HYKS – Dept Obstet Gynecol - Helsinki University Hospital

Aydin Tekay MD PhD 14.4.2015

INVASIVE PROCEDURES

FINNISH PERSPECTIVE

HYKS - NaiS

LIVE BIRTHS & PNM

HYKS - NaiS

5 University departments

56450 deliveries in 2014

(750 twins)

Two-stage screening since 2010

SF

HYKS - NaiS

HUS & HYKS

Catchment area (2013): 1 581 450 29% of national population

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

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

HYKS - NaiS

2-STEP SCREENING - HYKS

0

3500

7000

10500

14000

WH KMS JH All

12 887

3 4614 078

5 348

13 712

3 7944 120

5 798

First trimester Anomaly scan

HYKS - NaiS

TRISOMY 21 INCIDENCE

HYKS - NaiS

SF

HYKS - NaiS

INVASIVE PROCEDURES 2014

0

75

150

225

300

Amnio CVS Cordo Other

00

2848

212

8591

04

49

144

26

44

99

322

282284 HelsinkiOuluTurkuTampereKuopio

HYKS - NaiS

INVASIVE PROCEDURES

0

175

350

525

700

Amnio CVS Cordo Other

744

488

666

All1.2%

0.8%

0.07%

HYKS - NaiS

NIPT

0

35

70

105

140

Amnio CVS Counselling

Jan-Feb 2014 Jan-Feb 2015

HYKS - NaiS

• First 20 cases (1998-2000, St George's H. London)

• 35 cases (2000-2011, Oulu)

LASERS FOR TTTS

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

HYKS - NaiS

LEGAL ABORTIONS