A community-based obstetric ultrasound service
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 ultra...
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| Veröffentlicht in: | International journal of gynecology and obstetrics 2004, Vol.84 (1), p.23-31 |
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| container_title | International journal of gynecology and obstetrics |
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| creator | Geerts, L. Theron, A.M. Grove, D. Theron, G.B. Odendaal, H.J. |
| description | 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%,
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| doi_str_mv | 10.1016/S0020-7292(03)00310-2 |
| format | Article |
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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.</description><identifier>ISSN: 0020-7292</identifier><identifier>EISSN: 1879-3479</identifier><identifier>DOI: 10.1016/S0020-7292(03)00310-2</identifier><identifier>PMID: 14698826</identifier><identifier>CODEN: IJGOAL</identifier><language>eng</language><publisher>Shannon: Elsevier Ireland Ltd</publisher><subject>Adult ; Biological and medical sciences ; Chi-Square Distribution ; Cohort Studies ; Cost-Benefit Analysis ; Delivery of Health Care - economics ; Delivery. Postpartum. Lactation ; Female ; Gynecology. Andrology. Obstetrics ; Humans ; Medical sciences ; Poverty Areas ; Pregnancy ; Pregnancy outcome ; Prenatal Care - economics ; Prenatal Care - methods ; Prenatal ultrasound ; Prospective Studies ; Referral and Consultation - economics ; Referral and Consultation - statistics & numerical data ; Routine screening ; South Africa - epidemiology ; Ultrasonography, Prenatal - economics ; Ultrasonography, Prenatal - methods ; Ultrasonography, Prenatal - statistics & numerical data ; Urban Health ; Urban Population</subject><ispartof>International journal of gynecology and obstetrics, 2004, Vol.84 (1), p.23-31</ispartof><rights>2003 International Federation of Gynecology and Obstetrics</rights><rights>2004 International Federation of Gynecology and Obstetrics</rights><rights>2004 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4413-e4bbfcd75205985ffe916b224b453736cf5efe456e8add21889cc866ed8fcdec3</citedby><cites>FETCH-LOGICAL-c4413-e4bbfcd75205985ffe916b224b453736cf5efe456e8add21889cc866ed8fcdec3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1016%2FS0020-7292%2803%2900310-2$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1016%2FS0020-7292%2803%2900310-2$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,4024,27923,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15376091$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/14698826$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Geerts, L.</creatorcontrib><creatorcontrib>Theron, A.M.</creatorcontrib><creatorcontrib>Grove, D.</creatorcontrib><creatorcontrib>Theron, G.B.</creatorcontrib><creatorcontrib>Odendaal, H.J.</creatorcontrib><title>A community-based obstetric ultrasound service</title><title>International journal of gynecology and obstetrics</title><addtitle>Int J Gynaecol Obstet</addtitle><description>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.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Chi-Square Distribution</subject><subject>Cohort Studies</subject><subject>Cost-Benefit Analysis</subject><subject>Delivery of Health Care - economics</subject><subject>Delivery. Postpartum. Lactation</subject><subject>Female</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Poverty Areas</subject><subject>Pregnancy</subject><subject>Pregnancy outcome</subject><subject>Prenatal Care - economics</subject><subject>Prenatal Care - methods</subject><subject>Prenatal ultrasound</subject><subject>Prospective Studies</subject><subject>Referral and Consultation - economics</subject><subject>Referral and Consultation - statistics & numerical data</subject><subject>Routine screening</subject><subject>South Africa - epidemiology</subject><subject>Ultrasonography, Prenatal - economics</subject><subject>Ultrasonography, Prenatal - methods</subject><subject>Ultrasonography, Prenatal - statistics & numerical