shh.sePublikationer
Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Implementation of combined ultrasound and biochemistry for risk evaluation of chromosomal abnormalities during the first trimester in Sweden
Sophiahemmet University.ORCID iD: 0000-0003-2626-2335
2014 (English)In: Acta Obstetricia et Gynecologica Scandinavica, ISSN 0001-6349, E-ISSN 1600-0412, Vol. 93, no 9, 868-73 p.Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: To investigate how the first trimester risk evaluation for Down syndrome is offered and performed.

SETTING: Sweden.

SAMPLE: All 52 known units working with obstetric ultrasound.

METHODS: Study-specific questionnaire and descriptive statistical analyses.

MAIN OUTCOME MEASURES: Routines for offering combined ultrasound and biochemistry (CUB), questions about information, questions about tests and analysis used for diagnosis.

RESULTS: CUB was performed in 28 600 (26%) of the expected 110 000 pregnancies in Sweden during 2011. Of all pregnant women, 15% were living in a county not offering CUB (only invasive prenatal diagnosis); 44% regardless of age; 15% to women ≥33 years; 24% to women ≥35 years; and 2% to women ≥38 years old. Amniocentesis was the most common method offered when the risk was estimated as high. Of the 47 units that replied, 29 (61.7%) offered only amniocentesis. On the questions about information, 40 (95.2%) stated that they gave verbal information. In addition to verbal information, 17 (40.5%) gave written information. Forty-one of the units (71.9%) stated that the CUB is offered to non-Swedish-speaking women.

CONCLUSION: Without consistent national guidelines, the prenatal diagnostic CUB method is offered in an inequitable manner to pregnant women in Sweden. More than half of all pregnant women live in a county where CUB is not offered or is only offered based on age. The results demonstrate the importance of national consistency before the introduction of new prenatal tests, to enhance equal care for all pregnant women.

Place, publisher, year, edition, pages
2014. Vol. 93, no 9, 868-73 p.
Keyword [en]
Down syndrome, Prenatal examinations, Ethical principles, Information, Risk assessment
National Category
Obstetrics, Gynecology and Reproductive Medicine
Identifiers
URN: urn:nbn:se:shh:diva-1659DOI: 10.1111/aogs.12445PubMedID: 24976041OAI: oai:DiVA.org:shh-1659DiVA: diva2:737968
Available from: 2014-08-14 Created: 2014-08-14 Last updated: 2015-07-24Bibliographically approved

Open Access in DiVA

fulltext(180 kB)60 downloads
File information
File name FULLTEXT01.pdfFile size 180 kBChecksum SHA-512
bf4646b1649ff3535e3c5074b00f5a9cb348349e516875cc515d5a119ba62aee8d518645c19f2025c30679241c73ae03ea17f664e1f6beefce9c0fb17b3af47f
Type fulltextMimetype application/pdf

Other links

Publisher's full textPubMed

Search in DiVA

By author/editor
Georgsson Öhman, Susanne
By organisation
Sophiahemmet University
In the same journal
Acta Obstetricia et Gynecologica Scandinavica
Obstetrics, Gynecology and Reproductive Medicine

Search outside of DiVA

GoogleGoogle Scholar
Total: 60 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Altmetric score

Total: 108 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • harvard1
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf