A community-based obstetric ultrasound service

Autor:	Geerts, L., Theron, A.M., Grove, D., Theron, G.B., Odendaal, H.J.
Předmět:	ECHOCARDIOGRAPHY PREGNANCY complications PRENATAL diagnosis POVERTY areas CHI-squared test COMPARATIVE studies COST effectiveness FETAL ultrasonic imaging LONGITUDINAL method RESEARCH methodology MEDICAL care MEDICAL cooperation MEDICAL referrals PRENATAL care RESEARCH URBAN health CITY dwellers EVALUATION research ECONOMICS
Zdroj:	International Journal of Gynecology & Obstetrics; Jan2004, Vol. 84 Issue 1, p23-31, 9p
Abstrakt:	Objectives: To investigate the impact of an ultrasound dating service on obstetric services. Methods: A prospective trial with 3009 unselected women presenting for antenatal care at two Midwife Obstetric Units in a socioeconomically deprived urban area, South Africa. In the study unit, student ultrasonographers provided a basic ultrasound service. In the control unit, obstetric ultrasound was only available for specific indications. The main outcome measures were number of antenatal visits and referrals for fetal surveillance. Results: The two cohorts were comparable except for the number of primigravidas but stratified analysis according to parity did not affect the results. Ultrasonography did not alter pregnancy outcome but reduced the number of perceived preterm labors/ruptured membranes (12.0 vs. 16.7%, P<0.003), post-term deliveries (8.1 vs. 10.8%, P<0.04) and referrals for fetal surveillance [15.9 vs. 29.6%, P<0.000, RR 0.79 (0.71–0.88)]. Conclusions: This community-based basic ultrasound service significantly reduced referrals to a regional center for fetal surveillance and delivery. [Copyright &y& Elsevier]
Databáze:	Complementary Index
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