ultrasound has proven valuable in a handful of specific
    situations in which the diagnosis "remains uncertain after clinical
    history has been ascertained and a physical examination has been performed."
    Yet, considering whether the benefits outweigh the costs of using ultrasound
    routinely, systematic medical research has not supported routine use.
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