Private Fetal Ultrasounds in Finland: Peace of Mind or Legal Gray Area?

The increasing availability of private fetal ultrasounds performed by midwives in Finland has sparked a contentious debate. While some view these services as meeting a genuine need for expectant parents, others raise concerns about potential risks and blurred lines of responsibility.

Emeritus Professor Jorma Paavonen is among those who believe these private ultrasounds, particularly when performed by midwives, may contravene existing legislation. He suggests that midwives might be overstepping their bounds by engaging in diagnostic procedures that should fall under the purview of medical doctors.

In response to the growing trend, the Finnish Medicines Agency (Fimea) has issued a directive. The agency has sent a formal letter, often referred to as a 'shepherd's letter,' to the companies offering these services. This communication aims to clarify the operational boundaries and regulatory framework surrounding fetal ultrasounds.

The World Federation for Ultrasound in Medicine and Biology (WFUMB) has also weighed in, recommending that fetal ultrasounds should not be performed without a clear medical indication. This international guideline adds another layer to the ongoing discussion in Finland about the appropriate use and provision of prenatal imaging services.

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The World Ultrasound Organization Wfumb states that fetal ultrasound should not be performed without a medical reason.