The Potential of Tele-Ultrasound, Handheld and Self-Operated Ultrasound in Pregnancy Care: A Systematic Review.

Autor: Kariman SS; Division of Obstetrics & Gynecology, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands., van den Heuvel JFM; Division of Obstetrics & Gynecology, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands., Adriaanse BME; Division of Obstetrics & Gynecology, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands., Oepkes D; Division of Obstetrics, Leiden University Medical Center, Leiden, The Netherlands., Bekker MN; Division of Obstetrics & Gynecology, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
Jazyk: angličtina
Zdroj: Prenatal diagnosis [Prenat Diagn] 2024 Oct 10. Date of Electronic Publication: 2024 Oct 10.
DOI: 10.1002/pd.6679
Abstrakt: Objective: To explore the use of tele-ultrasound and handheld or self-operated ultrasound in pregnancy.
Methods: A systematic search provided 31 studies. The risk of bias for each study was assessed. Results were analyzed and presented in a narrative overview in four domains: tele-ultrasound, patient-operated ultrasound, handheld devices and low- and middle-income countries (LMIC).
Results: The quality of studies was generally low or fair based on the NIH Quality Assessment Tools. Fetal tele-ultrasound services (11 studies) are feasible and especially helpful in rural areas or with increased centralization of specialist care. Three studies with patient-operated ultrasound concluded its feasibility with good-to-high experiences. The use of handheld devices in pregnancy (eight studies) showed similar ultrasound results when compared to standard devices. In LMICs, innovative use of ultrasound (nine studies) can facilitate access to obstetric care performed by trained as well as unskilled caregivers combined with remote evaluation by an expert.
Conclusions: Innovations in ultrasound in pregnancy care have shown promising results for application. Although most studies demonstrated benefits for pregnant women or care providers, high-level evidence is scarce. High-quality studies on innovations are needed to assess medical outcomes, patient and provider experiences and costs.
(© 2024 The Author(s). Prenatal Diagnosis published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
Externí odkaz: