{"id":"https://openalex.org/W4401909258","doi":"https://doi.org/10.1002/puh2.70001","title":"A Situational Overview of Prenatal Screening Services in Bhutan","display_name":"A Situational Overview of Prenatal Screening Services in Bhutan","publication_year":2024,"publication_date":"2024-08-27","ids":{"openalex":"https://openalex.org/W4401909258","doi":"https://doi.org/10.1002/puh2.70001","pmid":"https://pubmed.ncbi.nlm.nih.gov/40496519","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/12039625"},"language":"en","primary_location":{"id":"doi:10.1002/puh2.70001","doi":"https://doi.org/10.1002/puh2.70001","is_oa":true,"landing_page_url":"https://doi.org/10.1002/puh2.70001","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/puh2.70001","source":{"id":"https://openalex.org/S4210218862","display_name":"Public Health Challenges","issn_l":"2769-2450","issn":["2769-2450"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Public Health Challenges","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/puh2.70001","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5017522001","display_name":"Yeshey Dorjey","orcid":"https://orcid.org/0000-0001-7324-3028","observed_orcids":["https://orcid.org/0000-0001-7324-3028"]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Yeshey Dorjey","raw_affiliation_strings":["Maternal and Fetal Medicine Unit, Department of Obstetrics and Gynaecology, Phuentsholing General Hospital, Phuntsholing, Bhutan"],"raw_orcid":"https://orcid.org/0000-0001-7324-3028","affiliations":[{"raw_affiliation_string":"Maternal and Fetal Medicine Unit, Department of Obstetrics and Gynaecology, Phuentsholing General Hospital, Phuntsholing, Bhutan","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5069192179","display_name":"Tashi Gyeltshen","orcid":"https://orcid.org/0009-0004-5351-597X","observed_orcids":["https://orcid.org/0009-0004-5351-597X"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Tashi Gyeltshen","raw_affiliation_strings":["Department of Radiodiagnosis and Imaging, Jigme Dorji Wangchuck National Referral Hospital, Thimphu, Bhutan"],"raw_orcid":"https://orcid.org/0009-0004-5351-597X","affiliations":[{"raw_affiliation_string":"Department of Radiodiagnosis and Imaging, Jigme Dorji Wangchuck National Referral Hospital, Thimphu, Bhutan","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5070184762","display_name":"Thinley Dorji","orcid":"https://orcid.org/0000-0003-4932-8704","observed_orcids":["https://orcid.org/0000-0003-4932-8704"]},"institutions":[{"id":"https://openalex.org/I4405274129","display_name":"Central Regional Referral Hospital","ror":"https://ror.org/0143c7g52","country_code":"BT","type":"healthcare","lineage":["https://openalex.org/I4405274129"]}],"countries":["BT"],"is_corresponding":false,"raw_author_name":"Thinley Dorji","raw_affiliation_strings":["Department of Internal Medicine, Central Regional Referral Hospital, Gelephu, Bhutan"],"raw_orcid":"https://orcid.org/0000-0003-4932-8704","affiliations":[{"raw_affiliation_string":"Department of Internal Medicine, Central Regional Referral Hospital, Gelephu, Bhutan","institution_ids":["https://openalex.org/I4405274129"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5089169927","display_name":"Don Eliseo Lucero\u2010Prisno","orcid":"https://orcid.org/0000-0002-2179-6365","observed_orcids":["https://orcid.org/0000-0002-2179-6365"]},"institutions":[{"id":"https://openalex.org/I4210089966","display_name":"London School of Hygiene & Tropical Medicine","ror":"https://ror.org/00a0jsq62","country_code":"GB","type":"education","lineage":["https://openalex.org/I124357947","https://openalex.org/I4210089966"]}],"countries":["GB"],"is_corresponding":false,"raw_author_name":"Don Eliseo Lucero\u2010Prisno","raw_affiliation_strings":["Department