AMERICAN MEDICAL ASSOCIATION HOUSE OF DELEGATES Resolution: 501 (A-05) 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 Introduced by: Missouri Delegation Subject: “Keepsake” Fetal Ultrasonography Referred to: Reference Committee E (Daniel W. van Heeckeren, MD, Chair) Whereas, The Food and Drug Administration considers non-diagnostic ultrasound to be the improper use of a prescription medical device; and Whereas, Public demand for prenatal “keepsake” ultrasonography is strong and rising, as evidenced by the nationwide influx of commercial fetal ultrasound centers in strip malls and shopping centers; and Whereas, American Medical Association policy supports the use of ultrasound within a hospital or clinic setting operated by a physician and opposes legislation that allows non-physicians to practice medicine without physician supervision (H-230.960 and H-160.949); and Whereas, Retail centers that offer non-diagnostic fetal ultrasound are not medically regulated; and Whereas, The risk of missed findings and substituted prenatal care may increase in nondiagnostic ultrasound centers; and Whereas, In the case that findings are reported by unqualified technicians, counseling or professional medical support may not be available; and Whereas, Proper use of ultrasound is considered to be a safe procedure, but improper use may be harmful to the fetus; and Whereas, Unnecessary fetal exposure to ultrasound is minimized at scheduled prenatal checkups; and Whereas, The American Institute of Ultrasound in Medicine, the American College of Obstetricians and Gynecologists, and General Electric, a leading manufacturer of ultrasound devices, are opposed to non-medical use of fetal ultrasound; therefore be it RESOLVED, That our American Medical Association adopt the current Food and Drug Administration (FDA) policy on use of non-diagnostic fetal ultrasound, which views “keepsake” fetal videos as an unapproved use of a medical device (New HOD Policy); and be it further RESOLVED, That our AMA lobby the federal government to enforce the current FDA position, which views “keepsake” fetal videos as an unapproved use of a medical device, on non-medical use of ultrasonic fetal imaging. (Directive to Take Action) Fiscal Note: Lobby accordingly at estimated staff cost of $1,859. Received: 4/25/05