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The 20-week screening scan can be performed and completed by 23 +0 weeks when the provider has agreed a pathway with public health commissioners and screening quality assurance service ( SQAS). The woman should be informed that screening is incomplete and this must be recorded. In these cases, there is no requirement to offer a further scan to complete screening. Sometimes a woman attends for a repeat ultrasound scan and the image quality remains compromised. In these cases, there is no requirement to offer a repeat second appointment to complete screening. Referral should be made for further investigation without delay. If image quality is sub-optimal and an unexpected structural development is suspected, a second opinion should be sought. The woman should be rescanned on the same day or offered a new appointment according to local guidelines.

baby or babies in a sub-optimal position.

1.2 Completing the 20-week screening scanĪ single repeat ultrasound scan must be offered and completed by 23 +0 weeks in cases where the image quality of the first scan is compromised by any of the following:

7 days to die base schematics registration#

Ongoing audit is needed to monitor the outcome of these pregnancies in line with National Congenital Anomaly and Rare Diseases Registration Service ( NCARDRS) requirements. This allows the woman to receive timely intervention and care. If a condition that is not one of the 11 physical conditions screened for is suspected or identified, there should be a local guideline in place to make sure providers make timely referrals to a local or tertiary-level centre as clinically appropriate. Conditions identified that are not part of the NHS FASP Referrals must be timely and in line with referral standard FASP-S08. If one of the 11 physical conditions screened for is suspected or identified, providers must make referrals to a local or tertiary-level centre as clinically appropriate. 1.1 Conditions identified Conditions identified that are part of the NHS FASP Test standard FASP-S04 outlines test performance for specified conditions. There is no programme requirement to recall the woman if the sex of the baby is not identified. The NHS FASP does not require fetal sex to be determined. The examination of placental position and amniotic fluid is not part of the NHS FASP but is good clinical practice. Ultrasound scans contribute to both screening and the clinical management of pregnancy.

Any woman who does not wish to be informed of the 11 physical conditions or other unexpected findings should consider not having the scan. This is because the data is insufficient to confidently predict the standard for detection that should be achieved.Īll significant findings of the scan are reported. Other conditions can also be detected but these are not part of the NHS FASP. Unexpected development of these structures can indicate one of the 11 physical conditions screened for. The base menu shows the anatomical structures of the baby to be assessed. The scan should be performed in accordance with the NHS FASP base menu (see section 2) and fetal cardiac protocol. lead to a discussion about the options of continuing or terminating the pregnancy.

could mean the baby may die shortly after birth.need treatment in a specialist setting after birth to improve health outcomes.benefit from treatment before or after birth.The purpose of the 20-week screening scan is to identify specified conditions that: The screening pathway must be completed by 23 +0 weeks. The NHS FASP recommends the offer of an ultrasound scan which is performed between 18 +0 to 20 +6 weeks to screen for 11 physical conditions (see section 4.4 of the handbook overview). For naming conventions used throughout this guidance and other general information, please see the handbook overview.