of Global Health and Development, London School of Hygiene and Tropical Medicine, London, UK"],"raw_orcid":"https://orcid.org/0000-0002-2179-6365","affiliations":[{"raw_affiliation_string":"Department of Global Health and Development, London School of Hygiene and Tropical Medicine, London, UK","institution_ids":["https://openalex.org/I4210089966"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5080955406","display_name":"Mimi Lhamu Mynak","orcid":"https://orcid.org/0000-0002-6887-2847","observed_orcids":["https://orcid.org/0000-0002-6887-2847"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Mimi Lhamu Mynak","raw_affiliation_strings":["Department of Paediatrics, Jigme Dorji Wangchuck National Referral Hospital, Thimphu, Bhutan","Office of the President, National Medical Service, Thimphu, Bhutan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Paediatrics, Jigme Dorji Wangchuck National Referral Hospital, Thimphu, Bhutan","institution_ids":[]},{"raw_affiliation_string":"Office of the President, National Medical Service, Thimphu, Bhutan","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5048093285","display_name":"Sonam Gyamtsho","orcid":"https://orcid.org/0000-0002-6746-1421","observed_orcids":["https://orcid.org/0000-0002-6746-1421"]},"institutions":[{"id":"https://openalex.org/I4396570561","display_name":"Khesar Gyalpo University of Medical Sciences of Bhutan","ror":"https://ror.org/0131kfw61","country_code":"BT","type":"education","lineage":["https://openalex.org/I4396570561"]}],"countries":["BT"],"is_corresponding":false,"raw_author_name":"Sonam Gyamtsho","raw_affiliation_strings":["Department of Obstetrics and Gynecology, Jigme Dorji Wangchuck National Referral Hospital, Thimphu, Bhutan","Khesar Gyalpo University of Medical Sciences of Bhutan, Thimphu, Bhutan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Obstetrics and Gynecology, Jigme Dorji Wangchuck National Referral Hospital, Thimphu, Bhutan","institution_ids":[]},{"raw_affiliation_string":"Khesar Gyalpo University of Medical Sciences of Bhutan, Thimphu, Bhutan","institution_ids":["https://openalex.org/I4396570561"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5056321843","display_name":"Tashi Tshomo","orcid":"https://orcid.org/0000-0003-2381-6961","observed_orcids":["https://orcid.org/0000-0003-2381-6961"]},"institutions":[{"id":"https://openalex.org/I4210094897","display_name":"Ministry of Health","ror":"https://ror.org/00r8ksq80","country_code":"BT","type":"government","lineage":["https://openalex.org/I4210094897"]}],"countries":["BT"],"is_corresponding":false,"raw_author_name":"Tashi Tshomo","raw_affiliation_strings":["Reproductive, Maternal and Newborn Health Unit, Ministry of Health, Thimphu, Bhutan"],"raw_orcid":"https://orcid.org/0000-0003-2381-6961","affiliations":[{"raw_affiliation_string":"Reproductive, Maternal and Newborn Health Unit, Ministry of Health, Thimphu, Bhutan","institution_ids":["https://openalex.org/I4210094897"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5067631596","display_name":"Phurb Dorji","orcid":"https://orcid.org/0000-0002-1058-4252","observed_orcids":["https://orcid.org/0000-0002-1058-4252"]},"institutions":[{"id":"https://openalex.org/I4396570561","display_name":"Khesar Gyalpo University of Medical Sciences of Bhutan","ror":"https://ror.org/0131kfw61","country_code":"BT","type":"education","lineage":["https://openalex.org/I4396570561"]}],"countries":["BT"],"is_corresponding":false,"raw_author_name":"Phurb Dorji","raw_affiliation_strings":["Khesar Gyalpo University of Medical Sciences of Bhutan, Thimphu, Bhutan","Kidu Mobile Medical Unit, His Majesty's Peoples Project, Thimphu, Bhutan","Maternal Fetal Medicine Unit, Jigme Dorji Wangchuck National Referral Hospital, Thimphu, Bhutan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Khesar