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dc.contributor.authorGeerts L.
dc.contributor.authorTheron A.M.
dc.contributor.authorGrove D.
dc.contributor.authorTheron G.B.
dc.contributor.authorOdendaal H.J.
dc.date.accessioned2011-05-15T16:16:42Z
dc.date.available2011-05-15T16:16:42Z
dc.date.issued2004
dc.identifier.citationInternational Journal of Gynecology and Obstetrics
dc.identifier.citation84
dc.identifier.citation1
dc.identifier.issn00207292
dc.identifier.other10.1016/S0020-7292(03)00310-2
dc.identifier.urihttp://hdl.handle.net/10019.1/13896
dc.description.abstractObjectives: 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.subjectadult
dc.subjectarticle
dc.subjectcohort analysis
dc.subjectcommunity care
dc.subjectcontrolled study
dc.subjectechography
dc.subjectfemale
dc.subjecthuman
dc.subjectnormal human
dc.subjectpatient referral
dc.subjectpregnancy complication
dc.subjectpremature fetus membrane rupture
dc.subjectpremature labor
dc.subjectprenatal care
dc.subjectprenatal screening
dc.subjectpreventive health service
dc.subjectprimigravida
dc.subjectpriority journal
dc.subjectprolonged pregnancy
dc.subjectprospective study
dc.subjectSouth Africa
dc.subjectstudent
dc.subjecturban area
dc.subjectAdult
dc.subjectChi-Square Distribution
dc.subjectCohort Studies
dc.subjectCost-Benefit Analysis
dc.subjectDelivery of Health Care
dc.subjectFemale
dc.subjectHumans
dc.subjectPoverty Areas
dc.subjectPregnancy
dc.subjectPrenatal Care
dc.subjectProspective Studies
dc.subjectReferral and Consultation
dc.subjectSouth Africa
dc.subjectUltrasonography, Prenatal
dc.subjectUrban Health
dc.subjectUrban Population
dc.titleA community-based obstetric ultrasound service
dc.typeArticle
dc.description.versionArticle


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