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Use of pregnancy ultrasound before the 19th week scan: an analytical study based on the Icelandic Childbirth and Health Cohort

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dc.contributor Háskóli Íslands
dc.contributor University of Iceland
dc.contributor.author Halle, Kristine Flo
dc.contributor.author Fjose, Maria
dc.contributor.author Kristjánsdóttir, Hildur
dc.contributor.author Bjornsdottir, Amalia
dc.contributor.author Getz, Linn
dc.contributor.author Tómasdóttir, Margrét Ólafía
dc.contributor.author Sigurdsson, Johann Agust
dc.date.accessioned 2019-03-28T11:43:46Z
dc.date.available 2019-03-28T11:43:46Z
dc.date.issued 2018-12
dc.identifier.citation Halle, K. F., Fjose, M., Kristjansdottir, H., Bjornsdottir, A., Getz, L., Tomasdottir, M. O., & Sigurdsson, J. A. (2018). Use of pregnancy ultrasound before the 19th week scan: an analytical study based on the Icelandic Childbirth and Health Cohort. BMC Pregnancy and Childbirth, 18(1), 512. doi:10.1186/s12884-018-2134-1
dc.identifier.issn 1471-2393
dc.identifier.uri https://hdl.handle.net/20.500.11815/1082
dc.description Publisher's version (útgefin grein)
dc.description.abstract Background and aim Use of ultrasound scans early in pregnancy is increasing, but we have limited knowledge about the actual prevalence, associated decision-making and impact on expectant women/couples in a general population. The aim of this study was to document the use of, and experiences related to, foetal scanning before the recommended 19th week scan among pregnant women in Iceland. Population and methods The data come from the Icelandic Childbirth and Health Cohort Study 2009–11. A total of 1111 women attending prenatal care at primary care health centres answered questionnaires before mid-pregnancy and after birth, including questions about the number of scanning procedures during pregnancy. These might include consumer-initiated ‘pregnancy confirmation scans,’ scans for clinical reasons, and screening for foetal anomalies in week 11–14 which is optional in Iceland. The questionnaires also addressed parental decision-making associated with the 11–14 week screening, perception of the pre-screening information, reasons for attending or declining, and whether/how early foetal screening affected the women’s concerns related to the unborn child. Results A total of 95% of the women reported some kind of foetal ultrasound scanning before the 19th week scan, and 64% reported two or more scans in this period. 78% of the women chose to participate in screening for foetal anomalies in week 11–14. Decision-making in relation to this screening was mainly informed by sources outside the healthcare system, and many women characterized participation as ‘self-evident’. Most women felt they got sufficient information about the scope of screening, whilst information regarding potential downsides and risks was frequently perceived as insufficient. Most women who chose the 11–14 week screening reported a reassuring or neutral effect, whilst 10% of the women reported that it increased their concerns related to their unborn child. Conclusions Ultrasound scans in the first half of pregnancy are in high use in Iceland and have apparently become part of a broader pregnancy culture, encompassing both high- and low-risk pregnancies. Whether this is a favourable development or to some extent represents unwarranted medicalization, can be debated. More balanced information might be provided prior to early screening for foetal anomalies.
dc.description.sponsorship The study received financial support from the Research Fund of the Icelandic College of Family Physicians, The Primary Health Care of the Capital Area, Iceland, the Icelandic Midwifery Association Research Fund and the Landspitali (Icelandic National Hospital) University Hospital Research Fund. The funding bodies played no role in the design, data collection, analysis, data interpretation and writing of the manuscript.
dc.language.iso en
dc.publisher Springer Nature
dc.relation.ispartofseries BMC Pregnancy and Childbirth;18(1)
dc.rights info:eu-repo/semantics/openAccess
dc.subject Pregnancy
dc.subject Prenatal screening
dc.subject Combined test
dc.subject Informed choice
dc.subject Ultrasound
dc.subject Medicalization
dc.subject Meðganga
dc.subject Fósturgreining
dc.subject Ómskoðun
dc.subject Ákvarðanataka
dc.title Use of pregnancy ultrasound before the 19th week scan: an analytical study based on the Icelandic Childbirth and Health Cohort
dc.type info:eu-repo/semantics/article
dcterms.license Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
dc.description.version Peer Reviewed
dc.identifier.journal BMC Pregnancy and Childbirth
dc.identifier.doi 10.1186/s12884-018-2134-1
dc.relation.url http://link.springer.com/content/pdf/10.1186/s12884-018-2134-1.pdf
dc.contributor.department Hjúkrunarfræðideild (HÍ)
dc.contributor.department Faculty of Nursing (UI)
dc.contributor.department Deild heilsueflingar, íþrótta og tómstunda (HÍ)
dc.contributor.department Faculty of Health Promotion, Sport and Leisure Studies (UI)
dc.contributor.department Læknadeild (HÍ)
dc.contributor.department Faculty of Medicine (UI)
dc.contributor.school Heilbrigðisvísindasvið (HÍ)
dc.contributor.school School of Health Sciences (UI)
dc.contributor.school Menntavísindasvið (HÍ)
dc.contributor.school School of Education (UI)


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