Gyalpo University of Medical Sciences of Bhutan, Thimphu, Bhutan","institution_ids":["https://openalex.org/I4396570561"]},{"raw_affiliation_string":"Kidu Mobile Medical Unit, His Majesty's Peoples Project, Thimphu, Bhutan","institution_ids":[]},{"raw_affiliation_string":"Maternal Fetal Medicine Unit, Jigme Dorji Wangchuck National Referral Hospital, Thimphu, Bhutan","institution_ids":[]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":4,"corresponding_author_ids":["https://openalex.org/A5017522001"],"corresponding_institution_ids":[],"apc_list":{"value":2400,"currency":"USD","value_usd":2400},"apc_paid":{"value":2400,"currency":"USD","value_usd":2400},"fwci":0.9631,"has_fulltext":true,"cited_by_count":2,"citation_normalized_percentile":{"value":0.73933649,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":95,"max":96},"biblio":{"volume":"3","issue":"3","first_page":"e70001","last_page":"e70001"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10978","display_name":"Prenatal Screening and Diagnostics","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10978","display_name":"Prenatal Screening and Diagnostics","score":1.0,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12741","display_name":"Maternal and Neonatal Healthcare","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12716","display_name":"Congenital Anomalies and Fetal Surgery","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/prenatal-screening","display_name":"prenatal screening","score":0.9860000014305115},{"id":"https://openalex.org/keywords/prenatal-genetic-testing","display_name":"prenatal genetic testing","score":0.8600000143051147},{"id":"https://openalex.org/keywords/non-invasive-prenatal-testing","display_name":"non-invasive prenatal testing","score":0.7080000042915344},{"id":"https://openalex.org/keywords/nuchal-translucency","display_name":"nuchal translucency","score":0.9359999895095825},{"id":"https://openalex.org/keywords/congenital-malformations","display_name":"congenital malformations","score":0.8109999895095825},{"id":"https://openalex.org/keywords/maternal-mortality","display_name":"maternal mortality","score":0.7200000286102295},{"id":"https://openalex.org/keywords/neonatal-mortality","display_name":"neonatal mortality","score":0.9089999794960022},{"id":"https://openalex.org/keywords/fetal-termination","display_name":"fetal termination","score":0.4129999876022339},{"id":"https://openalex.org/keywords/bhutan","display_name":"Bhutan","score":0.7599999904632568}],"concepts":[{"id":"https://openalex.org/C9114305","wikidata":"https://www.wikidata.org/wiki/Q1428317","display_name":"Situational ethics","level":2,"score":0.5639997720718384},{"id":"https://openalex.org/C2992422692","wikidata":"https://www.wikidata.org/wiki/Q1136569","display_name":"Prenatal screening","level":5,"score":0.5245145559310913},{"id":"https://openalex.org/C2778258057","wikidata":"https://www.wikidata.org/wiki/Q1136569","display_name":"Prenatal diagnosis","level":4,"score":0.35609233379364014},{"id":"https://openalex.org/C15744967","wikidata":"https://www.wikidata.org/wiki/Q9418","display_name":"Psychology","level":0,"score":0.2742558717727661},{"id":"https://openalex.org/C2779234561","wikidata":"https://www.wikidata.org/wiki/Q11995","display_name":"Pregnancy","level":2,"score":0.25549620389938354},{"id":"https://openalex.org/C77805123","wikidata":"https://www.wikidata.org/wiki/Q161272","display_name":"Social