Although women are now routinely offered several ultrasound scans
during a pregnancy, costing health services worldwide millions
of pounds every year, its safety has never been tested. This assumption
of safety has led to:
researchers who are studying foetal behaviour reassuring
women volunteering to take part in their trials that exposures
of up to an hour and a half are safe
commercial companies offering parents lengthy ‘videos’
of their baby moving inside the womb. (The US Food and Drink
Administration (FDA) warns that ultrasound cannot be considered
harmless, even at low levels, and is considering regulatory
action against these companies)
companies being granted safety licenses to offer parents-
to-be hand-held Doppler ultrasound devices with which, theoretically,
they could expose their babies to hours of ultrasound every
day
Several trials suggest that Governments should be more concerned,
e.g.:
When women at risk of giving birth preterm were examined
once a week to determine the state of their cervix, just
over half (52%) of those who were examined using ultrasound
went on to have a preterm birth compared to a quarter (25%)
of those given a manual pelvic examination.
Ultrasound scanning gave no benefit over manual examination
[1]
When 1,246 UK women were given a monthly Doppler ultrasound
scan of their umbilical and uterine arteries from the 19th
to the 32nd week of pregnancy, seventeen of their babies
died at or around the time of birth, as opposed to only
seven in the 1,229-strong unDopplered control group. The
Doppler scanning had only identified a possible problem
in one of the babies [2]
Ed.- (i) AIMS Journal’s Jean Robinson is concerned
that no research has ever been done on the effects of:
exposing even younger foetuses to ultrasound, an increasingly
common practice
submitting foetuses to exposures of an hour or more, as
in the commercial applications described above
She also points out that:
because ultrasound is now almost universally used, it has
become almost impossible to assemble a control group of
completely unexposed children. Only degrees of exposure
can now be compared
the claim that ultrasound encourages bonding between mother
and child has also never been demonstrated scientifically
(ii) Other studies, however, suggest that ultrasound is more
efficient than manual pelvic examination at detecting major
malformations and twins early. [3]
[1] Lorenz,RP et al. American Journal
of Obstetric Gynaecology 1990;162(6):1603-607
[2] Davies,JL et al. Lancet 1992;ii:1299-303
[3] Saari-Kemppainen,A et al. Lancet 1990;336(8712):387-91
(11453) Beverley Beech. AIMS Journal
Yes.
Just looking can hurt
Having one or more ultrasound scan to see your baby in the womb
has become almost the norm. Although there has never been any
significant research to prove it, the practice is assumed totally
safe by doctors and parents-to-be alike. In fact, the opposite
is true.
Three randomised controlled trials of Doppler Sound, the powerful
form of ultrasound now used in most hospitals, have found an
up to fourfold increase in perinatal (just before or after birth)
deaths. [1] One large study found
20 miscarriages in the group given ultrasound scans, but none
in the group which was not. [2]
Another reported a doubling of pre-term labour in the scanned
group. [3] Another linked ultrasound
scanning to retardation of the baby's growth in the womb. [4]
Animal-based studies suggest that there may be subtler effects
which have, to date, not been measured in humans. Monkeys repeatedly
exposed to ultrasound showed clear behavioural problems, such
as social withdrawal. Another study using monkeys found evidence
of low body weight and poor muscle tone.
Experiments with guinea pigs showed that it could raise the
temperature of brain tissue near bone by as much as 5.1°C.
[5] If the same occurs in human
babies at the time the developing brain is at its most vulnerable
(16 weeks old, when ultrasound scanning tends to be carried
out), it is possible that vital cells could be damaged or destroyed
with little possibility of replacement. This could lead to long-term
neurological damage. [6] Changes
in brain development sometimes lead to lefthandedness. [7]
Not a problem in itself, but lefthandedness is linked to an
increased risk of dyslexia, [8]
learning difficulties [9] and speech
delay. [10]
The argument for ultrasound scanning revolves around its ability
to detect abnormalities early enough to abort. Firstly, several
studies have shown that ultrasound does not improve outcomes
for babies overall, and that there is no medical reason to propose
a scan in 80% of cases. Secondly, ultrasound can only detect
a handful of the 5000+ potential chromosomal abnormalities.
It is most successful at detecting Down's syndrome, picking
up 80% of cases, but even here can diagnose Down's syndrome
when it isn't actually present. Scanning can pick up `things
that shouldn't be there' - resulting, again, in the abortion
of healthy foetuses - when that `thing' often disappears during
the pregnancy. Parents who decide not to abort are put through
months of unnecessary worry. In one instance at a hospital in
Cardiff (Wales), scans detected `dead' babies which were subsequently
found to be alive just before the induced miscarriage was to
be performed.
Finally, scans can pick up abnormalities about which nothing
can be done.
[1] Lancet
1992;340:1229-303
[2] Lancet 1990;336:387-91
[3] American Journal of Obstetric Gynaecology 1990;162:1603-10
[4] Lancet 1993;342:887-91
[5] Horder,MM et al. Ultrasound in Medicine & Biology 1998;24(5):697-704
[6] Birth 1986;13:29-37
[7] Kieler,H et al. Epidemiology 2001;12(6):618-23
[8] Obstetrics & Gynaecology 1984;63:194-200
[9] Neurotox. Teratol. 1995;17:179-88
[10] Canadian Med. Assoc. Jnl. 1993;14 9:1435-40