Korean J Obstet Gynecol.  2006 Jan;49(1):55-63.

A Research on the Actual Condition of Antenatal Screening Application in Obstetric Clinics in Korea and Suggestions for Preparation of Antenatal Screening Guideline

Affiliations
  • 1Department of Obstetrics and Gynecology, Yongdong Severance Hospital, Yonsei University College of Medicine, Seoul, Korea. Kyungseo@yumc.yonsei.ac.kr

Abstract


OBJECTIVE
Many countries including U.S. have established their own Antenatal Screening Guideline suitable for their actual state to help Obstetricians detect pregnancy-related problems in clinical conditions. However, even investigations on the actual condition of Antenatal Screening in clinical conditions are not thoroughgoing enough in Korea. Therefore, this study was to survey the actual condition of Antenatal Screening in Obstetric Clinics in Korea.
METHODS
Among 868 Obstetric Clinics, in which 100 or more cases of delivery were performed per annum according to an aggregate summary of the National Health Insurance Corporation in 2001, 848 clinics representing their correct address were selected to carry out a cross-sectional descriptive survey and understand the actual state of Antenatal Screening with literature review.
RESULTS
Antenatal Screening Tests have been carried out in a diverse forms in Obstetric Clinics; some items (CBC, Urine analysis, VDRL test, ABO and Rh typing, HBs Ag and HBs Ab test, Triple test, Ultrasound, Rubella Ig M and Ig G test, Oral Glucose Tolerance test) of the test were performed as a basic test in 80% or higher of Obstetric Clinics; some items (Chlamydia test, PAPP-A, Chest X-ray, BUN, Creatinine, EKG, Cervix culture for Gonococcus) of the test were performed routinely in 10% or less of Obstetric Clinics or selectively in high-risk pregnant women; and some items (PAP smear, Blood chemistry, Nuchal translucency) of the test were performed on the basis of physician's experience or given conditions.
CONCLUSION
According to the findings of this study, the role of Antenatal Tests as a screening test in clinical conditions is not evaluated properly under the current state. Thus, clinical assessment should be performed for each item of Antenatal Tests with respect to a screening test and systematic and efficient Antenatal Screening Guideline suitable for Korean conditions should be established in future studies.

Keyword

Antenatal screening; Guideline

MeSH Terms

Cervix Uteri
Chemistry
Creatinine
Electrocardiography
Female
Glucose Tolerance Test
Humans
Korea*
Mass Screening
National Health Programs
Pregnancy-Associated Plasma Protein-A
Pregnant Women
Prenatal Diagnosis*
Rubella
Thorax
Ultrasonography
Creatinine
Pregnancy-Associated Plasma Protein-A
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