This document provides an overview of invasive prenatal procedures and screening practices from the perspective of Finnish hospitals. It notes that in 2014 there were over 56,000 births across 5 university obstetrics departments, with two-stage screening implemented since 2010. National screening rates for Down syndrome have increased from 77% in 2007 to 99% in 2013. Invasive diagnostic procedures in 2014 included over 800 amniocenteses, over 600 chorionic villus samplings, and over 2,800 cordocenteses performed across several hospitals. Complication rates for these procedures were low, below 1.2% for amniocentesis and 0.07% for cordocentesis. The introduction of non-invasive pre

1. HYKS – Dept Obstet Gynecol - Helsinki University Hospital
Aydin Tekay MD PhD 14.4.2015
INVASIVE PROCEDURES
FINNISH PERSPECTIVE

2. HYKS - NaiS
LIVE BIRTHS & PNM

3. HYKS - NaiS
5 University departments
56450 deliveries in 2014
(750 twins)
Two-stage screening since 2010
SF

4. HYKS - NaiS
HUS & HYKS
Catchment area (2013): 1 581 450
29% of national population

5. HYKS - NaiS
DELIVERIES 2012-2013
47,9
4,3 7,4
9,2
6,9
24,3
Helsinki Turku Tampere Oulu Kuopio Other
Helsinki
Oulu
Tampere
Turku
Kuopio
Other

6. HYKS - NaiS
NATIONAL SCREENING
0
25
50
75
100
2007 2009 2013
97
88
77
6462
10
99
87
58
9192
74
Early routine First trim comb 15w biochem Anomaly scan

7. HYKS - NaiS
2-STEP SCREENING - HYKS
0
3500
7000
10500
14000
WH KMS JH All
12 887
3 461
4 078
5 348
13 712
3 7944 120
5 798
First trimester Anomaly scan

8. HYKS - NaiS
TRISOMY 21 INCIDENCE

9. HYKS - NaiS
SF

10. HYKS - NaiS
INVASIVE PROCEDURES 2014
0
75
150
225
300
Amnio CVS Cordo Other
00
28
48
2
12
8591
04
49
144
26
44
99
3
22
282284
Helsinki
Oulu
Turku
Tampere
Kuopio

11. HYKS - NaiS
INVASIVE PROCEDURES
0
175
350
525
700
Amnio CVS Cordo Other
7
44
488
666
All1.2%
0.8%
0.07%

12. HYKS - NaiS
NIPT
0
35
70
105
140
Amnio CVS Counselling
Jan-Feb 2014 Jan-Feb 2015

13. HYKS - NaiS
• First 20 cases (1998-2000, St George's H. London)
• 35 cases (2000-2011, Oulu)
LASERS FORTTTS

14. HYKS - NaiS
• Free abortion:12+0 w (2 doctors)
• Social abortion: 20+0 w (Valvira)
• Abortion for fetal reasons: 24+0 w (Valvira)
LEGAL ABORTIONS

15. HYKS - NaiS
LEGAL ABORTIONS