Ultrasound screening: how effective is the service?

This study describes the standards, training and audit systems in units offering ultrasound screening services in Ireland. A national survey of 21 of all maternity units offering an obstetric ultrasound service in Ireland was undertaken. The questionnaire used was designed by the UK Screening committee and sought information on nine key areas associated with service provision including protocols for screening, the antenatal ultrasound package available and management following the identification of a fetal abnormality. This paper reports on the availability of information for women, record keeping, standards and training, and monitoring of quality. All units responded to the survey. Deficiencies in the Irish service include limited information available for women who are participating in screening, poor monitoring of ultrasound programmes, suboptimal equipment and a lack of guidelines and standards relating to the conduct of ultrasound examinations Significant improvements are required in order to deliver a national service of a satisfactory standard. Key recommendations include establishing a national working group to develop national standards to audit the service, and to guarantee that staff training is sufficient to ensure effective practice.