Evidence map›Paper›PMID 41902358›Full record

ArticlePharmacoepidemiology and drug safety2026

Ultrasound Procedure Codes Enable Timely Surveillance of Ongoing Pregnancies: A Nationwide Population-Based Register Study.

Margrethe Greve-Isdahl, Melanie Stecher, Jesper Dahl, Evy Dvergsdal, Suzanne Campbell, Inger Johanne Bakken, Hinta Meijerink, Hilde Marie Engjom

Abstract read
In one paragraph

Article in Pharmacoepidemiology and drug safety, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Margrethe Greve-IsdahlDepartment of Infection Control and Vaccines, Norwegian Institute of Public Health, Oslo, Norway.ORCID https://orcid.org/0000-0002-9349-9204
Melanie StecherDepartment of Infection Control and Vaccines, Norwegian Institute of Public Health, Oslo, Norway.
Jesper DahlDepartment of Infection Control and Vaccines, Norwegian Institute of Public Health, Oslo, Norway.
Evy DvergsdalDepartment of Infection Control Registries, Norwegian Institute of Public Health, Oslo, Norway.
Suzanne CampbellDepartment of Infection Control Registries, Norwegian Institute of Public Health, Oslo, Norway.
Inger Johanne BakkenDepartment of Chronic Diseases, Norwegian Institute of Public Health, Oslo, Norway.
Hinta MeijerinkDepartment of Infection Control and Vaccines, Norwegian Institute of Public Health, Oslo, Norway.
Hilde Marie EngjomDepartment of Health Registry Research and -Development, Norwegian Institute of Public Health, Oslo, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePregnant women in Norway are offered routine ultrasound examinations in the first and second trimester during gestational weeks 11-13 and 17-19, but attendance rates are unknown. With the introduction of maternal pertussis vaccination, we sought to investigate whether ultrasound attendance during pregnancy could identify the target population for maternal vaccination. Our study aims to investigate if pregnancy-related ultrasound codes alone can provide reliable estimates of ongoing pregnancies before data is available in birth records.

methodsIn this nationwide population-based register study, we linked individual-level data from women with births in the Medical Birth Registry of Norway (MBRN) and first or second trimester ultrasound codes in the Norwegian Patient Registry (NPR) during 2018-2023. We calculated the proportion of pregnancies with pregnancy-related ultrasound examination codes, with trimester-specific codes from 2022, and median gestational age at ultrasound stratified by code.

resultsFor the entire study period (2018-2023), we retrieved data on 323 549 pregnancies for 249 915 women. Of the 59 739 pregnancies identified through MBRN in 2022-2023, 57 416 (96.1%) had at least one recorded routine trimester-specific ultrasound. The second trimester ultrasound was recorded in 92.9% (55 503/59 739) of pregnancies, with 87.7% (48 672/55 503) at the recommended time. The first trimester ultrasound code was recorded in 61.6% (36 799/59 739) of pregnancies, and 58.4% (34 886/59 739) had both codes.

conclusionsThe high attendance rate of at least one routine ultrasound examination during pregnancy (96.1%) in 2022-2023 confirms the reliability of trimester-specific ultrasound codes as an indicator for ongoing pregnancies. This provides valuable data for timely assessment of interventions targeting pregnant women, before information is available in birth registries.

Indexed as

Population SurveillanceUltrasonography, PrenatalAdultFemaleGestational AgeHumansNorwayPregnancyPregnancy Trimester, FirstPregnancy Trimester, SecondRegistriesYoung Adultantenatal screeninghealth registrypopulation datapregnancysurveillanceultrasound scanvaccine uptake

Identifiers

PMID41902358
PMCPMC13031883

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.