Ultrasound screening for fetal abnormality in Ireland: A national survey

Background Since 1997, the RCOG have recommended that ultrasound screening for fetal abnormality in pregnancy should be offered to all women. Aim This study describes the practices and service provision of ultrasound screening for fetal abnormality in Ireland. Methods A national survey of all maternity units providing an obstetric ultrasound service (n=21) was undertaken. Results All units responded to the survey. First trimester ultrasound for dating was performed routinely in 57% of units. Second trimester ultrasound screening for fetal anomaly was available either routinely or selectively in all units. Wide variations in the management of a pregnancy after an adverse diagnosis were observed. Conclusion This survey indicates a wide variation in the use of ultrasound to screen for fetal abnormality. Recommendations are made to improve the service through the use of a standard protocol to examine fetal structures. A national debate on screening for fetal abnormality is required urgently.