A community-based obstetric ultrasound service

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dc.contributor.author Geerts L.
dc.contributor.author Theron A.M.
dc.contributor.author Grove D.
dc.contributor.author Theron G.B.
dc.contributor.author Odendaal H.J.
dc.date.accessioned 2011-05-15T16:16:42Z
dc.date.available 2011-05-15T16:16:42Z
dc.date.issued 2004
dc.identifier.citation International Journal of Gynecology and Obstetrics
dc.identifier.citation 84
dc.identifier.citation 1
dc.identifier.issn 00207292
dc.identifier.other 10.1016/S0020-7292(03)00310-2
dc.identifier.uri http://hdl.handle.net/10019.1/13896
dc.description.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. © 2003 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.
dc.subject adult
dc.subject article
dc.subject cohort analysis
dc.subject community care
dc.subject controlled study
dc.subject echography
dc.subject female
dc.subject human
dc.subject normal human
dc.subject patient referral
dc.subject pregnancy complication
dc.subject premature fetus membrane rupture
dc.subject premature labor
dc.subject prenatal care
dc.subject prenatal screening
dc.subject preventive health service
dc.subject primigravida
dc.subject priority journal
dc.subject prolonged pregnancy
dc.subject prospective study
dc.subject South Africa
dc.subject student
dc.subject urban area
dc.subject Adult
dc.subject Chi-Square Distribution
dc.subject Cohort Studies
dc.subject Cost-Benefit Analysis
dc.subject Delivery of Health Care
dc.subject Female
dc.subject Humans
dc.subject Poverty Areas
dc.subject Pregnancy
dc.subject Prenatal Care
dc.subject Prospective Studies
dc.subject Referral and Consultation
dc.subject South Africa
dc.subject Ultrasonography, Prenatal
dc.subject Urban Health
dc.subject Urban Population
dc.title A community-based obstetric ultrasound service
dc.type Article
dc.description.version Article
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