psychology","level":1,"score":0.09667670726776123},{"id":"https://openalex.org/C172680121","wikidata":"https://www.wikidata.org/wiki/Q26513","display_name":"Fetus","level":3,"score":0.07263526320457458},{"id":"https://openalex.org/C86803240","wikidata":"https://www.wikidata.org/wiki/Q420","display_name":"Biology","level":0,"score":0.06635162234306335},{"id":"https://openalex.org/C54355233","wikidata":"https://www.wikidata.org/wiki/Q7162","display_name":"Genetics","level":1,"score":0.05604931712150574}],"mesh":[],"locations_count":6,"locations":[{"id":"doi:10.1002/puh2.70001","doi":"https://doi.org/10.1002/puh2.70001","is_oa":true,"landing_page_url":"https://doi.org/10.1002/puh2.70001","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/puh2.70001","source":{"id":"https://openalex.org/S4210218862","display_name":"Public Health Challenges","issn_l":"2769-2450","issn":["2769-2450"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Public Health Challenges","raw_type":"journal-article"},{"id":"pmh:oai:europepmc.org:10961434","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/12039625","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC12039625/pdf/PUH2-3-e70001.pdf","source":{"id":"https://openalex.org/S4306400806","display_name":"Europe PMC (PubMed Central)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1303153112","host_organization_name":"European Bioinformatics Institute","host_organization_lineage":["https://openalex.org/I1303153112"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":null,"raw_type":"Text"},{"id":"pmh:oai:pubmedcentral.nih.gov:12039625","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/12039625","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Public Health Chall","raw_type":"Text"},{"id":"pmid:40496519","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/40496519","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Public health challenges","raw_type":"Journal Article"},{"id":"pmh:oai:researchonline.lshtm.ac.uk:4675910","doi":null,"is_oa":true,"landing_page_url":"https://orcid.org/0000-0001-7324-3028>;","pdf_url":"https://researchonline.lshtm.ac.uk/id/eprint/4675910/1/Dorjey-etal-2024-A-Situational-Overview-of-Prenatal-Screening-Services-in-Bhutan.pdf","source":{"id":"https://openalex.org/S4306402527","display_name":"LSHTM Research Online (London School of Hygiene and Tropical Medicine)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4210089966","host_organization_name":"London School of Hygiene & Tropical Medicine","host_organization_lineage":["https://openalex.org/I4210089966"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"acceptedVersion","is_accepted":true,"is_published":false,"raw_source_name":null,"raw_type":"Article"},{"id":"pmh:oai:doaj.org/article:4cd0392a9a6247a9ba4dc5892770b539","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/4cd0392a9a6247a9ba4dc5892770b539","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Public Health Challenges, Vol 3, Iss 3, Pp n/a-n/a (2024)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1002/puh2.70001","doi":"https://doi.org/10.1002/puh2.70001","is_oa":true,"landing_page_url":"https://doi.org/10.1002/puh2.70001","pdf_url":"https://onlinelibrary.wiley.com/doi/pdfdirect/10.1002/puh2.70001","source":{"id":"https://openalex.org/S4210218862","display_name":"Public Health Challenges","issn_l":"2769-2450","issn":["2769-2450"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","jufo-1","ki-jl-1"],"host_organization":"https://openalex.org/P4310320595","host_organization_name":"Wiley","host_organization_lineage":["https://openalex.org/P4310320595"],"host_organization_lineage_names":["Wiley"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Public Health