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The 20-Week Anomaly Scan

  • Emma Ferriman
  • Dilly Anumba
Chapter

Abstract

The 20-week anomaly scan forms part of the NHS screening programme for fetal abnormality in the UK. The ultrasound examination should be performed before 23 weeks gestation and is designed to detect a number of fetal abnormalities with an overall greater than 50% detection rate. It should also be recognised however that the ultrasound examination is a screening test and will not detect all abnormalities. There is a significant amount of litigation focusing on the failure to identify birth defects leading to litigation cases for wrongful birth. It is therefore imperative that the anomaly scan is conducted according to strict criteria to minimise the chance of litigation and wrongful birth claims.

Keywords

Fetal Anomaly scan Anatomy scan 20-Week scan Screening Ultrasound Birth defects Congenital anomalies 

References

  1. 1.
    Anumba DO. Errors in prenatal diagnosis. Best Pract Res Clin Obstet Gynaecol. 2013;27(4):537–48.  https://doi.org/10.1016/j.bpobgyn.2013.04.007.CrossRefPubMedGoogle Scholar
  2. 2.
    NHS Litigation Authority. Ten years of maternity claims: an analysis of NHS litigation authority data. October 2012. http://www.nhsla.com/Safety/Documents/Ten%20Years%20of%20Maternity%20Claims%20-%20An%20Analysis%20of%20the%20NHS%20LA%20Data%20-%20October%202012.pdf.
  3. 3.
    NHS England. Fetal anomaly screening programme handbook. June 2015.Google Scholar
  4. 4.
    Chitty LS, Hunt GH, Moore J, Lobb MO. Effectiveness of routine ultrasonography in detecting fetal structural abnormalities in a low risk population. BMJ. 1991;303(6811):1165–9.CrossRefPubMedPubMedCentralGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Obstetrics and GynaecologyJessop Wing, Sheffield Teaching Hospitals NHS TrustSheffieldUK

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