Pregnancy screening standards for chromosomal and health conditions

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Document Type

Standards

Summary

Women are offered a range of tests, ultrasound scans and health checks during pregnancy. The national pregnancy and newborn screening programme covers a range of screening tests for specific conditions.

These standards relate to screening during pregnancy for:

  • Down’s syndrome, Edwards’ syndrome and Patau’s syndrome
  • Eleven conditions screened for at the mid-pregnancy ultrasound scan including, spina bifida and cardiac conditions

Overview of standards

Standard 1: All eligible women are supported to make informed choices about pregnancy screening for fetal chromosomal and health conditions.

Standard 2: NHS boards ensure first line screening is safe, effective and person-centred, with timely reporting of results.

Standard 3: NHS boards ensure non-invasive prenatal testing is safe, effective and person-centred, with timely reporting of results.

Standard 4: NHS boards ensure the mid-pregnancy ultrasound scan is safe, effective and person-centred, with timely reporting of results.

Standard 5: NHS boards ensure prenatal diagnostic testing is safe, effective and person-centred, with timely reporting of results.

Standard 6: NHS boards provide multidisciplinary specialist support and care planning as part of the pregnancy screening pathway.

Standard 7: Laboratory services and processes for pregnancy screening are carried out in line with nationally recognised standards.

These standards are a review of the 2019 Pregnancy screening: Fetal anomaly standards.

The remaining pregnancy and newborn screening standards will be reviewed at a later date and remain current. These are:

  • Haemoglobinopathies in pregnancy
  • Infectious diseases in pregnancy
  • Newborn blood spot screening
  • Newborn hearing screening

The pregnancy screening standards are complemented by the core screening standards, which covers:

  • Leadership and governance in screening programmes
  • Quality assurance
  • Screening incident management and reporting
  • Staff training and education
  • Informed decision making
  • Equity in screening