Challenges","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.9940000176429749,"display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W4401909258.pdf","grobid_xml":"https://content.openalex.org/works/W4401909258.grobid-xml"},"referenced_works_count":9,"referenced_works":["https://openalex.org/W1896227630","https://openalex.org/W2043019860","https://openalex.org/W2043174787","https://openalex.org/W2236989771","https://openalex.org/W2751499619","https://openalex.org/W2758054173","https://openalex.org/W2980745522","https://openalex.org/W3116122058","https://openalex.org/W4254269280"],"related_works":["https://openalex.org/W2797124082","https://openalex.org/W7045651794","https://openalex.org/W3111556671","https://openalex.org/W1191252425","https://openalex.org/W4413041113","https://openalex.org/W2589312400","https://openalex.org/W2157645027","https://openalex.org/W4408863211","https://openalex.org/W2092004385","https://openalex.org/W1894516792"],"abstract_inverted_index":{"Prenatal":[0,18,38],"genetic":[1,13,275],"testing":[2,78,210,247],"is":[3,40,59,240],"to":[4,62,70,148,166,235,243,251,259,268,283],"determine":[5],"the":[6,9,48,102,105,161,178,195,214],"possibility":[7],"of":[8,21,47,50,83,95,104,135,180,208,221,256,280],"fetus":[10],"having":[11],"a":[12,81,88,241,253],"aberration":[14],"or":[15,26,32,55,273],"birth":[16,192],"defect.":[17],"screening":[19,24,39,96],"consists":[20],"serum":[22,65],"analytes":[23,66],"with":[25,33,64,91,187],"without":[27],"nuchal":[28],"translucency":[29],"(NT)":[30],"scanning":[31,216,232],"cell-free":[34],"DNA":[35],"(CfDNA)":[36],"screening.":[37],"recommended":[41],"for":[42,87,213,266],"all":[43,125,236],"pregnant":[44,126,181,237,260],"women":[45,127],"regardless":[46],"duration":[49],"pregnancy":[51,281],"and":[52,67,97,130,133,160,191,230],"maternal":[53,144],"age":[54],"baseline":[56],"risk.":[57],"It":[58],"not":[60,204],"advisable":[61],"screen":[63],"CfDNA":[68],"concurrently":[69],"avoid":[71],"discordant":[72],"results.":[73],"In":[74,99,262],"developed":[75],"countries,":[76],"prenatal":[77,209,246],"has":[79,115,146,164],"been":[80,116],"part":[82],"routine":[84],"antenatal":[85,129],"care":[86,122,179,258],"long":[89],"time":[90],"adopting":[92],"newer":[93],"methods":[94],"testing.":[98],"Bhutan,":[100,198],"since":[101],"integration":[103],"Safe":[106],"Motherhood":[107],"Program":[108],"into":[109],"primary":[110],"healthcare":[111],"in":[112,120,150,158,172,177,249],"1994,":[113],"there":[114],"an":[117,200],"unprecedented":[118],"improvement":[119],"obstetric":[121,257],"services.":[123],"Almost":[124],"attend":[128],"postnatal":[131,196],"care,":[132],"98.5%":[134],"deliveries":[136],"are":[137,185,233],"attended":[138],"by":[139],"trained":[140],"health":[141],"workers.":[142],"The":[143],"mortality":[145],"reduced":[147,165],"53":[149],"2023":[151],"from":[152],"770":[153],"per":[154,168],"100,000":[155],"live":[156,170],"births":[157,171],"1984":[159],"neonatal":[162],"dealth":[163],"15.2":[167],"1000":[169],"2023.":[173],"However,":[174],"despite":[175],"improvements":[176],"women,":[182],"many":[183],"babies":[184],"detected":[186],"congenital":[188],"anomalies,":[189],"syndromes,":[190],"defects":[193],"during":[194],"period.":[197],"being":[199],"underdeveloped":[201],"country,":[202],"could":[203],"initiate":[205],"any":[206],"form":[207],"program":[211],"except":[212],"anatomical":[215],"performed":[217],"at":[218],"18-22":[219],"weeks":[220,279],"gestation.":[222],"Early":[223],"ultrasound":[224],"dating":[225],"scans,":[226],"limited":[227],"anomaly":[228],"scanning,":[229],"growth":[231],"offered":[234],"women.":[238,261],"There":[239],"need":[242,282],"start":[244],"centralized":[245],"services":[248],"Bhutan":[250],"provide":[252],"comprehensive":[254],"package":[255],"addition,":[263],"legal":[264],"rights":[265],"parents":[267],"terminate":[269],"severely":[270],"deformed":[271],"fetuses":[272],"severe":[274],"diseases":[276],"before":[277],"24":[278],"be":[284],"established.":[285]},"counts_by_year":[{"year":2026,"cited_by_count":2}],"updated_date":"2026-10-30T12:39:25.321706","created_date":"2024-08-28T00:00:00"}