Audit of the appropriateness of the indication for obstetric sonography in a tertiary facility in Ghana.

Autor:	Edzie EKM; Department of Medical Imaging, School of Medical Sciences, College of Health and Allied Sciences, University of Cape Coast, PMB, Cape Coast, Ghana., Dzefi-Tettey K; Department of Radiology, Korle Bu Teaching Hospital. P.O. BOX KB 77 Korle Bu, Accra, Ghana., Gorleku PN; Department of Medical Imaging, School of Medical Sciences, College of Health and Allied Sciences, University of Cape Coast, PMB, Cape Coast, Ghana., Brakohiapa EK; Department of Radiology, University of Ghana School of Medicine and Dentistry, College of Health Sciences, University of Ghana. P. O. BOX GP 4236, Accra, Ghana., Botwe BO; Department of Radiography, School of Biomedical and Allied Health Sciences, College of Health Sciences, University of Ghana, Accra, Ghana., Amankwa AT; Department of Radiology, School of Medical Sciences, College of Health Sciences, Kwame Nkrumah University of Science and Technology, Kumasi, Ghana., Idun EA; Department of Radiology, 37 Military Hospital, Neghelli Barracks Liberation Road 37, Accra, Ghana., Kusodzi H; Department of Medical Imaging, School of Medical Sciences, College of Health and Allied Sciences, University of Cape Coast, PMB, Cape Coast, Ghana., Asemah AR; Department of Medical Imaging, School of Medical Sciences, College of Health and Allied Sciences, University of Cape Coast, PMB, Cape Coast, Ghana.
Jazyk:	angličtina
Zdroj:	The Pan African medical journal [Pan Afr Med J] 2021 Sep 14; Vol. 40, pp. 35. Date of Electronic Publication: 2021 Sep 14 (Print Publication: 2021).
DOI:	10.11604/pamj.2021.40.35.26349
Abstrakt:	Introduction: the use of ultrasound is one of the most vital tools in the management of pregnancies and contributes significantly in improving maternal and child health. Certain indications in pregnancy, guide the obstetrician as to which obstetric scan deems appropriate. The full realization of the benefits of ultrasound depends on whether it is being used appropriately or not, and hence this study aimed at auditing for the appropriate indications for obstetric ultrasound. Methods: a review of all request forms for obstetric scan between June 2019 and July 2020 was performed to assess the appropriateness of requests for obstetric ultrasound at the Cape Coast Teaching Hospital. The data obtained was analyzed using SPSS (SPSS Inc. Chicago, IL version 20.0). A Chi-squared test of independence was used to check for statistically significant differences between variables at p ≤ 0.05. Results: three hundred and fourteen (314) out of the 527 request forms had clinical indications stated. 174 (81.7%) of requests from Cape Coast Teaching Hospital and 39 (18.3%) from other health centers did not indicate patients clinical history/indication on the request forms. Majority 76 (68.5%) of scans in the first trimester were done without indications/history. Only 29 of requests with clinical history were inappropriate. Conclusion: practitioners should be mindful of adequately completing request forms for obstetric investigations since a large number of practitioners do not state the history/indications for the scans. There should be continuous medical education on the importance of appropriate indication for obstetric ultrasound. Competing Interests: The authors declare no competing interests. (Copyright: Emmanuel Kobina Mesi Edzie et al.)
Databáze:	MEDLINE
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