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Vedran stefanovic mmc_and_other_ntd_finland
1. 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
Vedran.stefanovic@hus.fi
10. New guidelines to be published before
summer 2015
Low-risk women included Intermediate-risk group still not well-defined
11. 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)?
12. Improve primary prevention first !!!!
Improving DR
Exact, professional and centralized counselling for MMC pregnancies
Survey on MMC TOPs
Improve contact with Fetal Medicine Centres performing MMC fetal surgery
Contact with the National Insurance Agencies