data</subject><subject>Urban Health</subject><subject>Urban Population</subject><issn>0020-7292</issn><issn>1879-3479</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkMlKBDEQQIMoOi6foMxF0UNrJenOchIZXBE8qOeQTqoh0osm3SPz9_Y4gx71VJf3qqhHyCGFcwpUXDwDMMgk0-wU-BkAp5CxDTKhSuqM51JvkskPskN2U3oDACop3SY7NBdaKSYm5Pxq6rqmGdrQL7LSJvTTrkw99jG46VD30aZuaP00YZwHh_tkq7J1woP13COvN9cvs7vs8en2fnb1mLk8pzzDvCwr52XBoNCqqCrUVJSM5WVecMmFqwqsMC8EKus9o0pp55QQ6NWooeN75GS19z12HwOm3jQhOaxr22I3JKMAJJNSjWCxAl3sUopYmfcYGhsXhoJZhjLfocyyggFuvkMZNnpH6wND2aD_tdZlRuB4DdjkbF1F27qQfrnxDwGajpxecZ-hxsX_rpv7h9snxkf3cuXimHIeMJrkArYOfYjoeuO78McbX1VdlTE</recordid><startdate>2004</startdate><enddate>2004</enddate><creator>Geerts, L.</creator><creator>Theron, A.M.</creator><creator>Grove, D.</creator><creator>Theron, G.B.</creator><creator>Odendaal, H.J.</creator><general>Elsevier Ireland Ltd</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>2004</creationdate><title>A community-based obstetric ultrasound service</title><author>Geerts, L. ; Theron, A.M. ; Grove, D. ; Theron, G.B. ; Odendaal, H.J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4413-e4bbfcd75205985ffe916b224b453736cf5efe456e8add21889cc866ed8fcdec3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Chi-Square Distribution</topic><topic>Cohort Studies</topic><topic>Cost-Benefit Analysis</topic><topic>Delivery of Health Care - economics</topic><topic>Delivery. Postpartum. Lactation</topic><topic>Female</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Poverty Areas</topic><topic>Pregnancy</topic><topic>Pregnancy outcome</topic><topic>Prenatal Care - economics</topic><topic>Prenatal Care - methods</topic><topic>Prenatal ultrasound</topic><topic>Prospective Studies</topic><topic>Referral and Consultation - economics</topic><topic>Referral and Consultation - statistics & numerical data</topic><topic>Routine screening</topic><topic>South Africa - epidemiology</topic><topic>Ultrasonography, Prenatal - economics</topic><topic>Ultrasonography, Prenatal - methods</topic><topic>Ultrasonography, Prenatal - statistics & numerical data</topic><topic>Urban Health</topic><topic>Urban Population</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Geerts, L.</creatorcontrib><creatorcontrib>Theron, A.M.</creatorcontrib><creatorcontrib>Grove, D.</creatorcontrib><creatorcontrib>Theron, G.B.</creatorcontrib><creatorcontrib>Odendaal, H.J.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of gynecology and obstetrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Geerts, L.</au><au>Theron, A.M.</au><au>Grove, D.</au><au>Theron, G.B.</au><au>Odendaal, H.J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A community-based obstetric ultrasound service</atitle><jtitle>International journal of gynecology and obstetrics</jtitle><addtitle>Int J Gynaecol Obstet</addtitle><date>2004</date><risdate>2004</risdate><volume>84</volume><issue>1</issue><spage>23</spage><epage>31</epage><pages>23-31</pages><issn>0020-7292</issn><eissn>1879-3479</eissn><coden>IJGOAL</coden><abstract>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.</abstract><cop>Shannon</cop><pub>Elsevier Ireland Ltd</pub><pmid>14698826</pmid><doi>10.1016/S0020-7292(03)00310-2</doi><tpages>9</tpages></addata></record> |
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| source | Wiley Online Library - AutoHoldings Journals; MEDLINE |
| subjects | Adult Biological and medical sciences Chi-Square Distribution Cohort Studies Cost-Benefit Analysis Delivery of Health Care - economics Delivery. Postpartum. Lactation Female Gynecology. Andrology. Obstetrics Humans Medical sciences Poverty Areas Pregnancy Pregnancy outcome Prenatal Care - economics Prenatal Care - methods Prenatal ultrasound Prospective Studies Referral and Consultation - economics Referral and Consultation - statistics & numerical data Routine screening South Africa - epidemiology Ultrasonography, Prenatal - economics Ultrasonography, Prenatal - methods Ultrasonography, Prenatal - statistics & numerical data Urban Health Urban Population |
| title | A community-based obstetric ultrasound service |
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