Routine ultrasound scanning before 24 weeks of pregnancy; HTA Advice 5: Routine ultrasound scanning before 24 weeks of pregnancy; Understanding our Advice: Routine ultrasound scanning before 24 weeks of pregnancy
Ritchie K, Boynton J, Bradbury I, Foster L, Iqbal K, Kohli H, Love C, Penney G, Quinn S, Reid M, Slattery J, Wright D
Record ID 32004000116
English
Authors' objectives:
To determine the most clinically and cost-effective programme of routine ultrasound scanning and screening which can be offered to women in Scotland before 24 weeks of pregnancy.
Authors' results and conclusions:
Strategies involving a scan in the first trimester and an anomaly scan in the second trimester are more expensive than single-scan strategies, but maximise the identification of fetal abnormalities at an acceptable false-positive rate. A first trimester test for chromosomal abnormalities involving nuchal translucency measurement is more effective than the second trimester double test currently used in Scotland. Women value early screening and would also welcome the opportunity to have a second trimester scan in addition to a first trimester scan. NHS Quality Improvement Scotland has recommended that all women in Scotland should be offered a first trimester scan and test for chromosomal abnormalities and a second trimester scan as part of routine antenatal care.
Authors' recommendations:
Implemenation of the recommendations will address the current variation in provision of ultrasound scanning and screening services, however considerable reorganisation will be required.
Authors' methods:
Systematic review, Economic modelling
Details
Project Status:
Completed
URL for project:
http://www.nhshealthquality.org/
Year Published:
2004
English language abstract:
An English language summary is available
Publication Type:
Not Assigned
Country:
Scotland
MeSH Terms
- Pregnancy
- Pregnancy Trimester, First
- Ultrasonography, Prenatal
Contact
Organisation Name:
Quality Improvement Scotland
Contact Address:
Delta House, 50 West Nile Street Glasgow G1 2NP Scotland United Kingdom Tel: +44 141 225 6988; Fax: +44 141 221 3262
Contact Name:
shtg.hcis@nhs.net
Contact Email:
shtg.hcis@nhs.net
Copyright:
NHS Quality Improvement Scotland (NHS QIS)
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