Вот, порылся в своем старом ноутбуке. Публикую summary, на основании которого встал вопрос об исключении УЗИ из обязательного минимума при беременности. Можете мне поверить, он происходит можно сказать из самого главного "святилища" доказательной медицины
Routine ultrasound examination duringpregnancy
SBU Summary and Conclusions
Introduction
Ultrasound examination during pregnancy was introduced nearly 25 yearsago. At the outset, this technology was used mainly in cases of suspectedmorbidity or fetal malformation. As ultrasound technology has advanced,the indications for this type of examination have also expanded, and allpregnant women are now offered an ultrasound examination at least once duringtheir pregnancy. In Sweden, an average of slightly more than two ultrasoundexaminations are performed per pregnant woman, including examinations performedon medical indications. More than 95% of women who deliver have undergoneroutine ultrasound examination.
The intent of routine ultrasound examination during pregnancy is to determinethe gestational age, whether there is more than one fetus, and the positionof the placenta. Depending on when the examination is performed, it canalso provide information concerning the gender of the fetus. Ultrasoundalso provides an opportunity to check the anatomy of the fetus.
Whether or not a more thorough examination of the anatomy of the fetusis conducted, routine ultrasound examination does detect some cases of fetalmalformation. The parents are then faced with the ethical dilemma of whetherto terminate the pregnancy or continue it with the knowledge that the childmay be born with a severe disability. The ethical dilemma is amplified dueto the fact that ultrasound examination does not always provide 100% certaintyconcerning the situation. However, some studies have shown that the vastmajority of expectant parents in Sweden want to have information concerningpossible defects in the fetus. Routine ultrasound examination during pregnancyis standard procedure in 22 of 25 western countries. In the United States,Canada, Australia, and in all European countries except Sweden and Denmark,examination of fetal anatomy is an obligatory aspect of routine ultrasoundexamination during pregnancy. Nevertheless, in Sweden, the anatomy of thefetus is examined in 80% of all ultrasound examinations given to pregnantwomen.
The Swedish government has charged SBU with reviewing the scientificevidence concerning the medical benefits and the potential risks of routineultrasound examination for the mother and the child, as well as its social,economic, and ethical consequences.
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