vedran stefanovic mmc_and_other_ntd_finland
TRANSCRIPT
Vedran Stefanovic Helsinki University Hospital- Finland
NTDs in Finland and the status of preconceptional folic acid supplementation
guidelines
Vedran Stefanovic Fetomaternal Medical Center
Helsinki University Hospital- Finland [email protected]
15.4.2015
Proportion of TOPs (%) of all NTD-pregnancies 1981–2009. TOPs / (births + TOPs)
15.4.2015 Annukka Ritvanen / THL 4
0
20
40
60
80
100
1981 1985 1989 1993 1997 2001 2005 2009
SB
ANENCEPHALY
Preconceptional/periconceptional FA recommendations in Finland
Out-of-date already at the time of publication !!
New guidelines to be published before summer 2015
Low-risk women included Intermediate-risk group still not well-defined
Questions (Eleonor)
• Can we improve prenatal detection rates?
• Can we improve prenatal work up/management?
• Do the parents get adequate prenatal counseling?
• How can we guarantee equal access to prenatal diagnosis, care and counseling in every region/country?
• Why is the abortion rate of prenatally dx MMC so high?
• How should we counsel eligible patients about the option of fetal surgery for MMC?
•How do we follow-up patients that have underwent fetal surgery for MMC (mother and child)?