Það má telja eðlilegt að hafa eina sérgrein fyrir þá órjúfanlegu heild sem móðir og fóstur mynda og er íslenska undirsérgreinin í samræmi við það og ber heitið fósturgreining og meðgöngusjúkdómar ( FM ) . Í stærri samfélögum starfa FM-læknar gjarnan sem ráðgefandi fyrir fæðingalækna og aðra sérgreinalækna auk þess að vinna við fósturskimanir , greiningar og meðferð . ; Fetal medicine is a subspecialty of obstetrics investigating the development , growth and disease of the human fetus . Often , the mother is part of the definition of the subspecialty where maternal diseases specific to pregnancy are included and therefore named MaternalFetal Medicine ( MFM ) . It is appropriate to have one subspecialty for the maternal-fetal unit and the Icelandic subspecialty is named accordingly ; “ Prenatal diagnosis and maternal diseases ” . The subspecialty was acknowledged in Iceland in 2015 when physician specialty regulations were changed . The advances in fetal imaging , both ultrasonography and MRI , and molecular diagnostic techniques , together with the possibility of interventions in utero , make fetal medicine an important , rapidly developing field within women’s healthcare . A variety of specialists , such as neonatologists , pediatric cardiologists , medical geneticists , radiologists and pediatric surgeons , are necessary to adjunct in the diagnosis and treatment of the fetus as a patient . In larger communities MFM physicians work as consultants besides working on fetal screening , diagnostics and treatment of mothers and their fetuses . In Iceland the subspecialization is less advanced . This article describes common tasks of the fetal medicine physician and examples are given where advances in technology have changed management for instance in aneuploidy screening , Rhesus allo-immunization and fetal interventions . Finally , the establishment of the Nordic Network of Fetal Medicine is described . Heilsuhagfræðileg úttekt var gerð að rannsókn lokinni . NIÐURSTÖÐUR Helstu niðurstöður eru þær að sjúklingar upplifa minni verki , minni ótta og hliðrun tengda vinnufærni , færri þunglyndis - og kvíðaeinkenni og upplifa meiri félagslega færni eftir meðferð . Heilsuhagfræðilegur ávinningur af meðferðinni er verulegur og miðað við vísitölu neysluverðs í október 2018 skilar kostnaður af meðferðinni sér áttfalt til baka til samfélagsins . ; Introduction : There is limited research on the long-term benefits of an interdisciplinary pain rehabilitation , even though short-term benefits have been well documented . The present study evaluated the effects of an interdisciplinary pain rehabilitation program with a three-year follow-up . A special emphasis was placed on economic evaluation of the treatment from a societal perspective . Material and methods : The study was conducted at the chronic pain unit of the Reykjalundur rehabilitation center . Every fifth patient referred to the Reykjalundur Rehabiliation Center pain clinic was randomized to participate in this study . Data was collected over the course of 4,5 years with a three years follow-up . Finally , economic evaluation was conducted at the end of the research . Results : After treatment patients experienced less pain , fear and avoidance , anxiety and depression symptoms and improved social functioning . Work ability increased from 36% to 47% at the end of rehabilitation and continued to rise to 57% at three year follow-up . Economic evaluation from a societal perspective showed that cost associated with the rehabilitation had leveled out in three years and continued throughout life . Conclusion : The results indicate that interdisciplinary rehabilitation for chronic pain has a positive impact on function and the experience of pain as well as positive psychosocial effect .