{"title":"Clinical Consensus No. 455: Fetal Sex Determination and Disclosure.","authors":"Michiel C Van den Hof, Venu Jain, Ori Nevo","doi":"10.1016/j.jogc.2024.102675","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To provide guidance on ultrasound review of the fetal perineum as well as fetal sex determination and disclosure.</p><p><strong>Target population: </strong>All individuals with ongoing pregnancies.</p><p><strong>Options: </strong>To include a review of the fetal perineum and determination of fetal sex as a component of the anatomic review during the routine second-trimester obstetric ultrasound and adhere to patient wishes regarding the disclosure of fetal sex.</p><p><strong>Outcomes: </strong>Prenatal diagnosis of fetal genital and sex anomalies or variants, parental and pregnancy caregiver knowledge of fetal sex, and adherence to parental wishes regarding knowledge of fetal sex.</p><p><strong>Benefits, harms, and costs: </strong>Benefits include the potential to improve perinatal outcomes through the diagnosis of fetal genital anomalies and respect for women's rightful autonomy over personal health information. Potential harms or costs include a possible error in fetal sex determination, increased time for patients and health care providers in scheduling and performing the imaging, and the minimal risk of patients choosing to abort a pregnancy if the fetus is not the desired sex.</p><p><strong>Evidence: </strong>Evidence built on the literature from the prior version of this statement through a review of international guidelines, Canadian legal rulings, and a literature search of PubMed and the Cochrane Database. English language research articles, review articles, and systematic reviews between January 1, 2003, and December 31, 2023, were included. Search terms included fetal ultrasonography, sex determination, and genitalia. The references of relevant articles were assessed, and applicable articles were included as well.</p><p><strong>Intended audience: </strong>All care providers for pregnant individuals in Canada.</p><p><strong>Social media abstract: </strong>Fetal genitalia should be examined in pregnancy and the sex safely disclosed to the patient if they want this information. CONSENSUS-BASED GOOD PRACTICE STATEMENTS.</p>","PeriodicalId":16688,"journal":{"name":"Journal of obstetrics and gynaecology Canada","volume":null,"pages":null},"PeriodicalIF":2.0000,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of obstetrics and gynaecology Canada","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1016/j.jogc.2024.102675","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Objective: To provide guidance on ultrasound review of the fetal perineum as well as fetal sex determination and disclosure.
Target population: All individuals with ongoing pregnancies.
Options: To include a review of the fetal perineum and determination of fetal sex as a component of the anatomic review during the routine second-trimester obstetric ultrasound and adhere to patient wishes regarding the disclosure of fetal sex.
Outcomes: Prenatal diagnosis of fetal genital and sex anomalies or variants, parental and pregnancy caregiver knowledge of fetal sex, and adherence to parental wishes regarding knowledge of fetal sex.
Benefits, harms, and costs: Benefits include the potential to improve perinatal outcomes through the diagnosis of fetal genital anomalies and respect for women's rightful autonomy over personal health information. Potential harms or costs include a possible error in fetal sex determination, increased time for patients and health care providers in scheduling and performing the imaging, and the minimal risk of patients choosing to abort a pregnancy if the fetus is not the desired sex.
Evidence: Evidence built on the literature from the prior version of this statement through a review of international guidelines, Canadian legal rulings, and a literature search of PubMed and the Cochrane Database. English language research articles, review articles, and systematic reviews between January 1, 2003, and December 31, 2023, were included. Search terms included fetal ultrasonography, sex determination, and genitalia. The references of relevant articles were assessed, and applicable articles were included as well.
Intended audience: All care providers for pregnant individuals in Canada.
Social media abstract: Fetal genitalia should be examined in pregnancy and the sex safely disclosed to the patient if they want this information. CONSENSUS-BASED GOOD PRACTICE STATEMENTS.
期刊介绍：
Journal of Obstetrics and Gynaecology Canada (JOGC) is Canada"s peer-reviewed journal of obstetrics, gynaecology, and women"s health. Each monthly issue contains original research articles, reviews, case reports, commentaries, and editorials on all aspects of reproductive health. JOGC is the original publication source of evidence-based clinical guidelines, committee opinions, and policy statements that derive from standing or ad hoc committees of the Society of Obstetricians and Gynaecologists of Canada. JOGC is included in the National Library of Medicine"s MEDLINE database, and abstracts from JOGC are accessible on PubMed.
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