Olav B Petersen, Consultant, PhD, Head of Fetal Medicine Unit
Aarhus University Hospital Skejby, Denmark
Fetal Medicine Unit, Aarhus University Hospital Skejby is a tertiary referral centre, with 5000 deliveries and about 20.000 obstetric and fetal medicine scans each year. Since 2004, all pregnant women in Denmark have been offered 1st trim combined and 2nd trimester screening. Knowing that would come, in 2003 we decided to setup a fetal database that could perform the 1st trimester risk calculation, and the quality assurance.
astraia could offer the by far best solution (pregnancy and fetal cardiology modules). astraias staff installed the program on our server and trained the users and technical staff within a few days. The system has been running perfectly since 1st January 2004. Actually, it’s the most stable of the entire hospitals more than 800 production software systems.
Using the program has completely changed our workflow: Now all pregnant women have the double test taken at their GP in week 9 and analyzed within two days. The result of the serum screening is entered at the nuchal scan, and the woman is given the combined risk for Down’s syndrome within 30 minutes. An audit of the 1st trim risk calculation is automatically generated and mailed to FMF, London.
astraia does what many programs claim but few really do: it supports the clinical decision process. At our department all 2nd and 3rd trimester scans are entered as well, thereby giving the clinician an excellent overview of fetal growth and possible signs of fetal compromise. And still it’s very user friendly. All sonongraphers and doctors learned very quickly how to use the program. Therefore we needed significant less time for training than expected.