Assessment of Acute Obstetrical Needs and the Potential Utility of Point-Of-Care Ultrasound in the North East Region of Haiti: A Cross-Sectional Study.

Annals of Global Health
Danica J GomesChristina Bloem

Abstract

Point-of-care ultrasound (POCUS) implemented through task shifting to nontraditional users has potential as a diagnostic adjuvant to enhance acute obstetrical care in resource-constrained environments with limited access to physician providers. This study evaluated acute obstetrical needs and the potential role for POCUS programming in the North East region of Haiti. Data was collected on all women presenting to the obstetrical departments of two Ministry of Public Health and Population (MSPP)-affiliated public hospitals in the North East region of Haiti: Fort Liberté Hospital and Centre Medicosocial de Ouanaminthe. Data was obtained via retrospective review of hospital records from January 1 through March 31, 2016. Trained personnel gathered data on demographics, obstetrical history, diagnoses, clinical care and outcomes using a standardized tool. Diagnoses a priori, defined as those diagnoses whose detection could be assisted with POCUS, included multi-gestations, non-vertex presentation, cephalopelvic disproportion, placental abruption, placenta previa, spontaneous abortions, retained products and ectopic pregnancy. Data were collected from 589 patients during the study period. Median maternal age was 26 years and median ges...Continue Reading

References

Apr 27, 1995·The New England Journal of Medicine·A M FraserR H Ward
Feb 13, 1999·The American Journal of Tropical Medicine and Hygiene·J P Steinmetz, J P Berger
Oct 2, 2004·Obstetrics and Gynecology·Bo JacobssonIan Milsom
Nov 22, 2008·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Jacqueline K Spencer, Ronald S Adler
Apr 9, 2010·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Alfred Z Abuhamad
Aug 17, 2010·The American Journal of Emergency Medicine·Sachita ShahGeorge S M Dyer
Oct 22, 2015·Prehospital and Disaster Medicine·Annelies De WulfChristina Bloem
Nov 10, 2015·Prehospital and Disaster Medicine·Adam R AluisioChristina Bloem

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Methods Mentioned

BETA
cesarean sections
cesarean section

Software Mentioned

POCUS
STATA

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